A1 Refereed original research article in a scientific journal
Health-related quality of life in patients with chronic orofacial pain compared with other chronic pain patients
Authors: Tanner Johanna, Teerijoki-Oksa Tuija, Kautiainen Hannu, Vartiainen Pekka, Kalso Eija, Forssell Heli
Publisher: Wiley
Publication year: 2022
Journal: Clinical and Experimental Dental Research
Journal name in source: CLINICAL AND EXPERIMENTAL DENTAL RESEARCH
Journal acronym: CLIN EXP DENT RES
Volume: 8
Issue: 3
First page : 742
Last page: 749
Number of pages: 8
ISSN: 2057-4347
eISSN: 2057-4347
DOI: https://doi.org/10.1002/cre2.560
Web address : https://doi.org/10.1002/cre2.560
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/174900522
Background: Health-related quality of life (HRQoL) of orofacial pain patients is lower than that of the general population and impaired in multiple dimensions. The aim of the present study was to investigate HRQoL of orofacial pain patients in comparison with patients suffering from other chronic pain disorders.
Materials and methods: One hundred and fifty-one tertiary care facial pain patients (mean age, 50 years; standard deviation [SD], 15; 119 females), were compared with 312 other non-cancer chronic pain patients (mean age, 46 years; SD, 13; 204 women), recruited from three multidisciplinary pain clinics in Finland. The groups were compared using the 15D, and pain-related measures such as pain interference, pain acceptance, anxiety, depression, and sleep. Statistical comparisons between groups were done using t test, χ2 test, or analysis of covariance. Multivariate linear regression analysis was used to study whether pain-related aspects influencing HRQoL are similar between the patient groups.
Results: The 15D score was significantly higher in facial pain patients (0.823; SD, 0.114) indicating better HRQoL in comparison with other chronic pain patients (0.732; SD, 0.107) (p < .001). The 15D profiles of studied populations resembled each other but orofacial pain patients showed significantly higher scores for most individual 15D dimensions. Dimensions regarding discomfort and symptoms and sleep were most affected in both groups. Orofacial pain patients showed less psychosocial disability and better acceptance of their pain. Pain acceptance was a weaker explanatory factor of HRQoL in orofacial pain patients.
Conclusion: Compared to other non-cancer chronic pain, chronic pain in the orofacial area causes less impairment in HRQoL. Orofacial pain patients showed less psychosocial disability and better pain acceptance.
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