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 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Previous research has demonstrated a number of conditions, such as sleep disturbance, fatigue, depression, spastic colon and mitral valve prolapse, associated with fibromyalgia. The present report describes additional symptoms and medical conditions that appear to be associated with the syndrome based on a survey of 554 individuals with fibromyalgia compared with a group of 169 controls. Individuals with fibromyalgia self report a greater incidence of bursitis, chondromalacia, constipation, diarrhea, temporomandibular joint dysfunction, vertigo, sinus and thyroid problems. Symptomatic complaints found statistically more prevalent in fibromyalgia patients included concentration problems, sensory symptoms, swollen glands and tinnitus. Other associations occurring with significant increased frequency were chronic cough, coccygeal and pelvic pain, tachycardia and weakness. Our previous report on inheritance patterns in fibromyalgia was reaffirmed with 12% reporting symptomatic children and 25% reporting symptomatic parents. Of the respondents, 70% noted that their symptoms were aggravated by noise, lights, stress, posture and weather.
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PMID:Fibromyalgia syndrome. New associations. 146 72

Descriptive data are presented for 100 patients reporting facial pain and temporomandibular dysfunction (TMD) precipitated by (1) overt facial/head trauma, (2) "whiplash" injury, and (3) "whiplash" injury with overt trauma. Analysis of the data suggests that these TMD trauma subsets are significantly different in terms of total number of pain sites, presence of concomitant neck pain, range of opening, and report of sleep disturbance and involvement in litigation. They also varied with respect to reducing and nonreducing disc displacement. However, significant differences were not observed for initial pain at presentation; muscle pressure pain threshold; McGill affective or HSCL-90 depression, anxiety, and somatization scores; prior pain duration; or time post-trauma before pain onset. These findings suggest that patients within these trauma categories share some common characteristics but may differ in important demographic, pain, and temporomandibular joint dysfunction variables.
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PMID:Symptom characteristics in TMD patients reporting blunt trauma and/or whiplash injury. 181 67

This study was to clarify the relationship between anxiety and temporomandibular joint dysfunction (TMJD) in a group of patients with TMJD (N = 105) and a matched control group (N = 90) using measures of depression, relevant physical parameters and a number of other psychological variables. Patients were divided into high and low depression groups using the Zung self-rating depression scale and compared using measures obtained from the Goss-Gerke Inventory on Dental and Psychological Factors. Statistical comparison revealed no significant differences between depression groups in physical parameters. The TMJD groups were generally more depressed than the control group. The highly depressed TMJD group had a greater degree of abnormal illness behaviour and generally were similar to those patients identified in other studies as being refractory to treatment.
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PMID:Psychological factors in temporomandibular joint dysfunction: depression. 209 94

This paper describes how the use of a combination of maxillary and mandibular orthopedic appliances by TMJ patients can reduce iatrogenic stress and improve patient compliance with 24-hour use. This combination provides the patient with a proper appliance for anterior repositioning when sleeping and eliminates the fear of iatrogenic tooth depression or movement.
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PMID:Rationale for sequential use of both maxillary and mandibular orthopedic appliances in the treatment of TMJ disorders. 209 5

Temporomandibular joint (TMJ) disorders have been collectively grouped as myofascial pain-dysfunction syndrome (MPDS) or temporomandibular joint dysfunction syndrome (TMJDS). In the past, these terms have been used synonomously to describe a set of clinical signs and symptoms that include pain in the TMJ and muscles of mastication, limited or deviant opening of the mandible, and/or joint sounds. The present study segregated two major subgroups subsumed within this diagnostic classification and assigned them to a myogenic facial pain (MFP) group and a TMJ internal derangement (TMJID) group. Previous studies may have included both of these disorders as MPDS/TMJDS. While some signs and symptoms are similar, the primary differentiation is based on meniscus displacement present with TMJID patients and pain distribution patterns between the two groups. While MFP/TMJID patients comprise the majority of the facial pain population, a third major group of patients is encountered, being classified under the diagnostic appellation of atypical facial pain (AFP). Patients with AFP usually complain of vague and wandering pain in the maxilla or mandible; however, no identifiable source of infection or organic disease can be uncovered. One hundred fifty patients seeking consultation and care for facial pain met the criteria for inclusion into one of three clinical groups. The groups were compared for age, sex, duration of symptoms, bruxism and/or clenching habits, and disturbed sleep patterns. Differences in surface electromyographic levels from the facial and cervical muscles were also examined. Minnesota Multiphasic Personality Inventory (MMPI) scores from 95 subjects were compared with self-report measures of depression and anxiety. It was concluded that subcategorization of myofascial pain dysfunction patients into a MFP and TMJID group is justified on the basis of psychometric differences, clenching habits, masseter EMG levels, and male:female ratio. Furthermore, psychopathological factors are more significant among MFP and AFP subjects than TMJID patients.
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PMID:Comparison of clinical characteristics in myogenic, TMJ internal derangement and atypical facial pain patients. 213 94

Data from a community-based study of 3811 persons aged 65 years and older were used to describe the characteristics of headache in the elderly. Subjects were asked whether they experienced headache in the past year, the frequency and severity of their headaches, and whether they experienced three symptoms of migraine: unilaterality, nausea or vomiting, an aura preceding the headache. Prevalence of headache in those aged more than 65 years declined with age in both men and women; women had a higher prevalence in each age group. The same was true for frequent, severe, and migrainous headache. We examined age- and sex-adjusted correlations of headache with several medical and social factors. Prevalence of any headache was strongly associated with joint pain, depression, bereavement, waking during the night, use of eyeglasses, symptoms of temporomandibular joint dysfunction, and self-assessment of health. Similar variables were associated with frequency, severity, and migrainous symptoms, and thus could not be distinguished among these various types.
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PMID:Correlates of headache in a population-based cohort of elderly. 259 19

Patients suffering from temporomandibular joint dysfunction syndrome (TMJS) and healthy volunteers were examined by means of MMPI questionnaire and electromyography (masseter, anterior temporal and anterior digastric muscles) at rest and during natural chewing. In response to mental load (arithmetic chain task) TMJS patients showed an increase in postural activity and partly rhythmical short augmentations above the mean level of this activity. Chewing potentials were considerably diminished in patients compared with controls. There was evidence for neurotic disorders in the patients MMPI (neurotic triad: higher scores on hypochondria, depression, hysteria). Significant differences (multivariate variance and discriminant analysis: P less than 0.001) between patients and controls were found both in the group with psychic signs (MMPI scales) and in the group of quantitative electromyographic parameters. However, a sufficient discrimination was only obtained by a combination of both parameter groups. The results show that probably psychic dynamics, as well as the structure of neuromuscular activity within the masticatory system, are important in the aetiopathogenesis of TMJS.
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PMID:Personality and quantified neuromuscular activity of the masticatory system in patients with temporomandibular joint dysfunction. 316 59

A model for the diagnosis and treatment of temporomandibular joint dysfunction and facial pain in children is presented. Emphasis is placed on systematic assessment of physical, psychologic, and behavioral factors when conservative medical therapy is inadequate for symptom relief. The model represents a multidisciplinary approach to patient care which is described through case presentations. The results of research on the incidence of primary psychopathology in 53 children and 322 adults evaluated during a 3-year period for temporomandibular joint dysfunction and facial pain are also presented. It was found that children were more likely to be psychiatrically impaired (25%) than adults (7%). Children had a variety of psychiatric diagnoses including depression, conversion and adjustment disorders, overanxious behavior, and anorexia nervosa. The benefits of a multidisciplinary approach are discussed in terms of the efficacy of this coordinated treatment effort in ameliorating symptoms.
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PMID:Temporomandibular joint dysfunction and facial pain in children: an approach to diagnosis and treatment. 365 76

The myofacial pain-dysfunction syndrome and atypical facial pain are the most prevalent chronic pain disorders of the facial region. Previously, the myofacial pain-dysfunction syndrome included all TMJ/masticatory muscle pain, jaw dysfunction, and joint clicking. We have segregated two major subgroups subsumed within this diagnostic classification and have assigned them to a myogenic facial pain (MFP) group and a TMJ internal derangement (TMJID) group. Significant age and personality differences were uncovered when these subpopulations were compared to subjects with atypical facial pain (AFP). Both MFP and TMJID groups are relatively homologous, involving younger persons than AFP subjects. Alternatively, when MFP, TMJID, and AFP subjects were compared for differences in MMPI psychometric scales, MFP and AFP subjects exhibited significantly higher scores, particularly for hypochondriasis, depression, and hysteria, than did TMJID subjects. It is concluded that subcategorization of myofascial pain-dysfunction patients into a myogenic pain group and a TMJ internal derangement group is justified on the basis of psychometric differences. Furthermore, psychopathologic factors are more significant among MFP and AFP subjects than among TMJID patients.
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PMID:Psychometric profiles and facial pain. 386 39

The search for distinct personality characteristics of mandibular pain dysfunction patients has produced confusing and contradictory results. The present study represents an attempt to clarify this area of research by assessing reliable measures of personality (MMPI), anxiety (Speilberger State-Trait Anxiety Inventory), and depression (Beck Depression Inventory) in ten subjects with a history of facial pain and TMJ sounds. Two control groups, one with TMJ sounds only and other with no history of these symptoms, were matched for sex. The results indicated that the groups did not differ on any of these measures. Discussion focuses on possible explanations for the failure to find any differences in these measures and the future of personality assessment in mandibular pain dysfunction populations.
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PMID:The assessment of personality, anxiety and depression in mandibular pain dysfunction subjects. 658 76


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