General and Health Anxiety in Temporomandibular Disorders: Correlates With Depression, Pain Intensity, Sleep Propensity, Oral Behaviours, Jaw Function, and Oral Health-Related Quality of Life.

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

Journal of oral rehabilitation Pub Date : 2025-05-14 DOI:10.1111/joor.14023

Adrian Ujin Yap, Yunhao Zheng, Tiqian Liu, Yijun Li, Yi Liu, Xueman Zhou, Jun Wang, Xin Xiong

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引用次数: 0

Abstract

Background: Health anxiety (HA) has been underexplored in temporomandibular disorders (TMDs). This study compared general anxiety (GA) and HA across TMD subtypes, examining correlations with depression, pain intensity, sleep propensity, oral behaviours, jaw function, and oral health-related quality of life (OHRQoL).

Methods: Participants recruited from TMD patients completed a survey with the General Anxiety Disorder-7 Scale, Whitely Index-8, relevant DC/TMD Axis II measures, Epworth Sleepiness Scale, and Oral Health Impact Profile for TMDs, followed by a physical examination. They were subsequently categorised into Intra-Articular (IT), Pain-Related (PT), and Combined (CT) TMD groups based on DC/TMD algorithms. Data were analysed using the Chi-square Test, non-parametric tests, and logistic regression (α = 0.05).

Results: Among the 371 participants (mean age 29.8 years; 79.5% female), moderate-to-severe GA and depression were found in 15.1%, and high HA was noted in 19.7%. Significant differences were observed across the three TMD subtypes in the proportion of females (CT > PT/IT), age, GA, HA, depression, pain intensity, jaw functional limitation (PT/CT > IT), and OHRQoL (CT ≥ PT > IT). GA was strongly correlated with HA and depression and moderately correlated with OHRQoL, while HA was moderately correlated with both depression and OHRQoL (r_s = 0.60-0.77). The multivariate model indicated that CT (OR 2.86), GA (OR 1.35), HA (OR 1.13), pain intensity (OR 1.03), and jaw functional limitation (OR 1.04) significantly increased the odds of low OHRQoL.

Conclusions: One-fifth of TMD patients exhibited HA, which was moderate to strongly correlated with GA and depression. GA and HA appear to have a greater impact on OHRQoL than depression.

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颞下颌疾病患者的一般焦虑和健康焦虑：与抑郁、疼痛强度、睡眠倾向、口腔行为、颌功能和口腔健康相关生活质量相关

背景：健康焦虑（HA）在颞下颌疾病（TMDs）中的研究尚未充分。本研究比较了TMD亚型的一般焦虑（GA）和HA，研究了抑郁、疼痛强度、睡眠倾向、口腔行为、颌功能和口腔健康相关生活质量（OHRQoL）的相关性。方法：从TMD患者中招募的参与者完成了一项调查，包括一般焦虑障碍-7量表、怀特利指数-8、相关的DC/TMD轴II测量、Epworth嗜睡量表和口腔健康对TMD的影响，然后进行了体检。随后根据DC/TMD算法将患者分为关节内（IT）、疼痛相关（PT）和联合（CT） TMD组。数据分析采用卡方检验、非参数检验和logistic回归（α = 0.05）。结果：在371名参与者中(平均年龄29.8岁；79.5%为女性)，15.1%为中重度GA和抑郁症，19.7%为高HA。三种TMD亚型在女性比例（CT > PT/IT）、年龄、GA、HA、抑郁、疼痛强度、颌功能受限（PT/CT > IT）和OHRQoL （CT≥PT > IT）方面存在显著差异。GA与HA、抑郁呈强相关，与OHRQoL呈中度相关，HA与抑郁、OHRQoL均呈中度相关（rs = 0.60 ~ 0.77）。多变量模型显示，CT （OR 2.86）、GA （OR 1.35）、HA （OR 1.13）、疼痛强度（OR 1.03）和颌骨功能受限（OR 1.04）显著增加OHRQoL低的几率。结论：五分之一的TMD患者表现为HA， HA与GA和抑郁有中高相关性。GA和HA似乎比抑郁对OHRQoL的影响更大。

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.