Concurrent Occurrence of Obsessive-Compulsive Disorder and Myofascial Pain Dysfunction Syndrome: A Case Series

Sara  Pourshahidi; Hooman  Ebrahimi; Younes  Ghoreyshi; Nafiseh  Sheykhbahaei

doi:10.18502/fid.v22i15.18471

Sara Pourshahidi Oral and Maxillofacial Medicine Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
Hooman Ebrahimi Private practice
Younes Ghoreyshi Private practice
Nafiseh Sheykhbahaei Oral and Maxillofacial Medicine Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/fid.v22i15.18471

Keywords: Obsessive-Compulsive Disorder; Myofascial Pain Syndromes; Temporomandibular Joint Dysfunction Syndrome; Bruxism; Case Reports

Abstract

Objectives: Myofascial pain dysfunction syndrome (MPDS) is a musculoskeletal disorder with a multifactorial etiology. Some investigations suggest psychological disorders as a major risk factor for MPDS. This study is the first case series to report patients with obsessive-compulsive disorder (OCD) and MPDS comorbidity.

Case presentation: Sixteen patients suffering from both MPDS and OCD with the chief complaint of pain or limitation in jaw opening were evaluated. The patients were between 18 to 55 years, the majority were females, the masseter muscle was the most commonly involved muscle (40%), and some of the patients had a history or sign of bruxism.

Conclusion: OCD symptoms should be considered in MPDS patients. Bruxism due to psychological disorders can be the cause of MPDS. The findings of this case series study should be verified in clinical studies to assess the relationship between MPDS, OCD, and parafunctional habits.