Psychometric properties of the four-dimension impact framework for assessing temporomandibular disorders.

IF 1.9 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2025-10-02 DOI:10.1080/08869634.2025.2567111

Adrian Ujin Yap, Yunhao Zheng, Houpeng Li, Po-Kam Wo, Xin Xiong

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引用次数: 0

Abstract

Background: A four-dimensional impact framework has been recommended for evaluating oral conditions.

Objectives: This study examined the reliability and validity of the four-dimensional structure for the Oral Health Impact Profile for Temporomandibular Disorders (OHIP-TMD).

Methods: 902 TMD patients were grouped into non-painful intra-articular, pain-related, and combined TMDs for comparisons. Participants completed socio-demographic surveys, DC/TMD Axis II tools, and OHIP-TMD.

Results: All dimensions showed good reliability (α: Di1 = 0.814, Di2 = 0.736, Di3 = 0.755, Di4 = 0.935). Di3 (orofacial appearance) and Di1 (oral function) were notably more impacted than Di2 (orofacial pain) and Di4 (psychosocial impact) across subgroups. Moderate-to-strong correlations were identified between Di1-jaw functional limitation, Di2-current/worst pain, Di3-anxiety, and Di4-depression/anxiety (rs = 0.51-0.70). The strongest dimension-domain correlations included Di1-functional limitation, Di2-physical pain, Di3-psychological discomfort, and Di4-psychological disability(rs = 0.88-0.97).

Conclusions: The four-dimensional impact framework for the OHIP-TMD demonstrates good reliability and validity, offering valuable insights into how TMDs affect the well-being and daily functioning of patients.

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评估颞下颌障碍的四维冲击框架的心理测量特性。

背景：一个四维影响框架被推荐用于评估口腔状况。目的：本研究检验了颞下颌疾病口腔健康影响量表（OHIP-TMD）的四维结构的信度和效度。方法：将902例TMD患者分为非疼痛性关节内TMD、疼痛相关TMD和合并TMD进行比较。参与者完成了社会人口统计调查、DC/TMD Axis II工具和OHIP-TMD。结果：各维度具有良好的信度（α: Di1 = 0.814, Di2 = 0.736, Di3 = 0.755, Di4 = 0.935）。在各个亚组中，Di3（口面部外观）和Di1（口腔功能）受到的影响明显大于Di2（口面部疼痛）和Di4（社会心理影响）。di1 -颌骨功能限制、di2 -当前/最严重疼痛、di3 -焦虑和di4 -抑郁/焦虑之间存在中等至强相关性（rs = 0.51-0.70）。相关性最强的维度域包括di1 -功能限制、di2 -躯体疼痛、di3 -心理不适和di4 -心理残疾（rs = 0.88-0.97）。结论：OHIP-TMD的四维影响框架具有良好的信度和效度，为tmd如何影响患者的幸福感和日常功能提供了有价值的见解。

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

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.