Chuinsiri N, Jitprasertwong P. Prevalence of self-reported pain-related temporomandibular disorders and association with psychological distress in a dental clinic setting.
J Int Med Res 2021;
48:300060520951744. [PMID:
32883120 PMCID:
PMC7479867 DOI:
10.1177/0300060520951744]
[Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objectives
To investigate the prevalence of self-reported pain-related temporomandibular
disorders (TMDs) and its association with psychological status in a dental
clinic setting.
Methods
In this cross-sectional study, patients were asked to complete a TMD pain
screener and the Patient Health Questionnaire-4 (PHQ-4). Correlations
between symptoms of pain-related TMDs and PHQ-4 scores were analysed using
Spearman’s correlation test. Symptoms of pain-related TMDs were compared
between four groups of participants with different psychological profiles
using the Kruskal–Wallis test followed by multiple comparisons. The level of
significance was adjusted using the Dunn–Bonferroni test.
Results
The prevalence of self-reported pain-related TMDs was 22.2%. TMD pain score
was positively correlated with PHQ-4 score. The high anxiety and the
comorbidity groups had significantly higher TMD pain scores than the
controls.
Conclusion
There was a high prevalence of self-reported pain-related TMDs, which was
correlated with scores on all psychological assessment scales. Symptoms of
pain-related TMDs were significantly greater in patients with high anxiety
scores, regardless of depression level.
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