Abstract

BackgroundThe aim of this study was to investigate relations between psychosocial factors, signs and symptoms of orofacial pain and jaw dysfunction in patients with juvenile idiopathic arthritis (JIA).MethodsForty-five patients with JIA (median age 12 years) and 16 healthy matched controls (median age 13 years) were examined according to the diagnostic criteria for temporomandibular disorders (DC/TMD). The subjects answered the DC/TMD questionnaires regarding psychosocial factors (pain intensity, pain–related disability, depression, stress, catastrophizing, pain locations and jaw function).ResultsJIA patients with orofacial pain had higher degree of stress, depression, catastrophizing and jaw dysfunction compared to subjects without. In turn, these factors were associated with orofacial pain intensity. Also, patients with orofacial pain had higher systemic inflammatory activity.ConclusionsOrofacial pain in patients with JIA is associated with stress, psychological distress, jaw dysfunction and loss of daily living activities. Pain intensity seems to be the major pain aspect related to these factors. In addition, systemic inflammatory activity appears to be an important factor contributing to orofacial pain in JIA.

Highlights

  • The aim of this study was to investigate relations between psychosocial factors, signs and symptoms of orofacial pain and jaw dysfunction in patients with juvenile idiopathic arthritis (JIA)

  • This study indicates that orofacial pain in patients with JIA is associated with stress, psychological distress, jaw dysfunction and loss of daily activities

  • Systemic inflammatory activity seems to be an important factor contributing to orofacial pain in JIA

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Summary

Introduction

The aim of this study was to investigate relations between psychosocial factors, signs and symptoms of orofacial pain and jaw dysfunction in patients with juvenile idiopathic arthritis (JIA). The estimated annual incidence is 12 cases per 100,000 [4] These children and adolescents have chronic or recurrent pain and disability, which may severely limit their functional ability, impact growth and impair well-being [5, 6]. Children with JIA are at increased risk of developing depression [6]. Psychosocial stress and functional dependence in children with chronic illness are risk factors for poor coping [5]. Children with JIA, and other chronic diseases, are at increased risk of chronic musculoskeletal pain [7]

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