El impacto del lockdown de COVID-19 en la intensidad del dolor relacionado con el Trastorno Temporomandibular, la angustia y el trastorno de estrés pós-traumático - Un estudio de casos y controle
DOI:
https://doi.org/10.33448/rsd-v11i2.25919Palabras clave:
COVID-19; Aislamiento social; Salud mental; Trastornos por estrés postraumático; Síndrome de la disfunción de articulación temporomandibular.Resumen
Hay pocos estudios que analicen los impactos psicológicos de la pandemia de COVID-19 en pacientes con trastornos temporomandibulares (TTD). El objetivo de este estudio fue evaluar la intensidad del dolor, la angustia y los síntomas del trastorno de estrés postraumático (TEPT) en una población con y sin TTM durante la pandemia de COVID-19. Este estudio de casos y controles evaluó cuestionarios de 197 participantes (105 con TMD y 92 controles), que se llevaron a cabo durante y después del primer lockdown por la pandemia de COVID-19. Para evaluar la presencia de posibles síntomas de TMD, intensidad del dolor, angustia y TEPT, se utilizaron los siguientes cuestionarios: TMD Pain Screener, Numeric Rating Scale, Patient Health Questionnaire - 4 y PTSD Checklist - Civilian Version. Los participantes con TTM mostraron niveles más altos de angustia durante (p = 0,027) y después (p < 0,001) del lockdown en comparación con el grupo de control. El grupo TTM también reportó mayores niveles de angustia en el período posterior al lockdown en comparación con el período durante el lockdown (p = 0,002), aunque se observó la misma intensidad del dolor en ambos períodos evaluados. Además, los participantes con TTM tenían 3,91 × más probabilidades de ser mujeres (95 % IC = 1,88-8,13) y 3,82 × más probabilidades de tener síntomas de TEPT (95 % IC = 1,61-9,08) después del confinamiento. Estos datos sugieren que una afección dolorosa preexistente puede provocar una mayor angustia y síntomas de TEPT como resultado de situaciones estresantes como el lockdown.
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Derechos de autor 2022 Timóteo Sousa Lopes; Paulo Goberlânio de Barros Silva; Mirna Marques Bezerra; Lívia Maria Sales Pinto Fiamengui; Eulália Mendes de Oliveira; Karuza Maria Alves Pereira ; Hellíada Vasconcelos Chaves
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