Assessment of psychological health profile in patients with temporomandibular disorders

S. Dahiya, Vijayalakshmi Kr
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Abstract

Background: The management of TMD requires multidisciplinary approach on account of its complex and multifactorial etiology. Although the role of psychological factors has been considered in the etiology, they are often unattended in the dental set up. Hence, realizing the paucity the study was planned. Aims: To assess psychological health profile in patients with temporomandibular disorders. Material and method: 40 subjects who met the set inclusion and exclusion criteria were subjected for evaluation of sign and symptoms of TMD followed by psychiatric evaluation by Dukes health profile scale. Result: A significant association of signs and symptoms of TMD including inter-incisal distance, clicking, TMJ pain, referred pain, muscle tenderness and deflection with anxiety and depression was found (p value <.05). Also, there was statistically significant association between inter-incisal distance, clicking, referred pain and locking with pain and disability scores. (p value <.05). Conclusions: This study demonstrated significant association of anxiety and depression with signs & symptoms of TMD.
颞下颌障碍患者的心理健康状况评估
背景:由于TMD的病因复杂且多因素,需要多学科的治疗。虽然心理因素的作用已被认为是病因,他们往往是忽视在牙科设置。因此,意识到研究的不足,计划进行研究。目的:探讨颞下颌障碍患者的心理健康状况。材料和方法:对40名符合纳入和排除标准的受试者进行TMD症状和体征评估,并采用Dukes健康量表进行精神病学评估。结果:TMD的体征和症状包括切间距离、咔嗒声、TMJ疼痛、牵涉痛、肌肉压痛和挠曲与焦虑和抑郁有显著相关性(p值< 0.05)。此外,切间距离、咔嗒声、转诊疼痛和锁定与疼痛和残疾评分之间存在统计学上显著的关联。(p值< 0.05)。结论:本研究表明焦虑和抑郁与TMD的体征和症状有显著相关性。
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