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Prevalência da hipervigilância em pacientes com disfunção temporomandibular
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Objetivo: Estabelecer a prevalência da hipervigilância em pacientes com disfunção temporomandibular.
Materiais e métodos: Estudo observacional realizado com 221 pacientes, os quais foram divididos em dois grupos (grupo DTM, n= 129) e grupo controle (n=92). Foram aplicados os questionários DC/TMD para diagnosticar as DTMs e o questionário PVQA para avaliar o nível de HIPERVIGILANCIA nos indivíduos. Os questionários foram aplicados em sessão única.
Resultados: Os resultados mostraram que não houve diferenças estatisticamente significativas na idade entre os grupos (p>0,90), mas observou-se uma maior prevalência de mulheres no grupo com DTM (p<0,04). Os níveis de hipervigilância foram significativamente mais altos no grupo com DTM (p<0,00001). Dentro do grupo DTM, não houve diferença significativa nos níveis de hipervigilância na comparação entre os géneros. Da mesma forma, não houve diferenças significativas entre DTM dolorosa e DTM não dolorosa nos níveis de hipervigilância. Foi encontrada uma correlação moderada, positiva e significativa (p<0,000001) entre DTM articular e hipervigilância.
Conclusão: Existe uma elevada prevalência e associação de hipervigilância em pacientes com DTM, particularmente naqueles com diagnósticos de DTMs articulares.
Objective: To establish the prevalence of hypervigilance in patients with temporomandibular dysfunction (TMD). Materials and Methods: A cross-sectional observational study was conducted with 221 patients, who were divided into two groups (TMD group, n=129) and control group (n=92). The DC/TMD questionnaires were administered to diagnose TMDs, and the PVQA questionnaire was used to assess the level of hypervigilance in individuals. The questionnaires were administered in a single session. Results: The results showed no statistically significant differences in age between the groups (p>0.90), but a higher prevalence of women was observed in the TMD group (p<0.04). Hypervigilance levels were significantly higher in the TMD group (p<0.00001). Within the TMD group, there was no significant difference in hypervigilance levels between genders. Similarly, there were no significant differences between painful TMD and non-painful TMD in hypervigilance levels. A moderate, positive, and significant correlation (p<0.000001) was found between joint TMD and hypervigilance. Conclusion: There is a high prevalence and association of hypervigilance in patients with TMD, particularly in those with diagnoses of joint TMD.
Objective: To establish the prevalence of hypervigilance in patients with temporomandibular dysfunction (TMD). Materials and Methods: A cross-sectional observational study was conducted with 221 patients, who were divided into two groups (TMD group, n=129) and control group (n=92). The DC/TMD questionnaires were administered to diagnose TMDs, and the PVQA questionnaire was used to assess the level of hypervigilance in individuals. The questionnaires were administered in a single session. Results: The results showed no statistically significant differences in age between the groups (p>0.90), but a higher prevalence of women was observed in the TMD group (p<0.04). Hypervigilance levels were significantly higher in the TMD group (p<0.00001). Within the TMD group, there was no significant difference in hypervigilance levels between genders. Similarly, there were no significant differences between painful TMD and non-painful TMD in hypervigilance levels. A moderate, positive, and significant correlation (p<0.000001) was found between joint TMD and hypervigilance. Conclusion: There is a high prevalence and association of hypervigilance in patients with TMD, particularly in those with diagnoses of joint TMD.
Descrição
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Palavras-chave
Disfunção temporomandibular Hipervigilância Dor miofacial Artralgia