Evaluation of depressive symptoms and quality of life in individuals with tinnitus and temporomandibular disorders

  • Suelen Recepute Xavier Federal University of Juiz de Fora
  • Elisa Lima Alves Federal University of Juiz de Fora
  • Letícia Raquel Baraky Federal University of Juiz de Fora
  • Letícia Ladeira Bonato Universidade Federal Fluminense
  • Luciano Ambrósio Ferreira Federal University of Rio de Janeiro
  • Ricardo Rodrigues Figueiredo Federal University of Rio de Janeiro
  • Josemar Parreira Guimarães Federal University of Juiz de Fora
  • Eduardo Grossmann Federal University of Rio Grande do Sul
Palavras-chave: Tinnitus, Temporomandibular joint disorders, Depression, Quality of life

Resumo

Various etiologies are attributed to the development of subjective tinnitus, but their inter-relationship with the presence of temporomandibular disorders and depression is still poorly understood. To assess the presence of depressive symptoms in individuals with TMD and subjective tinnitus, assessing the impact on their quality of life. This is a cross-sectional observational descriptive study. We evaluated 44 patients in a public University. For TMD diagnosis as well as assessment of depressive symptoms, the RDC/TMD questionnaire was used. Otolaryngological assessment was conducted by means of pure tone, speech, and immitance audiometry. The “Tinnitus Handicap Inventory” questionnaire was also administered. 84% of the individuals with tinnitus had myofascial pain, with the masseter muscle being the most prevalent area of pain, and 16% exclusively had painful and/or degenerative TMJ changes. Among the patients with myofascial pain, 86,5% had depressive symptoms, while among those without myofascial pain, only 42,8% presented these symptoms. Eleven (11) patients (25%) reported slight impact of tinnitus on quality of life, 15 (34%) mild impact, 7 (16%) moderate, 7 (16%) severe, and 4 (9%) catastrophic impact. There was a positive association between the presence of myofascial pain and depressive symptoms (p=0,02), as the intensity of tinnitus increases and the severity of depressive symptoms (p<0,01).

Biografia do Autor

Suelen Recepute Xavier, Federal University of Juiz de Fora
Academic at School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil
Elisa Lima Alves, Federal University of Juiz de Fora
Academic at School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
Letícia Raquel Baraky, Federal University of Juiz de Fora
Associate Professor of Otorhinolaryngology, Federal University of Juiz de Fora - MG. PhD in Science from the University of São Paulo - USP, São Paulo, Brazil.
Letícia Ladeira Bonato, Universidade Federal Fluminense
Doutorado em andamento pela Universidade Federal Fluminense
Luciano Ambrósio Ferreira, Federal University of Rio de Janeiro
Doctoral student in Sciences, School of Medicine, Federal University of Rio de Janeiro.
Ricardo Rodrigues Figueiredo, Federal University of Rio de Janeiro
Doctoral student in otorhinolaryngology, UNIFESP; Master in General Surgery Otorhinolaryngology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. Professor of Valencia Medical School, Rio de Janeiro, Brazil.
Josemar Parreira Guimarães, Federal University of Juiz de Fora
Doctor of Orthodontics, School of Dentistry, Federal University of Rio de Janeiro. Coordinator, Diagnosis and Guidance Service for Patients with Temporomandibular Disorders - School of Dentistry / UFJF. Research Professor, Office of the Dean of Research (PROPESQ) - UFJF
Eduardo Grossmann, Federal University of Rio Grande do Sul
Doctor of Dentistry, Full Professor, Head of Department, Applied Craniofacial Pain in Dentistry, Federal University of Rio Grande do Sul (UFRGS); Director of the Pain and Orofacial Deformity Center (CENDDOR). Porto Alegre, RS, Brazil.
Publicado
2017-03-29
Seção
Artigos Originais