Influence of culture on pain comorbidity in women with and without temporomandibular disorder-pain

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Influence of culture on pain comorbidity in women with and without temporomandibular disorder-pain

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dc.contributor.author Al-Harthy, Mohammad
dc.contributor.author Michelotti, A.
dc.contributor.author List, Thomas
dc.contributor.author Ohrbach, R.
dc.date.accessioned 2017-10-13T14:25:43Z
dc.date.available 2017-10-13T14:25:43Z
dc.date.issued 2017 en_US
dc.identifier.issn 0305-182X en_US
dc.identifier.uri http://hdl.handle.net/2043/23550
dc.description.abstract Evidence on cultural differences in prevalence and impact of common chronic pain conditions, comparing individuals with temporomandibular disorders (TMD) versus individuals without TMD, is limited. The aim was to assess cross-cultural comorbid pain conditions in women with chronic TMD pain. Consecutive women patients (n = 122) with the index condition of chronic TMD pain diagnosed per the research diagnostic criteria for TMD and TMD-free controls (n = 121) matched for age were recruited in Saudi Arabia, Italy and Sweden. Self-report questionnaires assessed back, chest, stomach and head pain for prevalence, pain intensity and interference with daily activities. Logistic regression was used for binary variables, and ancova was used for parametric data analysis, adjusting for age and education. Back pain was the only comorbid condition with a different prevalence across cultures; Swedes reported a lower prevalence compared to Saudis (P < 001). Saudis reported higher prevalence of work reduced >50% due to back pain compared to Italians or Swedes (P < 001). Headache was the most common comorbid condition in all three cultures. The total number of comorbid conditions did not differ cross-culturally but were reported more by TMD-pain cases than TMD-free controls (P < 001). For both back and head pain, higher average pain intensities (P < 001) and interference with daily activities (P < 001) were reported by TMD-pain cases, compared to TMD-free controls. Among TMD-pain cases, Italians reported the highest pain-related disability (P < 001). Culture influences the associated comorbidity of common pain conditions. The cultural influence on pain expression is reflected in different patterns of physical representation. en_US
dc.format.extent 11
dc.language.iso eng en_US
dc.publisher Wiley en_US
dc.subject pain en_US
dc.subject chronic en_US
dc.subject comorbid conditions en_US
dc.subject low back pain en_US
dc.subject headache en_US
dc.subject disability en_US
dc.subject cross-cultural comparison en_US
dc.subject.classification Medicine en_US
dc.title Influence of culture on pain comorbidity in women with and without temporomandibular disorder-pain en_US
dc.type Article, peer reviewed scientific en_US
dc.contributor.department Malmö University. Faculty of Odontology
dc.identifier.doi 10.1111/joor.12499 en_US
dc.subject.srsc Research Subject Categories::ODONTOLOGY en_US
dc.identifier.url http://rdcu.be/wJaQ/ en_US
dc.relation.ispartofpublication Journal of Oral Rehabilitation;6
dc.relation.ispartofpublicationvolume 44 en_US
dc.description.authorversion No en_US
dc.identifier.isiid 000400990100001
dc.format.ePage 425
dc.format.sPage 415
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