Malmö University Publications
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  • 1.
    Dimitrijevic Carlsson, Alexandra
    et al.
    Malmö University, Faculty of Odontology (OD).
    Wahlund, Kerstin
    Ghafouri, Bijar
    Kindgren, Erik
    Frodlund, Martina
    Salé, Hanna
    Klintström, Eva
    Starkhammar Johansson, Carin
    Alstergren, Per
    Malmö University, Faculty of Odontology (OD).
    Parotid saliva and blood biomarkers in juvenile idiopathic arthritis inrelation to temporomandibular joint magnetic resonance imaging findingsManuscript (preprint) (Other academic)
  • 2.
    Dimitrijevic Carlsson, Alexandra
    et al.
    Malmö University, Faculty of Odontology (OD). Centre for Oral Rehabilitation, Linköping, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
    Wahlund, Kerstin
    Department of Orofacial Pain and Jaw Function, Kalmar County Hospital, Kalmar, Sweden.
    Kindgren, Erik
    Department of Pediatrics, Västervik Hospital, Västervik, Sweden; Division of Pediatrics, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden; Department of Pediatrics, Skaraborg Hospital, Skövde, Sweden.
    Frodlund, Martina
    Rheumatology/Division of Inflammation and Infection, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
    Alstergren, Per
    Malmö University, Faculty of Odontology (OD). Scandinavian Center for Orofacial Neurosciences; Skåne University Hospital, Specialized Pain Rehabilitation, Lund, Sweden.
    Increase in stress contributes to impaired jaw function in juvenile idiopathic arthritis: a two-year prospective study2024In: Pediatric Rheumatology, E-ISSN 1546-0096, Vol. 22, no 1, article id 30Article in journal (Refereed)
    Abstract [en]

    BackgroundStress in patients with Juvenile Idiopathic Arthritis (JIA) has been found to be associated with orofacial pain, psychological distress, jaw dysfunction and loss of daily activities in a cross-sectional study. The aim of this study was to investigate the relations between stress and change of stress over time versus changes in orofacial pain, psychosocial factors and jaw function over a two-year period in patients with JIA.MethodsThis is a two-year prospective follow-up study involving 40 JIA patients. At baseline (2015) the median age was 12 years and at two-year follow up (2018) 14 years. The JIA patients were examined clinically and with questionnaires at baseline and follow-up with the diagnostic criteria for temporomandibular disorders (DC/TMD) and completed the same set of DC/TMD questionnaires regarding orofacial pain symptoms and psychosocial factors.ResultsChange in stress was associated with change in catastrophizing, psychological distress as well as limitation in general function and jaw function.ConclusionsThis study emphasizes the importance of maintaining a low stress level in patients with JIA since an increase in stress level over a two-year period seems to impair jaw function as well as psychological distress and catastrophizing.

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