Estilos de afrontamiento al estrés, ansiedad y neuroticismo en estudiantes universitarios con mialgia temporomandibularun estudio de casos y controles

  1. Xabier Soto-Goñi 1
  2. Ana Cristina Viñals 1
  3. Fabian Pérez-González 1
  4. Luis Sánchez-Labrador 1
  5. Adelaida Domínguez-Gordillo 1
  6. Teresa Sánchez-Sánchez 1
  7. Ignacio Ardizone-García 1
  8. Laura Jiménez-Ortega 1
  1. 1 Complutense University of Madrid, Madrid, Spain.
Revista:
Revista de psicología de la salud

ISSN: 2386-2300 0214-6118

Año de publicación: 2021

Volumen: 9

Número: 1

Tipo: Artículo

Otras publicaciones en: Revista de psicología de la salud

Resumen

Los pacientes que sufren dolor debido a trastornos temporomandibulares (TTM) presentan mayores niveles de distrés psicológico, estrés ambiental, síntomas somáticos, ansiedad, depression, cogniciones de catastrofización, y otras estrategias de afrontamiento al dolor alteradas, comparados con personas libres de dolor. Sin embargo, poco se conoce acerca de los factores psicológicos involucrados en diferentes tipos de TTM. Además, independientemente de la gravedad o el tipo de TTM, el papel de los estilos y estrategias de afrontamiento al estrés en los TTM todavía no está claro. El principal objetivo de este trabajo es estudiar los estilos de afrontamiento al estrés, ansiedad y rasgos de personalidad en un grupo de estudiantes de odontología que sufren mialgia temporomandibular. Una muestra de 102 estudiantes universitarios fue incialmente reclutada para este estudio. Tras una evaluación clínica, se formaron un grupo de estudiantes con mialgia (24 participantes) y un grupo de estudiantes control (24 participantes). Los participantes de ambos grupos fueron posteriormente evaluados en ansiedad, estrategias de afrontamiento al estrés, y rasgos de personalidad. El grupo con myalgia mostró mayor rasgo de ansiedad y neuroticismo que el grupo control. Los participantes con myalgia también mostaron un mayor uso de estrategias de afrontamiento evitativas. Las estrategias evitativas generalmente se han considerado como desadaptativas, y se ha visto que incrementan el estrés percibido, un fuerte predictor de TTM.

Referencias bibliográficas

  • Bair E., Gaynor S., Slade G.D., Ohrbach R., Fillingim R.B., Greenspan J.D., … & Maixner W. (2016). Identification of clusters of individuals relevant to temporomandibular disorders and other chronic pain conditions: the OPPERA study. Pain, 157(6): 1266–1278. doi: 10.1097/j.pain.0000000000000518
  • Bartkowska W., Samborski W., & Mojs E. (2018) Cognitive functions, emotions and personality in woman with fibromyalgia. Anthropol Anz. Dec; 11;75(4):271-277 doi: 10.1127/anthranz/2018/0900
  • Bonjardim L.R., Gavião M.B., Pereira L.J., & Castelo P.M. (2005). Anxiety and depression in adolescents and their relationship with signs and symptoms of temporomandibular disorders. The International journal of prosthodontics, 18(4), 347–352.
  • Briley D.A., & Tucker-Drob E.M. (2014) Ge- netic and environmental continuity in personality development: a meta-analysis. Psychol Bull. 140(5):1303–1331. doi: 10.1037/ a0037091
  • Brown G.K., & Nicassio P.M. (1987). Deve- lopment of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients. Pain. Oct; 31(1):53–64.
  • Calixtre L.B., Grüninger B.L., Chaves T.C., & Oliveira A.B. (2014). Is there an association between anxiety/depression and temporomandibular disorders in college students?. Journal of applied oral science: revista FOB, 22(1):15–21. doi:10.1590/1678- 775720130054
  • Callahan C.D. (2000). Stress, coping, and personality hardiness in patients with temporomandibular disorders. Rehabil Psychol. 45(1):38–48.
  • Carlson C.R., Okeson J.P., Falace D.A., Nitz A.J., Curran S.L., & Anderson D. (1993). Comparison of psychologic and physiologic functioning between patients with masticatory muscle pain and matched controls. Journal of orofacial pain, 7(1), 15–22.
  • Carver C.S., Scheier M.F., & Weintraub J.K. (1989). Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol. Feb; 56(2):267–283.
  • Celic R., Panduric J., & Dulcic N. (2006). Psychologic status in patients with temporomandibular disorders. Int J Prosthodont. 19(1):28–29.
  • Costa P.T., & McCrae R.R. (2008). Inventario de Personalidad Neo - Revisado (NEO-PI-R) e Inventario Neo Reducido de cinco factores (NEO-FFI). Madrid: Tea Ediciones
  • Damian R.I., Spengler M., Sutu A., & Roberts B.W. (2019). Sixteen going on sixty-six: A longitudinal study of personality stability and change across 50 years. J Pers Soc Psychol. 117(3):674–695. doi: 10.1037/ pspp0000210
  • Darnall B.D., Carr D.B., & Schatman M.E. (2017). Pain Psychology and the Biopsychosocial Model of Pain Treatment: Ethical Imperatives and Social Responsibility. Pain medicine (Malden, Mass)18(8):1413–1415. doi: 10.1093/pm/pnw166
  • Enns A., Eldridge G.D., Montgomery C., & Gonzalez V.M. (2018). Perceived stress, coping strategies, and emotional intelligence: A cross-sectional study of university students in helping disciplines. Nurse education today. 68: 226–231. doi:10.1016/j. nedt.2018.06.012
  • Fernandes G., van Selms M.K., Gonçalves D.A., Lobbezoo F., & Camparis C.M. (2015). Factors associated with temporomandibular disorders pain in adolescents. Journal of oral rehabilitation, 42(2): 113–119. doi:10.1111/joor.12238
  • Fernández-de-las-Penas C., & Svensson P. (2016) Myofascial Temporomandibular Disorder. Curr Rheumatol Rev. 12 (1): 40–54.
  • Ferrando M., Andreu Y., Galdón M.J., Durá E., Poveda R., & Bagán J.V. (2004). Psychological variables and temporomandibular disorders: distress, coping, and personality. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 98(2), 153– 160. doi:10.1016/j.tripleo.2003.12.030
  • Fillingim R.B., Ohrbach R., Greenspan J.D., Knott C., Diatchenko L., Dubner R., … & Maixner W. (2013). Psychological factors associated with development of TMD: the OPPERA prospective cohort study. The journal of pain : official journal of the American Pain Society, 14(12 Suppl): T75–T90. doi:10.1016/j.jpain.2013.06.009
  • Fillingim R.B., Ohrbach R., Greenspan J.D., Knott C., Dubner R., Bair E., … & Maixner W. (2011). Potential psychosocial risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case-control study. The journal of pain : official journal of the American Pain Society, 12(11 Suppl): T46–T60. doi:10.1016/j. jpain.2011.08.007
  • Fillingim R.B., Slade G.D., Greenspan J.D., Dubner R., Maixner W., Bair E., & Ohrbach, R. (2018). Long-term changes in biopsychosocial characteristics related to temporomandibular disorder: findings from the OPPERA study. Pain, 159(11), 2403–2413. doi:10.1097/j.pain.0000000000001348
  • Galdon M.J., Durá E., Andreu Y., Ferrando M., Poveda R., & Bagán J.V. (2006). Multidimensional approach to the differences between muscular and articular temporomandibular patients: coping, distress, and pain characteristics. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.Jul;102(1):40-46 doi:10.1016/j.tripleo.2005.02.067
  • Gatchel R.J., Peng Y.B., Peters M.L., Fuchs P.N., & Turk D.C. (2007). The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychological bulletin, 133(4):581–624. doi:10.1037/0033- 2909.133.4.581
  • Gatchel R.J., & Turk D. (2006). Psychological Approaches to Pain Management: A Practitioner’s Handbook. J Psychosom Res. 42.
  • Hasanoglu Erbasar G.N., & Alpaslan C. (2019). Influence of coping strategies on oral health-related quality of life in patients with myalgia. Cranio. 37(2): 94–100. doi: 10.1080/08869634.2017.1398300
  • Huhtela O.S., 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(4): 311-317 doi: 10.11607/ ofph.1674
  • Karthik R., Hafila M.I.F., Saravanan C., Priyadarsini P., & Ashwath B. (2017). Assessing prevalence of temporomandibular disorders among university students: a questionnaire study. J Int Soc Prev Community Dent. 7: 24–29. doi: 10.4103/jispcd.JISPCD_146_17
  • Keefe F.J., Rumble M.E., Scipio C.D., Giordano L.A., & Perri L.M. (2004). Psychological aspects of persistent pain: current state of the science. The journal of pain: official journal of the American Pain Society. 5(4): 195–211. doi:10.1016/j.jpain.2004.02.576
  • Kelleher M., Ray-Chaudhuri A., & Khawaja N. (2015). Patients’ Priorities and Attitudes Towards Their Temporo-Mandibular Disorders. Primary Dental Journal. 4(3): 17–21. doi: 10.1308/205016815815944669
  • Kight M., Gatchel R.J., & Wesley L. (1999). Temporomandibular disorders: evidence for significant overlap with psychopathology. Health Psychol. Mar;18(2):177–182.
  • Korkmaz S., Goksuluk D., & Zararsiz G. (2014) MVN: An R package for assessing multivariate normality. The R Journal. 6(2):151-162.
  • Lazarus R.S. (1985) Stress, Appraisal and Coping. Psychol Med. Aug; 9;15(03):705.
  • Lövgren A., Österlund C., Ilgunas A., Lampa E., & Hellström F. (2018). A high prevalence of TMD is related to somatic awareness and pain intensity among healthy dental students. Acta Odontologica Scandinavica. 76(6):1-7. doi:10.1080/00016357.2018.1440 322
  • Mardia K.V. (1970). Measures of multivariate skewness and kurtosis with applications. Biometrika. 57(3):519-530.
  • McCreary C.P., Clark G.T., Merril R.L., Flack V., & Oakley M.E. (1991). Psychological distress and diagnostic subgroups of temporomandibular disorder patients. Pain. 44(1):29–34.
  • Moayedi M., Weissman-Fogel I., Crawley A.P., Goldberg M.B., Freeman B.V., Tenenbaum H.C., & Davis K.D. (2011). Contribution of chronic pain and neuroticism to abnormal forebrain gray matter in patients with temporomandibular disorder. Neuroimage. Mar 1; 55(1):277–286. doi: 10.1016/j. neuroimage.2010.12.013
  • Moos RH. (2010). CRI-A: Inventario de respuestas de afrontamiento para adultos. Madrid: Tea ediciones.
  • Naing L, Winn T, & Rusli BN. (2006). Practical Issues in Calculating the Sample Size for Prevalence Studies. Archives of Orofacial Sciences 1: 9-14
  • Osma J., Suso-Ribera C., García-Palacios A., Crespo-Delgado E., Robert-Flor C., Sánchez-Guerrero A,. … & Torres-Alfosea M.A. (2018). Efficacy of the unified protocol for the treatment of emotional disorders in the Spanish public mental health system using a group format: study protocol for a multicenter, randomized, non-inferiority controlled trial. Health and quality of life outcomes. Mar 12; 16(1): 46. doi:10.1186/s12955-018- 0866-2
  • Por J., Barriball L., Fitzpatrick J., & Roberts J. (2011). Emotional intelligence: its relationship to stress, coping, well-being and professional performance in nursing students. Nurse education today. 31(8): 855– 860. doi:10.1016/j.nedt.2010.12.023
  • Quartana P.J., Buenaver L.F., Edwards R.R., Klick B., Haythornthwaite J.A., & Smith M.T. (2010). Pain catastrophizing and salivary cortisol responses to laboratory pain testing in temporomandibular disorder and healthy participants. The journal of pain: official journal of the American Pain Society. 11(2): 186–194. doi:10.1016/j.jpain.2009.07.008
  • Reissmann D., John M., Schierz O., & Seedorf H. (2012). Stress-Related Adaptive Versus Maladaptive Coping and Temporomandibular Disorder Pain. Journal of orofacial pain. 26(3): 181-90.
  • Schiffman E., Ohrbach R., Truelove E., Look J., Anderson G., Goulet J.P., … & Dworkin S.F. (2014). Diagnostic Criteria for Temporo- mandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. Journal of Oral & Facial Pain and Headache. 28(1):6–27. doi: 10.11607/ jop.1151
  • Slade G.D., Ohrbach R., Greenspan J.D., Fillingim R.B., Bair E., Sanders A. E., … & Maixner, W. (2016). Painful Temporomandibular Disorder: Decade of Discovery from OPPERA Studies. Journal of dental research. 95(10): 1084–1092. doi:10.1177/0022034516653743
  • Slade G.D., Sanders A.E., Ohrbach R., Bair E., Maixner W., Greenspan J.D., … & Diatchenko L. (2015). COMT Diplotype Amplifies Effect of Stress on Risk of Temporomandibular Pain. Journal of dental research, 94(9), 1187–1195. doi:10.1177/0022034515595043
  • Spielberger C.D., Gorsuch R.L., & Lushene R.E. (2011). STAI: Cuestionario de ansiedad estado-rasgo. 9th ed. Madrid: Tea ediciones.
  • Sugawara N., Yasui-Furukori N., Sasaki G., Tanaka O., Umeda T., Takahashi I., … & Nakaji S. (2012). Coping behaviors in relation to depressive symptoms and suicidal ideation among middle-aged workers in Japan. Journal of Affective Disorders.Dec;142(1-3):264- 268. doi: 10.1016/j.jad.2012.05.011.
  • Suls J., & Fletcher B. (1985). The relative efficacy of avoidant and nonavoidant coping strategies: a meta-analysis. Health Psychol. 4(3):249–288.
  • Tan G., Teo I., Anderson K.O., & Jensen M.P. (2011). Adaptive versus maladaptive coping and beliefs and their relation to chronic pain adjustment. The Clinical journal of pain. 27(9), 769–774. doi:10.1097/AJP.0b013e31821d8f5a
  • Turner J.A., Dworkin S.F., Mancl L., Huggins K.H., & Truelove E.L. (2001). The roles of beliefs, catastrophizing, and coping in the functioning of patients with temporomandibular disorders. Pain, 92(1-2), 41–51. doi:10.1016/s0304-3959(00)00469-3
  • Velly A.M., Gornitsky M., & Philippe P. (2003). Contributing factors to chronic myofascial pain: a case–control study. J Pain. 104(3), 491–499.