| Widespread pain symptoms and psychological distress in southern Chinese with orofacial pain. | |
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MedLine Citation:
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PMID: 19919620 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The study investigated the experience of widespread pain (WP) symptoms and psychological distress in southern Chinese with orofacial pain (OFP). A community-based, cross-sectional case-control study involving people aged 35-70 registered with the Hospital Authority/University of Hong Kong Family Medicine Clinic served as the sampling frame. People with recent OFP symptoms and a group without OFP took part. Standard questions were asked about OFP conditions in the previous month. Psychological status was evaluated through depression, and non-specific physical symptoms (NPS) scores were measured with depression and somatization sub-scales of the Symptom Checklist-90. Widespread pain was determined using body outline drawings to identify painful sites prior to a standard clinical examination. Two hundred people with OFP and 200 without OFP participated. Compared with 5.0% in the comparison group (P = 0.005), 13.5% of participants with OFP had WP (OFP/WP). Multiple OFP symptoms were more common in the OFP/WP sub-group than the OFP sub-group without WP (OFP/No WP) (P < 0.002). Sixty-three percent of the OFP/WP sub-group had moderate/severe depression scores compared with 26.0% in the OFP/No WP sub-group (P < 0.001). When pain items were included and excluded, 92.6% and 88.9% of the OFP/WP sub-group had moderate/severe NPS scores, respectively compared with 68.5% and 65.0% in the OFP/No WP sub-group (P = 0.004). Co-morbid WP occurred relatively often in southern Chinese with OFP. Psychological distress was common in OFP sufferers, particularly those with WP. A multidisciplinary approach to treatment including cognitive/behavioural therapy should be considered in Chinese people with OFP as part of a WP pattern. |
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Authors:
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A S McMillan; M C M Wong; J Zheng; Y Luo; C L K Lam |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-11-16 |
Journal Detail:
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Title: Journal of oral rehabilitation Volume: 37 ISSN: 1365-2842 ISO Abbreviation: J Oral Rehabil Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-04-22 Completed Date: 2010-07-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0433604 Medline TA: J Oral Rehabil Country: England |
Other Details:
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Languages: eng Pagination: 2-10 Citation Subset: D; IM |
Affiliation:
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Oral Rehabilitation, Faculty of Dentistry, University of Hong Kong, Hong Kong, China. annemcmillan@hku.hk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Case-Control Studies China Chronic Disease Cost of Illness Cross-Sectional Studies Depression / complications, psychology Facial Pain / complications, psychology* Female Health Surveys Humans Male Middle Aged Pain / complications, psychology* Somatoform Disorders / complications, psychology* Stress, Psychological / complications, psychology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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