title: Pain intensity and psychosocial characteristics of patients with burning mouth syndrome and trigeminal neuralgia.
abstract: This study compared pain intensity and psychosocial characteristics between patients with burning mouth syndrome (BMS) and those with trigeminal neuralgia (TN). Data from 282 patients with BMS and 83 patients with TN were analyzed. Patients reported duration of illness: duration ≤ 6 months was defined as acute illness and > 6 months as chronic illness. Present pain intensity and worst pain intensity during the past 6 months were reported using a 0-10 numeric rating scale (NRS). In addition, depression and somatization scores were evaluated on questionnaires. Patients with chronic BMS reported significantly higher pain intensity and had worse psychosocial characteristics than did those with acute BMS. Pain intensity was higher in TN patients than in BMS patients, although neither pain intensity nor psychosocial characteristics significantly differed between patients with acute and chronic illness. Logistic regression analysis of BMS and TN patients revealed that the odds ratio for worst pain was significantly lower for BMS patients than for TN patients and that the odds ratio for somatization score was 3.8 times higher in BMS patients. These findings suggest that BMS patients may require pain control targeting the central nervous system or psychosocial characteristics.
authors.affiliation: Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo, Japan. komiyama.osamu@nihon-u.ac.jp
authors.forename: Osamu
authors.initials: O
authors.lastname: Komiyama
authors.forename: Ryoko
authors.initials: R
authors.lastname: Obara
authors.forename: Takashi
authors.initials: T
authors.lastname: Uchida
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Nishimura
authors.forename: Takashi
authors.initials: T
authors.lastname: Iida
authors.forename: Masakazu
authors.initials: M
authors.lastname: Okubo
authors.forename: Michiharu
authors.initials: M
authors.lastname: Shimosaka
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Narita
authors.forename: Hideo
authors.initials: H
authors.lastname: Niwa
authors.forename: Masamichi
authors.initials: M
authors.lastname: Shinoda
authors.forename: Masayuki
authors.initials: M
authors.lastname: Kobayashi
authors.forename: Noboru
authors.initials: N
authors.lastname: Noma
authors.forename: Osamu
authors.initials: O
authors.lastname: Abe
authors.forename: Yasuhide
authors.initials: Y
authors.lastname: Makiyama
authors.forename: Teruyasu
authors.initials: T
authors.lastname: Hirayama
authors.forename: Misao
authors.initials: M
authors.lastname: Kawara
mesh_terms: D000208:Acute Disease; D002054:Burning Mouth Syndrome / Q000150:complications / Q000523:psychology*; D016009:Chi-Square Distribution; D002908:Chronic Disease; D003863:Depression / Q000150:complications*; D005157:Facial Pain / Q000150:complications; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010147:Pain Measurement; D012959:Socioeconomic Factors; D020886:Somatosensory Disorders / Q000150:complications*; D018709:Statistics, Nonparametric; D014277:Trigeminal Neuralgia / Q000150:complications / Q000523:psychology*