O impacto do lockdown pela COVID-19 na intensidade dolorosa relacionada à Disfunção Temporomandibular, angústia e transtorno do estresse pós-traumático - Um estudo de caso-controle
DOI:
https://doi.org/10.33448/rsd-v11i2.25919Palavras-chave:
COVID-19; Isolamento social; Saúde mental; Transtornos de estresse pós-traumáticos; Síndrome da disfunção da articulação temporomandibular.Resumo
Eventos relacionados com a pandemia da COVID-19 possuem forte impacto na saúde mental pública. Entretanto, existem poucos estudos com foco nesses aspectos em pacientes com disfunção temporomandibular (DTM). O objetivo deste estudo foi avaliar a intensidade dolorosa, angústia e sintomas do transtorno do estresse pós-traumático (TEPT) em uma população com e sem DTM durante a pandemia de COVID-19. Este estudo de caso-controle avaliou questionários eletrônicos de 197 participantes (105 com DTM e 92 controles), que foram realizados durante e após o primeiro lockdown da pandemia de COVID-19. Para avaliar a presença de possíveis sintomas de DTM, intensidade dolorosa, angústia e TEPT foram utilizados os respectivos questionários: TMD Pain Screener, Numeric Rating Scale, Patient Health Questionnaire – 4 e PTSD Checklist - Civilian Version. Os participantes com DTM apresentaram níveis mais elevados de angústia durante (p = 0,027) e após (p < 0,001) o lockdown em comparação ao grupo controle. O grupo DTM também relatou níveis aumentados de angústia no período pós-lockdown em relação ao período durante o lockdown (p = 0,002), embora a mesma intensidade de dor tenha sido observada nos dois períodos avaliados. Além disso, os participantes com DTM foram 3,91 × mais propensos a ser do sexo feminino (IC 95% = 1,88-8,13) e 3,82 × mais propensos a apresentar sintomas de TEPT (IC 95% = 1,61-9,08) após o lockdown. Esses dados sugerem que uma condição dolorosa pré-existente pode levar ao aumento da angústia e dos sintomas de TEPT como resultado de situações estressantes, como o lockdown pela COVID-19.
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