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01-04-2010 | Original Article

Temporomandibular pain and depression in adolescents—a case–control study

Authors: C. Hirsch, J. C. Türp

Published in: Clinical Oral Investigations | Issue 2/2010

Abstract

This study compared the depression status of adolescents with temporomandibular (TM) pain to those without, considering the influence of age, sex, and other pain conditions. From a general population sample of 455 adolescents, 29 cases (mean age, 15.3 years) with current TM pain were compared with 44 age-matched controls without such pain. Study participants were examined for general health status, additional pain sites (back, abdomen, and head) in the previous month, and depression, using a 15-item German-language depression questionnaire. Cases had a statistically significant higher average depression score than controls (14.2 ± 7.1 vs. 9.7 ± 6.3; t test, p < 0.01), and they reported more often additional pain. The more pain sites were mentioned, the higher was the depression score [no pain, 4.0 ± 2.8; four pains, 17.3 ± 8.0; analysis of variance (ANOVA), p < 0.001]. We conclude that TM pain assessment among adolescents should include a whole-body pain drawing as well as a screening questionnaire to identify pain-related depressive symptoms.

For Charles Darwin [6], this association was obvious. In his work, The Expression of the Emotions in Man and Animals, he wrote: “Pain, if severe, soon induces extreme depression or prostration;…”.

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Title: Temporomandibular pain and depression in adolescents—a case–control study
Authors: C. Hirsch
J. C. Türp
Publication date: 01-04-2010
Publisher: Springer-Verlag
Published in: Clinical Oral Investigations / Issue 2/2010
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-009-0265-5

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Temporomandibular pain and depression in adolescents—a case–control study

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