Depression, Somatization And Dissociation in Bruxers And Temporomandibular Disorders Individuals With Sexual Abuse History: A Comparison Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Introduction:Sexual abuse is a relatively common disorder in temporomandibularand bruxing behavior individuals and is associated with a number of psychiatric and psychological disorders. Aim: Evaluate scores in depression, somatization and dissociation, the strength of association in pairs of psychological variables and between severity of sexual abuse and depression, somatization and dissociation in temporomandibular disorders patients with sexual abuse history. Methods: A retrospective evaluation of 50 temporomandibular disorder and bruxing behavior individuals with sexual abuse history, 50 temporomandibular disorder and bruxing behavior subjects without sexual abuse, and 50 individuals without temporomandibular disorders, no bruxing behavior and no sexual abuse history. Signs and symptoms, clinical examination, self-report and criteria to assess temporomandibulardisorders, and bruxing behavior were used. The Beck depression inventory, the Sanders and Becker-Lausen questionnaire, the Rief-Hiller scale for somatization and the Bernstein-Putnam questionnaire for dissociation were used. Data were analyzed using parametric or non-parametric analysis of variance, Fisher´s exact test and Pearson/Spearman correlation coefficient. Results:Means in depression in the TMDs+ BB+ SAH, TMDs+ BB+ SAH-, TMDs- BB- SAH- were about 15.0, 11,3,a and 8.2, respectively,(Kruskal-Wallis statistics with Dunn´s test, p<0.0001). Means in somatization in the same three groups were about 12.5, 10.4, and 7.2, respectively (Tukey-Kramer multiple comparison test, p<0.0001). Means in dissociation in those groups were about 20.1, 17.5 and 13.3 , respectively (Kruskal-Wallis statistics, p<0.01). Pearson or Spearman correlation coefficients for depression/somatization in the TMDs+ BB+ SAH+,TMDs+ BB+ SAH-, and TMDs- BB- SAH- were about 0.53 (p<0.0001); 0.31 (p<0.03), and 0.52 (p<0.02), respectively. Regarding depression/dissociation, the same coefficients were about 0.37 (p<0.01), 0.15 (p=0.31), and 0.27 (p=0.19), respectively. Coefficients of correlation for somatization/dissociation in the three groups were about 0.37 (p<0.01), 0.21 (p=0.17), and 0.27 (p=0.21), respectively. Pearson/Spearman coefficients regarding severity of sexual abuse and depression, somatization and dissociation were evaluated only in the subgroups TMDs+ BB+ SAH+ and were about 0.20 (p=0.15), 0.27 (p<0.05), and -0.02 (p=0.90), respectively. Conclusion: Higher scores in depression, somatization and dissociation were observed in TMDs patients with bruxing behavior and sexual abuse history. The correlation between depression and somatization was the strongest association in that subgroup. In TMD patients with sexual abuse history, only severity of sexual abuse and somatization were positively and significantly correlated.
Authors and Affiliations
Omar Franklin Molina, Bruno Ricardo Simião, Fausto Félix da Silva Junior, FabioLuiz Soares, Maria Aparecida Sobreiro, Marcus Sobreira Peixoto, Janrier Tatim
Keywords
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- EP ID EP576722
- DOI 10.9790/0853-1701067381.
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