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Previous issue date: 2009-04-08 === Some studies reported in the literature that emotional factors and quality of life may be involved both in aetiology, as in the progression of Temporomandibular disorders (TMD).
Proposition: The purpose of this study is to observe a possible association between different forms of anxiety, quality of life and general health of patients diagnosed as carriers of various
types and levels of Temporomandibular Dysfunction. Methodology: The sample consisted of 60 patients diagnosed as carriers of TMJD origin of muscle, joint, or both, with different levels of severity (mild TMD, moderate and severe). The patients were diagnosed with TMD-RDC (Research Diagnostic Criteria) to assess the type of dysfunction (muscle or joint) and by the Protocol of Fonseca to verify the degree of dysfunction (mild, moderate or severe). To evaluate
the psychosocial aspects were used three self-applied, with the purpose of obtaining information about the general health (General Health Questionnaire - GHQ), the type of anxiety (Trait Anxiety Inventory-State - STAI) and quality of life (World Health Organization Quality Of Life Short WHOQOL-brief). Results: There was a correlation between all indicators studied in several forms of TMD with varying degrees of commitment. Quality of life appeared linked to the type and the level of TMD: Muscular and Articular TMD (p = 0,037), Disk Displacement With Reduction (p = 0.01) and Mild TMD (p = 0.042). The General Health showed association with the level of TMD, with the exception of the stress factor (p = 0.78). For the analysis of the types and levels to Severe Muscular TMD had a statistically significant indicator of the quality of life (p = 0049). The anxiety only showed association with the level of TMD (p = 0,047 for anxiety-trait). Conclusion: Besides the limitations of the study, it was concluded that anxiety, quality of life and general health are important psychosocial indicators, which are linked to
several forms of TMD in different levels of severity === Alguns estudos na literatura relatam que os fatores emocionais e a qualidade de vida podem estar envolvidos tanto na etiologia, quanto na progress?o das Disfun??es
Temporomandibulares (DTM). Proposi??o: O objetivo do presente estudo ? o de observar uma poss?vel associa??o entre as diferentes formas de ansiedade, a qualidade de vida e a sa?de geral em pacientes diagnosticados como portadores de diferentes tipos e graus de Disfun??o Temporomandibular. Metodologia: A amostra foi constitu?da por 60 pacientes diagnosticados como portadores de Disfun??o Temporomandibular de origem muscular, articular ou ambas,
com diferentes graus de severidade (DTM leve, moderada e severa). Os pacientes foram diagnosticados atrav?s do RDC-TMD (Research Diagnostic Criteria) para avaliar o tipo de
disfun??o (muscular ou articular) e atrav?s do Protocolo de Fonseca para verificar o grau da disfun??o (leve, moderada ou severa). Para avalia??o dos aspectos psicossociais foram
utilizados tr?s question?rios auto-aplic?veis, com o objetivo de obter informa??es a respeito da sa?de geral (Question?rio de Sa?de Geral QSG), do tipo de ansiedade (Invent?rio de
Ansiedade Tra?o-Estado - IDATE) e da qualidade de vida (World Health Organization Quality Of Life abreviado -WHOQOL brief). Resultados: Observou-se associa??o entre todos os indicadores pesquisados nas mais diversas formas de DTM com variados graus de comprometimento. A Qualidade de vida apareceu associada ao Tipo e ao Grau de DTM: DTM
Muscular e Articular (p=0,037), Deslocamento de Disco Com Redu??o (p=0,01), e DTM Leve (p=0,042). A Sa?de Geral apresentou associa??o com o Grau de DTM, ? exce??o do fator estresse (p=0,78). Em rela??o ? an?lise conjunta dos tipos e graus, a DTM Muscular Severa teve associa??o estatisticamente significante para o indicador de Qualidade de Vida (p=0,049). A Ansiedade apresentou associa??o apenas com o Grau de DTM (p=0,047 para ansiedade-tra?o).
Conclus?o: Dentro das limita??es do estudo, pode-se concluir que a ansiedade, a qualidade de vida e a sa?de geral s?o importantes indicadores psicossociais, que est?o associados ?s mais diversas formas de DTM, em diferentes graus de severidade
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