The association between pain-related factors and psychological distress in patients with temporomandibular disorder

Anker, Ella Aase; Sande, Thea; Arefjord, Kjersti; Hystad, Sigurd William; Rosén, Annika

doi:10.1080/13548506.2022.2121969

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…Third, the DC/TMD Axis II measures utilized, namely the OBC, JFLS, PHQ-9, and GAD-7, relied on patient self-reporting, introducing potential information biases such as recall bias, social desirability, and other partialities [ 49 ]. Lastly, the study explored the frequency of oral behaviors but did not delve into pain characteristics that can affect jaw function and contribute to psychological distress [ 19 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Sleeping and waking-state oral behaviors in TMD patients: their correlates with jaw functional limitation and psychological distress

Yap,

Kim,

Lee

et al. 2024

Clin Oral Invest

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Objectives This study investigated oral behaviors in various temporomandibular disorder (TMD) subtypes, assessing their frequency, extent, and associations with both jaw functional status and psychological distress. Materials and methods Anonymized data from consecutive "initial-visit" TMD patients at a university-affiliated oral medicine clinic were obtained. Alongside demographic information, patients completed various questionnaires including the Diagnostic Criteria for TMD (DC/TMD) Symptom Questionnaire, Oral Behavior Checklist (OBC), Jaw Functional Limitation Scale-20 (JFLS-20), Patient Health Questionnaire-9 (PHQ-9), and General Anxiety Disorder Scale-7 (GAD-7). Patients underwent a protocolized clinical examination and received diagnoses of pain-related (PT), intra-articular (IT), or combined (CT) TMD using the DC/TMD diagnostic algorithms. Data were evaluated with Chi-square/non-parametric tests and logistic regression analyses (α = 0.05). Results The study comprised 700 patients (mean age 37.4 ± 15.7 years), with 12.6%, 15.1%, and 72.3% diagnosed with PT, IT, and CT, respectively. For all TMD subtypes, oral activities during sleep were more prevalent than those during wakefulness. While variations in total/subscale OBC scores were insignificant, substantial differences were observed in global/subscale JFLS (PT, CT > IT), depression (PT, CT > IT), and anxiety (CT > IT) scores. Near-moderate correlations (rs = 0,36–0.39) were discerned between overall/waking-state non-functional oral behaviors and depression/anxiety. Multivariate analysis indicated that the odds of different TMD subtypes were influenced by sex, age, and jaw functional status. Conclusions For all TMD patients, sleep-related oral activities were more commonly reported than waking-state activities. Factors such as sex, age, and jaw functional limitation are associated with the likelihood of different TMD subtypes. Statement of clinical relevance Oral behaviors, in themselves, do not predict distinct TMD subtypes, in contrast to factors such as sex, age, and jaw functional status.

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Section: Discussionmentioning

confidence: 99%

Sleeping and waking-state oral behaviors in TMD patients: their correlates with jaw functional limitation and psychological distress

Yap,

Kim,

Lee

et al. 2024

Clin Oral Invest

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“…Biomechanical risk factors related to TMD are frequently linked to oral parafunctional habits or malocclusive disorders [9][10][11][12][13], such as bruxism [14]. In addition, psychological factors such as stress, anxiety, depression, and other medical conditions such as sleep disturbances can increase the severity of symptoms and the risk of prolonging the duration of pain [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Psychological Factors and Pain Intensity in Temporomandibular Disorders with or without Central Sensitization: A Cross-Sectional Observational Study Using Multiple Regression Analysis

Pérez,

Córdova

et al. 2023

J Oral Med Pain

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To quantify the relationship between perceived pain intensity and psychological variables in a sample of participants with temporomandibular disorder, with or without central sensitization (CS). Methods: Methods:A cross-sectional study with nonprobability convenience sampling was conducted from January 1, 2022, to June 30, 2023. Pain intensity (Numeric Pain Rating Scale), anxiety (State-Trait Anxiety Questionnaire, STAI), catastrophizing (Pain Catastrophizing Scale, PCS), perceived stress (Perceived Stress Scale, PSS), and sleep quality (Pittsburgh Sleep Quality Index, PSQI) were assessed. Statistical analysis was performed using IBM SPSS Statistics for Windows, Version 20.0 (IBM Co.), which included descriptive and normality analyses and the calculation of strength of multiple correlational regression.Results: Results: A total of 52 (n=34 female 65.4%; n=18 male 34.6%) subjects with diagnosis of temporomandibular disorders (TMD) were finally included. A total of 26 participants (n=26, 50.0%) were cases suffered from CS (TMD-CS mean=46.62±11.24) while the remaining participants (n=26, 50.0%) were the controls (TMD-nCS mean=26.77, standard deviation [SD]=8.42). The pain intensity was moderate in both groups TMD-CS (mean=7.62, SD=0.83) and TMD-nCS (mean=7.05, SD=0.86), anxiety (TMD-CS STAI mean=53.27, SD=11.54; TMD-nCS STAI mean=49, SD=11.55), catastrophizing (TMD-CS PCS mean=46.27, SD=9.75; TMD-nCS PCS mean=26.69, SD=4.97), perceived stress (TMD-CS PSS mean=30.35, SD=4.91; TMD-nCS PSS mean=26.12, SD=6.60) and sleep quality (TMD-CS PSQI mean=15.81, SD=3.65; TMD-nCS PSQI mean=12.77, SD=2.76) levels were measured in both groups. In TMD-CS and TMD-nCS, higher anxiety levels were moderately and significantly associated with greater pain intensity β=0.4467 (t=2.477, p=0.021) and β=0.5087 (t=2.672, p=0.014). Nevertheless, catastrophizing, perceived stress and sleep quality were not associated to pain intensity in neither of group. Conclusions: Conclusions:In both TMD-CS and TMD-nCS patients, elevated anxiety levels were moderately and significantly associated with increased pain intensity. However, heightened levels of pain catastrophizing, perceived stress, and poor sleep quality were not significantly associated with increased pain intensity in either of the two analyzed groups.

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The association between pain-related factors and psychological distress in patients with temporomandibular disorder

Cited by 2 publications

References 25 publications

Sleeping and waking-state oral behaviors in TMD patients: their correlates with jaw functional limitation and psychological distress

Sleeping and waking-state oral behaviors in TMD patients: their correlates with jaw functional limitation and psychological distress

Relationship Between Psychological Factors and Pain Intensity in Temporomandibular Disorders with or without Central Sensitization: A Cross-Sectional Observational Study Using Multiple Regression Analysis

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