Rela??o entre aspectos sociodemogr?ficos, ansiedade e qualidade de vida com a disfun??o temporomandibular

• Main Author: Silva, Laura G?ssica Dantas da
• Other Authors: 00794853404
• Language: Portuguese
• Published: PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA 2017
• Subjects: CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA; S?ndrome da disfun??o da articula??o temporomandibular; Ansiedade; Qualidade de vida
• Online Access: https://repositorio.ufrn.br/jspui/handle/123456789/22155

Submitted by Automa??o e Estat?stica ([e-mail]) on 2017-02-22T19:21:56Z No. of bitstreams: 1 LauraGessicaDantasDaSilva_DISSERT.pdf: 2794458 bytes, checksum: 05b72439a4e7dc4b37992cef7b4335fc (MD5) === Approved for entry into archive by Arlan Eloi Leite Silva ([e-mail]) on 2017-03-07T00:06:26Z (GMT) No. of bitstreams: 1 LauraGessicaDantasDaSilva_DISSERT.pdf: 2794458 bytes, checksum: 05b72439a4e7dc4b37992cef7b4335fc (MD5) === Made available in DSpace on 2017-03-07T00:06:26Z (GMT). No. of bitstreams: 1 LauraGessicaDantasDaSilva_DISSERT.pdf: 2794458 bytes, checksum: 05b72439a4e7dc4b37992cef7b4335fc (MD5) Previous issue date: 2016-08-30 === Introdu??o: A disfun??o temporomandibular (DTM) tem etiologia multifatorial. E entre os fatores contribuintes, os de origem psicossom?ticos podem representar uma influ?ncia negativa sobre a experimenta??o da dor, ? sa?de sist?mica e qualidade de vida. Objetivo: Avaliar a rela??o entre ansiedade, qualidade de vida e aspectos s?ciodemogr?ficos com a disfun??o Temporomandibular, e a predisposi??o de pacientes ansiosos e com baixo n?vel de qualidade de vida a apresentarem DTM. M?todos:Aplicou-se 4 question?rios em 120 pacientes (60 com DTM e 60 sem DTM), para avalia??o de sinais de ansiedade e qualidade de vida. O diagn?stico de DTM foi realizado pelo RDC/TMD (Research Diagnostic Criteria for Temporomandibular Disorders). Para a an?lise da qualidade de vida utilizou-se o World Health Organization Quality Of Life-Brief Version (WHOQOL-BREF), e para a an?lise da ansiedade, tr?s instrumentos: o Invent?rio de Ansiedade de Beck (BAI), o ?ndice de Ansiedade Tra?o-Estado (IDATE- T e E) e a Escala Hospitalar de Ansiedade e Depress?o (HADS). Os dados coletados foram analisados com os testes de Qui-quadrado de Pearson (?2), Teste t de student, raz?o de chances (Odds ration- OR), e regress?o log?stica n?o condicional. Resultados: Dos pacientes com DTM, 60,0% eram mulheres e 30,0% homens (p=0,002), 65,1% estavam sem parceiro e 40,0% eram casados (p=0,009), 71,4% apresentavam ocupa??o profissional e 42,9% estavam sem ocupa??o (p=0,008). Os question?rios que avaliaram ansiedade verificaram que a maioria dos indiv?duos com n?veis elevados de ansiedade apresentaram DTM, HADS 75% (p<0,001), IDATE-E 55,6% (p=0,035), IDATE-T 54,9% (p=0,011) e BAI 63,9% (p=0,002) em compara??o aos indiv?duos sem DTM. E o WHOQOL-BREF mostrou em todos os dom?nios e de forma geral, n?veis mais elevados de qualidade de vida para os participantes sem DTM, p<0,001. Entre os dados s?ciodemograficos o sexo apresentou maior associa??o com DTM (OR=3,5), seguidos de situa??o profissional (OR=3,3) e estado civil (OR=2,8). O WHOQOL apresentou maior for?a de associa??o (OR=9,2). E para ansiedade, isso foi observado no HADS (OR=5,0), seguido pelo IDATE-T (OR=4,2), BAI (OR=3,2) e IDATE-E (2,5). Conclus?o: H? uma rela??o entre os aspectos sociodemogr?ficos, ansiedade e qualidade de vida com a DTM. Os resultados sugerem que pacientes com DTM apresentam n?veis mais elevados de ansiedade e baixo n?vel de qualidade de vida. Tais aspectos podem interferir na evolu??o do tratamento, o que refor?a a necessidade de terapias com enfoque nos diversos fatores envolvidos na disfun??o. === Introduction: temporomandibular disorders (TMD) has a multifactorial etiology, and among the contributing factors, the psychosomatic origin may represent a negative influence on the trial of pain, systemic health and quality of life. Objective: To evaluate the relationship between TMD, anxiety, quality of life and demographic aspects partner of TMD patients. Methods: We applied 4 questionnaires in 120 patients (60 with and 60 without TMD TMD) to assess signs of anxiety and quality of life. The TMD diagnosis was performed by RDC / TMD (Research Diagnostic Criteria for Temporomandibular Disorders). For the analysis of quality of life used the World Health Organization Quality Of Life-Brief Version (WHOQOL-BREF), and for the analysis of anxiety, three instruments: Inventory Beck Anxiety (BAI), the Anxiety Index State-trait (IDATE- T and E) and the Hospital Anxiety and Depression Scale (HADS). Data were analyzed with the test chi-square test (?2), Student's t test, odds ratio (odds ration- OR), and logistic regression. Results: Of TMD patients, 60,0% were women and 30,0% men, 65,1% were without a partner and 40,0% were married, 71,4% were occupation and 42,9% were unemployed. The questionnaire evaluating anxiety found that most individuals with elevated levels of anxiety presented TMD HADS 75% (p <0,001), STAI, and 55,6% (p = 0,035), STAI 54,9% (p = 0,011) and BAI 63,9% (p = 0,002) compared to individuals without TMD. And the WHOQOL-BREF showed in all areas and in general, higher levels of quality of life for participants without TMD, p <0.001. Among the sociodemographic sex showed greater association with TMD (OR = 3,5), followed by professional status (OR = 3,3) and marital status (OR = 2,8). The WHOQOL showed greater strength of association (OR = 9,2). And anxiety, this was observed in the HADS (OR = 5,0), followed by STAI (OR = 4,2), BAI (OR = 3,2) and STAI-E (2,5). Conclusion: There is a relationship between the sociodemographic characteristics, anxiety and quality of life with TMD. The results suggest that TMD patients have higher levels of anxiety and low quality of life. These aspects can interfere with the course of treatment, which reinforces the need for therapies with a focus on several factors involved in the dysfunction.