The association between orofacial pain and abnormal illness behavior in the community in Hong Kong

doi:10.3877/cma.j.issn.1674-1366.2010.03.014

Abstract

Abstract:

Objective

To investigate the associations between orofacial pain （OFP）symptoms and illness behavior in the community-dwelling people in Hong Kong.

Methods

A community-based， cross-sectional case-control study involving people aged 35-70 registered with the Hospital Authority/University of Hong Kong Family Medicine Clinic served as the sampling frame.People with recent OFP symptoms and a group without such symptoms were participated.Standard questions were asked about OFP conditions in the previous month.Illness behavior was assessed using the 30-item Illness Behavior Questionnaire （IBQ-30）.

Results

Two hundred people with OFP symptoms and 200 without OFP took part.OFP was statistically related to 5 of 7 sub-scales of the IBQ-30 （P ＜0.001）： general hypochondriasis， disease conviction， affective disturbance， denial， and irritability.Differences in percentage distribution of IBQ-30 scores between different age groups were only detected in the sub-scale of denial with more elderly respondents with pain （55.0% vs 38.0%， P=0.034）.Illness behaviour did not appear to be related to clinical classification of OFP.

Conclusions

OFP was significantly associated with illness behavior.Findings have clinical implication for effective management of OFP.

Key words: Orofacial pain, Illness behavior, Community-dwelling people

Jun ZHENG, Wong MCM. The association between orofacial pain and abnormal illness behavior in the community in Hong Kong[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2010, 4(03): 288-294.

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Figures/Tables 2

References 25

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分值	病例组（n=200）	对照组（n=200）	P	老年组（n=200）	中年组（n=200）	P
一般疑病量表
0	13.0	33.5	＜ 0.001	16.0	10.0	0.437
1	22.5	24.0		21.0	24.0
2 ～ 9	64.5	42.5		63.0	66.0
疾病信念量表
0	12.5	30.0	＜ 0.001	12.0	13.0	0.931
1	21.0	43.0		22.0	20.0
2 ～ 6	66.5	27.0		66.0	67.0
疾病归因量表
0 ～ 1	49.0	41.5	0.132	53.0	45.0	0.258
2 ～ 4	51.0	58.5		47.0	55.0
情感压抑量表
0	56.5	64.0	0.259	57.0	56.0	0.567
1	35.0	28.0		37.0	34.0
2	8.0	8.0		6.0	10.0
情感紊乱量表
0	32.5	60.0	＜ 0.001	37.0	28.0	0.389
1	19.5	19.0		19.0	20.0
2	24.5	11.5		25.0	24.0
3	23.5	9.5		19.0	28.0
否认心理问题量表
0 ～ 1	31.5	13.5	＜ 0.001	24.0	39.0	0.034
2	22.0	23.0		21.0	23.0
3	46.5	63.5		55.0	38.0
易激惹量表
0	39.0	58.5	＜ 0.001	44.0	34.0	0.300
1	36.5	31.0		35.0	38.0
2 ～ 3	24.5	10.5		21.0	28.0

分值	病例组（n=200）	对照组（n=200）	P	老年组（n=200）	中年组（n=200）	P
一般疑病量表
0	13.0	33.5	＜ 0.001	16.0	10.0	0.437
1	22.5	24.0		21.0	24.0
2 ～ 9	64.5	42.5		63.0	66.0
疾病信念量表
0	12.5	30.0	＜ 0.001	12.0	13.0	0.931
1	21.0	43.0		22.0	20.0
2 ～ 6	66.5	27.0		66.0	67.0
疾病归因量表
0 ～ 1	49.0	41.5	0.132	53.0	45.0	0.258
2 ～ 4	51.0	58.5		47.0	55.0
情感压抑量表
0	56.5	64.0	0.259	57.0	56.0	0.567
1	35.0	28.0		37.0	34.0
2	8.0	8.0		6.0	10.0
情感紊乱量表
0	32.5	60.0	＜ 0.001	37.0	28.0	0.389
1	19.5	19.0		19.0	20.0
2	24.5	11.5		25.0	24.0
3	23.5	9.5		19.0	28.0
否认心理问题量表
0 ～ 1	31.5	13.5	＜ 0.001	24.0	39.0	0.034
2	22.0	23.0		21.0	23.0
3	46.5	63.5		55.0	38.0
易激惹量表
0	39.0	58.5	＜ 0.001	44.0	34.0	0.300
1	36.5	31.0		35.0	38.0
2 ～ 3	24.5	10.5		21.0	28.0

分值	软组织来源（n=41）	牙及骨来源（n=59）	神经血管来源（n=100）	P
一般疑病量表
0	9.8	11.9	15.0	0.840
1	19.5	22.0	24.0
2 ～ 9	70.7	66.1	61.0
疾病信念量表
0	9.8	16.9	11.0	0.628
1	17.1	18.6	24.0
2 ～ 6	73.2	64.4	65.0
疾病归因量表
0 ～ 1	48.8	54.2	46.0	0.604
2 ～ 4	51.2	45.8	54.0
情感压抑量表
0	58.5	54.2	57.0	0.995
1	34.1	37.3	35.0
2	7.3	8.5	8.0
情感紊乱量表
0	24.4	30.5	37.0	0.792
1	19.5	23.7	17.0
2	29.3	23.7	23.0
3	26.8	22.0	23.0
否认心理问题量表
0 ～ 1	34.1	28.8	32.0	0.983
2	22.0	22.0	22.0
3	43.9	49.2	46.0
易激惹量表
0	41.5	45.8	34.0	0.179
1	24.4	35.6	42.0
2 ～ 3	34.1	18.6	24.0

分值	软组织来源（n=41）	牙及骨来源（n=59）	神经血管来源（n=100）	P
一般疑病量表
0	9.8	11.9	15.0	0.840
1	19.5	22.0	24.0
2 ～ 9	70.7	66.1	61.0
疾病信念量表
0	9.8	16.9	11.0	0.628
1	17.1	18.6	24.0
2 ～ 6	73.2	64.4	65.0
疾病归因量表
0 ～ 1	48.8	54.2	46.0	0.604
2 ～ 4	51.2	45.8	54.0
情感压抑量表
0	58.5	54.2	57.0	0.995
1	34.1	37.3	35.0
2	7.3	8.5	8.0
情感紊乱量表
0	24.4	30.5	37.0	0.792
1	19.5	23.7	17.0
2	29.3	23.7	23.0
3	26.8	22.0	23.0
否认心理问题量表
0 ～ 1	34.1	28.8	32.0	0.983
2	22.0	22.0	22.0
3	43.9	49.2	46.0
易激惹量表
0	41.5	45.8	34.0	0.179
1	24.4	35.6	42.0
2 ～ 3	34.1	18.6	24.0

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