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Erschienen in: Clinical Oral Investigations 4/2019

27.08.2018 | Original Article

Effects of trait anxiety, somatosensory amplification, and facial pain on self-reported oral behaviors

verfasst von: Jeffrey CF Chow, Iacopo Cioffi

Erschienen in: Clinical Oral Investigations | Ausgabe 4/2019

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Abstract

Objectives

Oral behaviors are activities, like gum chewing, teeth clenching, and biting of objects, that go beyond normal functioning demands and contribute to the onset of temporomandibular disorders (TMD). Somatosensory amplification refers to the tendency to experience somatic sensations as intense, noxious, and disturbing and is related to bodily hypervigilance. Clinical experience suggests that individuals with bodily hypervigilance also present with occlusal hypervigilance and continuously check their occlusion. This study aimed at investigating whether somatosensory amplification and trait anxiety, a characteristic correlated with hypervigilance, are associated with a greater incidence of oral behaviors, and verifying how self-reported facial TMD pain affect this relationship.

Materials and methods

The State-Trait Anxiety Inventory, the Somatosensory Amplification Scale, the Oral Behavior Checklist (OBC), and the TMD-Pain Screener Questionnaire were filled out by 255 University students with self-reported facial TMD pain (PAIN group; 47 subjects, 24.8 ± 4.2 years) and without pain (CTR group; 208 subjects, 26.0 ± 4.8 years) using a web survey.

Results

Trait anxiety, somatosensory amplification, and OBC scores were greater in the PAIN than CTR group (all p < 0.05). Trait anxiety and somatosensory amplification were positively associated with the frequency of oral behaviors, as measured with the OBC (all p < 0.05). A significant effect of the interaction study group*trait anxiety (p = 0.028) on OBC scores was found.

Conclusions

Individuals with greater trait anxiety and somatosensory amplification report more frequent oral behaviors. The relationship between anxiety and oral behaviors is affected by concurrent facial pain.

Clinical relevance

Individuals with increased trait anxiety and concurrent facial pain report more frequent oral behaviors than those without pain. Clinicians should evaluate patients’ anxiety and somatosensory amplification before starting dental treatment.
Literatur
1.
Zurück zum Zitat Ohrbach R, Markiewicz MR, McCall WD Jr (2008) Waking-state oral parafunctional behaviors: specificity and validity as assessed by electromyography. Eur J Oral Sci 116:438–444CrossRefPubMed Ohrbach R, Markiewicz MR, McCall WD Jr (2008) Waking-state oral parafunctional behaviors: specificity and validity as assessed by electromyography. Eur J Oral Sci 116:438–444CrossRefPubMed
2.
Zurück zum Zitat Ohrbach R, Bair E, Fillingim RB, Gonzalez Y, Gordon SM, Lim PF, Ribeiro-Dasilva M, Diatchenko L, Dubner R, Greenspan JD, Knott C, Maixner W, Smith SB, Slade GD (2013) Clinical facial characteristics associated with risk of first-onset TMD: the OPPERA prospective cohort study. J Pain 14(12Suppl):T33–T50CrossRefPubMed Ohrbach R, Bair E, Fillingim RB, Gonzalez Y, Gordon SM, Lim PF, Ribeiro-Dasilva M, Diatchenko L, Dubner R, Greenspan JD, Knott C, Maixner W, Smith SB, Slade GD (2013) Clinical facial characteristics associated with risk of first-onset TMD: the OPPERA prospective cohort study. J Pain 14(12Suppl):T33–T50CrossRefPubMed
3.
Zurück zum Zitat Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ, de Leeuw R, Manfredini D, Svensson P, Winocur E (2013) Bruxism defined and graded: an international consensus. J Oral Rehabil 40:2–4CrossRefPubMed Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ, de Leeuw R, Manfredini D, Svensson P, Winocur E (2013) Bruxism defined and graded: an international consensus. J Oral Rehabil 40:2–4CrossRefPubMed
4.
Zurück zum Zitat Farella M, Soneda K, Vilmann A, Thomsen CE, Bakke M (2010) Jaw muscle soreness after tooth-clenching depends on force level. J Dent Res 89:717–721CrossRefPubMed Farella M, Soneda K, Vilmann A, Thomsen CE, Bakke M (2010) Jaw muscle soreness after tooth-clenching depends on force level. J Dent Res 89:717–721CrossRefPubMed
5.
Zurück zum Zitat Michelotti A, Cioffi I, Festa P, Scala G, Farella M (2010) Oral parafunctions as risk factors for diagnostic TMD subgroups. J Oral Rehabil 37:157–162CrossRefPubMed Michelotti A, Cioffi I, Festa P, Scala G, Farella M (2010) Oral parafunctions as risk factors for diagnostic TMD subgroups. J Oral Rehabil 37:157–162CrossRefPubMed
6.
Zurück zum Zitat Slade GD, Ohrbach R, Greenspan JD, Fillingim RB, Bair E, Sanders AE, Dubner R, Diatchenko L, Meloto CB, Smith S, Maixner W (2016) Painful temporomandibular disorder: decade of discovery from OPPERA studies. J Dent Res 95:1084–1092CrossRefPubMedPubMedCentral Slade GD, Ohrbach R, Greenspan JD, Fillingim RB, Bair E, Sanders AE, Dubner R, Diatchenko L, Meloto CB, Smith S, Maixner W (2016) Painful temporomandibular disorder: decade of discovery from OPPERA studies. J Dent Res 95:1084–1092CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Pigno MA, Hatch JP, Rodrigues-Garcia RC, Sakai S, Rugh JD (2001) Severity, distribution, and correlates of occlusal tooth wear in a sample of Mexican-American and European-American adults. Int J Prosthodont 14:65–70PubMed Pigno MA, Hatch JP, Rodrigues-Garcia RC, Sakai S, Rugh JD (2001) Severity, distribution, and correlates of occlusal tooth wear in a sample of Mexican-American and European-American adults. Int J Prosthodont 14:65–70PubMed
8.
Zurück zum Zitat Dıraçoğlu D, Alptekin K, Cifter ED, Güçlü B, Karan A, Aksoy C (2011) Relationship between maximal bite force and tooth wear in bruxist and non-bruxist individuals. Arch Oral Biol 56:1569–1575CrossRefPubMed Dıraçoğlu D, Alptekin K, Cifter ED, Güçlü B, Karan A, Aksoy C (2011) Relationship between maximal bite force and tooth wear in bruxist and non-bruxist individuals. Arch Oral Biol 56:1569–1575CrossRefPubMed
9.
Zurück zum Zitat Manfredini D, Lobbezoo F (2009) Role of psychosocial factors in the etiology of bruxism. J Orofac Pain 23:153–166PubMed Manfredini D, Lobbezoo F (2009) Role of psychosocial factors in the etiology of bruxism. J Orofac Pain 23:153–166PubMed
10.
Zurück zum Zitat Endo H, Kanemura K, Tanabe N, Takebe J (2011) Clenching occurring during the day is influenced by psychological factors. J Prosthodont Res 55:159–164CrossRefPubMed Endo H, Kanemura K, Tanabe N, Takebe J (2011) Clenching occurring during the day is influenced by psychological factors. J Prosthodont Res 55:159–164CrossRefPubMed
11.
Zurück zum Zitat Michelotti A, Cioffi I, Landino D, Galeone C, Farella M (2012) Effects of experimental occlusal interferences in individuals reporting different levels of wake-time parafunctions. J Orofac Pain 26:168–175PubMed Michelotti A, Cioffi I, Landino D, Galeone C, Farella M (2012) Effects of experimental occlusal interferences in individuals reporting different levels of wake-time parafunctions. J Orofac Pain 26:168–175PubMed
12.
Zurück zum Zitat Cioffi I, Michelotti A, Perrotta S, Chiodini P, Ohrbach R (2016) Effect of somatosensory amplification and trait anxiety on experimentally induced orthodontic pain. Eur J Oral Sci 124:127–134CrossRefPubMed Cioffi I, Michelotti A, Perrotta S, Chiodini P, Ohrbach R (2016) Effect of somatosensory amplification and trait anxiety on experimentally induced orthodontic pain. Eur J Oral Sci 124:127–134CrossRefPubMed
13.
Zurück zum Zitat Pallegama RW, Ranasinghe AW, Weerasinghe VS, Sitheeque MA (2005a) Anxiety and personality traits in patients with muscle related temporomandibular disorders. J Oral Rehabil 32:701–707CrossRefPubMed Pallegama RW, Ranasinghe AW, Weerasinghe VS, Sitheeque MA (2005a) Anxiety and personality traits in patients with muscle related temporomandibular disorders. J Oral Rehabil 32:701–707CrossRefPubMed
14.
Zurück zum Zitat Fillingim RB, Ohrbach R, Greenspan JD, Knott C, Diatchenko L, Dubner R, Bair E, Baraian C, Mack N, Slade GD, Maixner W (2013) Psychological factors associated with development of TMD: the OPPERA prospective cohort study. J Pain 14(12 Suppl):T75–T90CrossRefPubMed Fillingim RB, Ohrbach R, Greenspan JD, Knott C, Diatchenko L, Dubner R, Bair E, Baraian C, Mack N, Slade GD, Maixner W (2013) Psychological factors associated with development of TMD: the OPPERA prospective cohort study. J Pain 14(12 Suppl):T75–T90CrossRefPubMed
15.
Zurück zum Zitat Reiter S, Emodi-Perlman A, Goldsmith C, Friedman-Rubin P, Winocur E (2015) Comorbidity between depression and anxiety in patients with temporomandibular disorders according to the research diagnostic criteria for temporomandibular disorders. J Oral Facial Pain Headache 29:135–143CrossRefPubMed Reiter S, Emodi-Perlman A, Goldsmith C, Friedman-Rubin P, Winocur E (2015) Comorbidity between depression and anxiety in patients with temporomandibular disorders according to the research diagnostic criteria for temporomandibular disorders. J Oral Facial Pain Headache 29:135–143CrossRefPubMed
16.
17.
Zurück zum Zitat Palla S, Klinenberg I (2015) Occlusion and adaptation to change: neuroplasticity and its implications for cognition. In: Klineberg I, Eckert SE. Functional occlusion in restorative dentistry and prosthodontics. Elsevier, Edinburg, p 48 Palla S, Klinenberg I (2015) Occlusion and adaptation to change: neuroplasticity and its implications for cognition. In: Klineberg I, Eckert SE. Functional occlusion in restorative dentistry and prosthodontics. Elsevier, Edinburg, p 48
18.
Zurück zum Zitat Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, List T, Svensson P, Gonzalez Y, Lobbezoo F, Michelotti A, Brooks SL, Ceusters W, Drangsholt M, Ettlin D, Gaul C, Goldberg LJ, Haythornthwaite JA, Hollender L, Jensen R, John MT, de Laat A, de Leeuw R, Maixner W, van der Meulen M, Murray GM, Nixdorf DR, Palla S, Petersson A, Pionchon P, Smith B, Visscher CM, Zakrzewska J, Dworkin SF, International RDC/TMD Consortium Network, International association for Dental Research, Orofacial Pain Special Interest Group, International Association for the Study of Pain (2014) Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the international RDC/TMD consortium network and facial pain special interest group. J Oral Facial Pain Headache 28:6–27CrossRefPubMedPubMedCentral Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, List T, Svensson P, Gonzalez Y, Lobbezoo F, Michelotti A, Brooks SL, Ceusters W, Drangsholt M, Ettlin D, Gaul C, Goldberg LJ, Haythornthwaite JA, Hollender L, Jensen R, John MT, de Laat A, de Leeuw R, Maixner W, van der Meulen M, Murray GM, Nixdorf DR, Palla S, Petersson A, Pionchon P, Smith B, Visscher CM, Zakrzewska J, Dworkin SF, International RDC/TMD Consortium Network, International association for Dental Research, Orofacial Pain Special Interest Group, International Association for the Study of Pain (2014) Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the international RDC/TMD consortium network and facial pain special interest group. J Oral Facial Pain Headache 28:6–27CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Gonzalez YM, Schiffman E, Gordon SM, Seago B, Truelove EL, Slade G, Ohrbach R (2011) Development of a brief and effective temporomandibular disorder pain screening questionnaire: reliability and validity. J Am Dent Assoc 142:1183–1191CrossRefPubMedPubMedCentral Gonzalez YM, Schiffman E, Gordon SM, Seago B, Truelove EL, Slade G, Ohrbach R (2011) Development of a brief and effective temporomandibular disorder pain screening questionnaire: reliability and validity. J Am Dent Assoc 142:1183–1191CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Spielberger C (1983) Manual for the state-trait anxiety inventory (rev. ed.). Consulting Psychologists Press, Palo Alto (CA) Spielberger C (1983) Manual for the state-trait anxiety inventory (rev. ed.). Consulting Psychologists Press, Palo Alto (CA)
21.
Zurück zum Zitat Markiewicz MR, Ohrbach R, McCall WD Jr (2006) Oral behaviors checklist: reliability of performance in targeted waking-state behaviors. J Orofac Pain 20:306–316PubMed Markiewicz MR, Ohrbach R, McCall WD Jr (2006) Oral behaviors checklist: reliability of performance in targeted waking-state behaviors. J Orofac Pain 20:306–316PubMed
22.
Zurück zum Zitat Nakao M, Barsky AJ (2007) Clinical application of somatosensory amplification in psychosomatic medicine. Biopsychosoc Med 9(1):17CrossRef Nakao M, Barsky AJ (2007) Clinical application of somatosensory amplification in psychosomatic medicine. Biopsychosoc Med 9(1):17CrossRef
23.
Zurück zum Zitat Oei TP, Evans L, Crook GM (1990) Utility and validity of the STAI with anxiety disorder patients. Br J Clin Psychol 29(Pt 4):429–432CrossRefPubMed Oei TP, Evans L, Crook GM (1990) Utility and validity of the STAI with anxiety disorder patients. Br J Clin Psychol 29(Pt 4):429–432CrossRefPubMed
24.
Zurück zum Zitat Kaplan SE, Ohrbach R (2016) Self-report of waking-state oral parafunctional behaviors in the natural environment. J Oral Facial Pain Headache 30:107–119CrossRefPubMed Kaplan SE, Ohrbach R (2016) Self-report of waking-state oral parafunctional behaviors in the natural environment. J Oral Facial Pain Headache 30:107–119CrossRefPubMed
25.
Zurück zum Zitat Huhtela OS, Näpänkangas R, Joensuu T, Raustia A, Kunttu K, Sipilä K (2016) Self-reported bruxism and symptoms of temporomandibular disorders in Finnish University students. J Oral Facial Pain Headache 30:311–317CrossRefPubMed Huhtela OS, Näpänkangas R, Joensuu T, Raustia A, Kunttu K, Sipilä K (2016) Self-reported bruxism and symptoms of temporomandibular disorders in Finnish University students. J Oral Facial Pain Headache 30:311–317CrossRefPubMed
26.
Zurück zum Zitat Al Moaleem MM, Okshah AS, Al-Shahrani AA, Alshadidi AA, Shaabi FI, Mobark AH, Mattoo KA (2017) Prevalence and severity of temporomandibular disorders among undergraduate medical students in association with Khat chewing. J Contemp Dent Pract 18:23–28CrossRefPubMed Al Moaleem MM, Okshah AS, Al-Shahrani AA, Alshadidi AA, Shaabi FI, Mobark AH, Mattoo KA (2017) Prevalence and severity of temporomandibular disorders among undergraduate medical students in association with Khat chewing. J Contemp Dent Pract 18:23–28CrossRefPubMed
27.
Zurück zum Zitat Barbosa C, Gavinha S, Soares T, Manso MC (2016) Coincidence and awareness of the relationship between temporomandibular disorders and jaw injury, orthodontic treatment, and third molar removal in university students. J Oral Facial Pain Headache 30:221–227CrossRefPubMed Barbosa C, Gavinha S, Soares T, Manso MC (2016) Coincidence and awareness of the relationship between temporomandibular disorders and jaw injury, orthodontic treatment, and third molar removal in university students. J Oral Facial Pain Headache 30:221–227CrossRefPubMed
28.
Zurück zum Zitat Cioffi I, Landino D, Donnarumma V, Castroflorio T, Lobbezoo F, Michelotti A (2017) Frequency of daytime tooth clenching episodes in individuals affected by masticatory muscle pain and pain-free controls during standardized ability tasks. Clin Oral Investig 21:1139–1148CrossRefPubMed Cioffi I, Landino D, Donnarumma V, Castroflorio T, Lobbezoo F, Michelotti A (2017) Frequency of daytime tooth clenching episodes in individuals affected by masticatory muscle pain and pain-free controls during standardized ability tasks. Clin Oral Investig 21:1139–1148CrossRefPubMed
29.
Zurück zum Zitat Delcanho RE, Kim YJ, Clark GT (1996) Haemodynamic changes induced by submaximal isometric contraction in painful and non-painful human masseter using near-infra-red spectroscopy. Arch Oral Biol 41:585–596CrossRefPubMed Delcanho RE, Kim YJ, Clark GT (1996) Haemodynamic changes induced by submaximal isometric contraction in painful and non-painful human masseter using near-infra-red spectroscopy. Arch Oral Biol 41:585–596CrossRefPubMed
30.
Zurück zum Zitat Suzuki S, Castrillon EE, Arima T, Kitagawa Y, Svensson P (2016) Blood oxygenation of masseter muscle during sustained elevated muscle activity in healthy participants. J Oral Rehabil 43(12):900–910CrossRefPubMed Suzuki S, Castrillon EE, Arima T, Kitagawa Y, Svensson P (2016) Blood oxygenation of masseter muscle during sustained elevated muscle activity in healthy participants. J Oral Rehabil 43(12):900–910CrossRefPubMed
31.
Zurück zum Zitat Julian LJ (2011) Measures of anxiety: state-trait anxiety inventory (STAI), Beck anxiety inventory (BAI), and hospital anxiety and depression scale-anxiety (HADS-A). Arthritis Care Res (Hoboken) 63 Suppl 11:S467–S472CrossRef Julian LJ (2011) Measures of anxiety: state-trait anxiety inventory (STAI), Beck anxiety inventory (BAI), and hospital anxiety and depression scale-anxiety (HADS-A). Arthritis Care Res (Hoboken) 63 Suppl 11:S467–S472CrossRef
32.
Zurück zum Zitat Giannakopoulos NN, Keller L, Rammelsberg P, Kronmüller KT, Schmitter M (2010) Anxiety and depression in patients with chronic temporomandibular pain and in controls. J Dent 38:369–376CrossRefPubMed Giannakopoulos NN, Keller L, Rammelsberg P, Kronmüller KT, Schmitter M (2010) Anxiety and depression in patients with chronic temporomandibular pain and in controls. J Dent 38:369–376CrossRefPubMed
33.
Zurück zum Zitat de Lucena IM, Rodrigues LL, Teixeira ML, Pozza DH, Guimaraes AS (2012) Prospective study of a group of pre-university students evaluating anxiety and depression relationships with temporomandibular disorders. J Clin Exp Dent 4:e102–e106CrossRefPubMedPubMedCentral de Lucena IM, Rodrigues LL, Teixeira ML, Pozza DH, Guimaraes AS (2012) Prospective study of a group of pre-university students evaluating anxiety and depression relationships with temporomandibular disorders. J Clin Exp Dent 4:e102–e106CrossRefPubMedPubMedCentral
34.
Zurück zum Zitat Schierz O, John MT, Reissmann DR, Mehrstedt M, Szentpétery A (2008) Comparison of perceived oral health in patients with temporomandibular disorders and dental anxiety using oral health-related quality of life profiles. Qual Life Res 17:857–866CrossRefPubMed Schierz O, John MT, Reissmann DR, Mehrstedt M, Szentpétery A (2008) Comparison of perceived oral health in patients with temporomandibular disorders and dental anxiety using oral health-related quality of life profiles. Qual Life Res 17:857–866CrossRefPubMed
35.
Zurück zum Zitat Pallegama RW, Ranasinghe AW, Weerasinghe VS, Sitheeque MA (2005b) Anxiety and personality traits in patients with muscle related temporomandibular disorders. J Oral Rehabil 32:701–707CrossRefPubMed Pallegama RW, Ranasinghe AW, Weerasinghe VS, Sitheeque MA (2005b) Anxiety and personality traits in patients with muscle related temporomandibular disorders. J Oral Rehabil 32:701–707CrossRefPubMed
36.
Zurück zum Zitat Raphael KG, Marbach JJ, Gallagher RM (2000) Somatosensory amplification and affective inhibition are elevated in myofascial face pain. Pain Med 1:247–253CrossRefPubMed Raphael KG, Marbach JJ, Gallagher RM (2000) Somatosensory amplification and affective inhibition are elevated in myofascial face pain. Pain Med 1:247–253CrossRefPubMed
37.
Zurück zum Zitat McDermid AJ, Rollman GB, McCain GA (1996) Generalized hypervigilance in fibromyalgia: evidence of perceptual amplification. Pain 66:133–144CrossRefPubMed McDermid AJ, Rollman GB, McCain GA (1996) Generalized hypervigilance in fibromyalgia: evidence of perceptual amplification. Pain 66:133–144CrossRefPubMed
38.
Zurück zum Zitat Cioffi I, Farella M, Festa P, Martina R, Palla S, Michelotti A (2015) Short-term sensorimotor effects of experimental occlusal interferences on the wake-time masseter muscle activity of females with masticatory muscle pain. J Oral Facial Pain Headache 29:331–339CrossRefPubMed Cioffi I, Farella M, Festa P, Martina R, Palla S, Michelotti A (2015) Short-term sensorimotor effects of experimental occlusal interferences on the wake-time masseter muscle activity of females with masticatory muscle pain. J Oral Facial Pain Headache 29:331–339CrossRefPubMed
39.
Zurück zum Zitat Michelotti A, Farella M, Gallo LM, Veltri A, Palla S, Martina R (2005) Effect of occlusal interference on habitual activity of human masseter. J Dent Res 84:644–648CrossRefPubMed Michelotti A, Farella M, Gallo LM, Veltri A, Palla S, Martina R (2005) Effect of occlusal interference on habitual activity of human masseter. J Dent Res 84:644–648CrossRefPubMed
40.
Zurück zum Zitat Winocur E, Littner D, Adams I, Gavish A (2006) Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescents: a gender comparison. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:482–487CrossRefPubMed Winocur E, Littner D, Adams I, Gavish A (2006) Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescents: a gender comparison. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:482–487CrossRefPubMed
42.
Zurück zum Zitat Duddu V, Isaac MK, Chaturvedi SK (2006) Somatization, somatosensory amplification, attribution styles and illness behavior: a review. Int Rev Psychiatry 18:25–33CrossRefPubMed Duddu V, Isaac MK, Chaturvedi SK (2006) Somatization, somatosensory amplification, attribution styles and illness behavior: a review. Int Rev Psychiatry 18:25–33CrossRefPubMed
43.
Zurück zum Zitat Tabachnick BG, Fidell LS (1996) Using multivariate statistics. HarperCollins, New York Tabachnick BG, Fidell LS (1996) Using multivariate statistics. HarperCollins, New York
Metadaten
Titel
Effects of trait anxiety, somatosensory amplification, and facial pain on self-reported oral behaviors
verfasst von
Jeffrey CF Chow
Iacopo Cioffi
Publikationsdatum
27.08.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Oral Investigations / Ausgabe 4/2019
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-018-2600-1

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