Correlates Between Temporomandibular Disorder Symptom Severity, Psychological Distress, Well-Being, and Oral Health-Related Quality of Life: Insights From Chinese Young Adults.

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-01-09 DOI:10.1111/joor.13930

Adrian Ujin Yap, Jie Lei, Chengge Liu, Zhiwei Huang, Kai Yuan Fu

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引用次数: 0

Abstract

Background: There is limited understanding of how temporomandibular disorder (TMD) symptoms, psychological distress, and well-being are related to each other and to OHRQoL in Chinese young adults.

Objectives: This study aimed to identify correlations between TMD symptom severity, psychological status, and OHRQoL while also examining factors associated with low OHRQoL.

Methods: Participants, recruited from a major university in the capital city, completed a survey that included demographics, the Chinese versions of the expanded five TMD symptoms (5Ts) screener, Depression, Anxiety, Stress Scales-21 (DASS-21), Ryff's Scales of Psychological Well-being-18 (SPWB-18), and Oral Health Impact Profile for TMDs (OHIP-TMD). Data were analysed using Chi-square and Kruskal-Wallis/Mann-Whitney U tests, Spearman's correlation, and logistic regression (α = 0.05).

Results: The study sample consisted of 414 individuals (mean age 22.0 years [SD 2.1], 77.8% female). Among them, 23.4%, 22.2%, 15.7%, and 38.6% had no (NT), intra-articular (IT), pain-related (PT), and combined (CT) TMD symptoms, respectively. Significant differences were observed in global TMD severity (CT>IT, PT>NT), global distress (CT>IT, NT), and OHRQoL (CT>IT, PT, NT), but not global well-being. Global TMD severity was significantly, albeit weakly, correlated with global distress (r_s = 0.32) and global well-being (r_s = -0.12). Global distress, in turn, showed a significant but weak negative association with global well-being (r_s = -0.34). Both global TMD severity and global distress exhibited moderate correlations with global OHIP (r_s = 0.63/0.42).

Conclusions: Global TMD severity, incorporating symptom duration, frequency, intensity, and interference, was the main determinant of low OHRQoL in Chinese young adults.

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颞下颌障碍症状严重程度、心理困扰、幸福感和口腔健康相关生活质量的相关性：来自中国年轻人的见解

背景：对于中国年轻人颞下颌障碍（TMD）症状、心理困扰和幸福感之间的相互关系以及与OHRQoL之间的关系，人们了解有限。目的：本研究旨在确定TMD症状严重程度、心理状态和OHRQoL之间的相关性，同时研究与低OHRQoL相关的因素。方法：从首都一所重点大学招募的参与者完成了一项调查，包括人口统计学，扩展TMD五种症状（5Ts）筛查的中文版，抑郁，焦虑，压力量表-21 (DASS-21)， Ryff心理健康量表-18 （SPWB-18）和口腔健康影响量表（OHIP-TMD）。数据分析采用卡方检验、Kruskal-Wallis/Mann-Whitney U检验、Spearman相关检验和logistic回归（α = 0.05）。结果：研究样本包括414例个体（平均年龄22.0岁[SD 2.1]， 77.8%为女性）。其中，无（NT）、关节内（IT）、疼痛相关（PT）和合并（CT） TMD症状分别占23.4%、22.2%、15.7%和38.6%。总体TMD严重程度（CT>IT， PT>NT），总体痛苦（CT>IT， NT）和OHRQoL （CT>IT， PT， NT）均有显著差异，但总体幸福感无显著差异。全球TMD严重程度与全球痛苦（rs = 0.32）和全球幸福（rs = -0.12）显著相关，但相关性较弱。反过来，全球困境与全球福祉表现出显著但微弱的负相关（rs = -0.34）。全球TMD严重程度和全球痛苦与全球OHIP均表现出中等相关性（rs = 0.63/0.42）。结论：全球TMD严重程度，包括症状持续时间、频率、强度和干扰，是中国年轻人低OHRQoL的主要决定因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.