College Students with Oral Habits Exhibit Worse Psychological Status and Temporomandibular-Related Quality of Life: A Correlational Study

Yang, Wenke; Xiong, Xin; Wu, Yange; Zhu, Yufan; Liu, Jiaqi; Ye, Chengxinyue; Zhang, Qinlanhui; Wang, Jun

doi:10.1155/2022/6079241

Cited by 3 publications

(3 citation statements)

References 28 publications

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“…The third part is the Patient Health Questionnaire-4 (PHQ-4) [ 20 ], which has been used in our previous studies [ 5 , 21 ]. A 4-point Likert scale ranging from 0 (not at all) to 3 (nearly every day) is used.…”

Section: Methodsmentioning

confidence: 99%

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Exploring the Relationship between Perfectionism and Pain in Patients with Temporomandibular Disorders: A Cross-Sectional Study

Xiong

Shiyong

Zhang

et al. 2023

International Journal of Clinical Practice

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Objectives. The purpose of this cross-sectional study was to examine the relationship between perfectionism and pain in patients with temporomandibular disorders (TMDs). Methods. A total of 345 TMD patients were included. A questionnaire consisting of questions of demographic information, the 15-item short form of the Hewitt and Flett Multidimensional Perfectionism Scale, and the Patient Health Questionnaire-4 (PHQ-4) was distributed. According to the diagnostic criteria for TMDs, patients were categorized as pain-related (PT) and non-pain-related (NPT) groups, whereas PT patients were further divided into patients with pain-related TMDs only (OPT) and patients with combined pain-related and intra-articular TMDs (CPT). Data were analyzed using the chi-square test, Spearman’s correlation, and logistic regression analysis with the significance level set at p < 0.05 . Results. There were 68 patients in the NPT group, 80 in the OPT group, and 197 in the CPT group. PT patients had significantly higher perfectionism scores (63.58 ± 13.63) than NPT patients (56.32 ± 12.95, p < 0.001 ). The PHQ-4 score in the PT group was also higher. After adjusting the PHQ-4 scores, perfectionism scores of the PT group were 6.11 points higher than those in the NPT group ( p < 0.001 ). There were no statistical differences in all parameters of OPT and CPT groups ( p > 0.05 ). Perfectionism in total, other-oriented perfectionism (OOP), and socially prescribed perfectionism (SPP) showed significant but weak correlations with PHQ-4 scores ( p < 0.001 ), while self-oriented perfectionism (SOP) was also significantly but very weakly correlated with PHQ-4 scores ( p < 0.05 ). Conclusions. Pain-related TMD patients exhibited higher perfectionism scores than NPT patients, and neither their perfectionism nor pain scores were correlated with intra-articular diseases of TMJ. OOP and SOP presented weak correlations with psychological distress in TMD patients. It is suggested that pain-related TMD patients could be screened for perfectionism and perfectionism could be considered when proposing psychological treatment strategies to PT patients.

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Section: Methodsmentioning

confidence: 99%

“…Study has revealed that TMDs are the leading causes of chronic pain in the temporomandibular region, with a prevalence in the general population at 10–31% [ 2 – 4 ]. Moreover, TMDs, particularly pain-related TMDs, are widely recognized for impairing both oral health-related and overall quality of life [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Relationship between Perfectionism and Pain in Patients with Temporomandibular Disorders: A Cross-Sectional Study

Xiong

Shiyong

Zhang

et al. 2023

International Journal of Clinical Practice

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“…Parafunctional habits referred to poor habits associated with TMD, such as unilateral chewing, biting hard foods, etc. 26 …”

Section: Methodsmentioning

confidence: 99%

Age and Gender, but Not Pain are Associated with Pressure Pain Thresholds in Patients with Temporomandibular Disorders: A Cross-Sectional Study

Zheng¹,

Zhu²,

Xiao³

et al. 2023

JPR

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Purpose This study aims to explore the association of pressure pain thresholds (PPTs) with age, gender, and pain in patients with temporomandibular disorders (TMD). Patients and Methods A total of 301 TMD patients (248 female and 53 male) were recruited and classified into the high and low age groups according to their median age of 26 years. Patients’ demographics, pain-related variables, TMD-related variables, and PPTs of both left and right temporomandibular joints (TMJs), masseter, and temporalis were collected. Results Pain duration and visual analog scale of pain (VAS) showed no significant correlations with PPTs ( P >0.05). Multiple linear regression analysis revealed a significant positive association of PPTs of all six sites with males (β=0.41–0.72 kg·cm −2 , 95% CI (0.19–0.38, 0.74–0.99), P <0.001), as well as with the high age group [β=0.28–0.36 kg·cm −2 , 95% CI (0.07–0.20, 0.47–0.53), P <0.020]. Furthermore, PPTs of the left TMJ showed a significant negative association with left pain-related TMD (PT) [β=−0.21 kg·cm −2 , 95% CI (−0.38, −0.04), P =0.026], but PPTs of the remaining sites did not show a significant association with PT ( P >0.05). Stratified analysis showed that PPTs in females were associated with the high age group [β=0.25–0.37 kg·cm −2 , 95% CI (0.04–0.20, 0.45–0.56), P <0.020] and that PPT of the left TMJ was associated with left PT [β=−0.21 kg·cm −2 , 95% CI (−0.39, −0.03), P =0.043]. The remaining PPTs did not show a significant association with PT ( P >0.05). In males, PPTs did not show significant correlations with age, PT and VAS ( P >0.05). Conclusion PPTs in the orofacial region are associated with gender and age in TMD patients. Pain duration and intensity show no significant correlations with PPTs in TMD patients. Researchers and dentists should take age and gender into account when using PPTs as auxiliary diagnostic indicators for PT.

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The association between chronotype profile and temporomandibular disorders among college students

Dan,

Li,

Zhao

et al. 2024

Oral Diseases

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BackgroundTemporomandibular joint disorders (TMDs) are common in young adults, and the link between chronotype profile and TMDs is unclear.ObjectiveThis study examined TMD prevalence and chronotype distribution and explored the relationship between chronotype and TMDs in young adults.Materials and MethodsA total of 663 students from Sichuan University completed questionnaires. Chronotype profiles were assessed using the Morningness‐Eveningness Questionnaire, and TMDs were screened using the Fonseca Memory Index. To validate the findings, 68 TMD patients and 136 controls were enrolled.ResultsThe prevalence of TMDs was 69.7%, with significant differences among chronotype profiles. The intermediate profile was the most common chronotype. Eveningness profile was associated with higher TMDs prevalence and severity. Muscle pain and side movement difficulty scores were higher in eveningness and intermediate profiles. Female gender (OR 2.345; 95% CI 1.668–3.297) was a TMD risk factor, while morningness profile (OR 0.537; 95% CI 0.297–0.970) was protective. Validation with TMD patients and controls supported these findings, showing higher eveningness profile prevalence in the TMD groups.ConclusionsTMDs have a high prevalence in college students, chronotype profiles shown to be associated with TMDs. Morningness is the protection factor in TMDs and PT, eveningness is a risk factor for IT.

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College Students with Oral Habits Exhibit Worse Psychological Status and Temporomandibular-Related Quality of Life: A Correlational Study

Cited by 3 publications

References 28 publications

Exploring the Relationship between Perfectionism and Pain in Patients with Temporomandibular Disorders: A Cross-Sectional Study

Exploring the Relationship between Perfectionism and Pain in Patients with Temporomandibular Disorders: A Cross-Sectional Study

Age and Gender, but Not Pain are Associated with Pressure Pain Thresholds in Patients with Temporomandibular Disorders: A Cross-Sectional Study

The association between chronotype profile and temporomandibular disorders among college students

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