Job demands and Temporomandibular disorders: Mediating and moderating effects of Psychological distress and Recovery experiences

Objectives: This study examines the relationship between recovery experience, job demands, psychological distress, and temporomandibular disorders (TMD) in Japanese workers. Methods: It used cross-sectional data from the fourth survey of a multi-wave longitudinal project, conducted using the registered monitors of an internet research company. Finally, 1,278 respondents’ data were analyzed (655 males, 623 females; mean age 41.63 years, SD=10.31). We utilized Sugiaski’s TMD screening question to assess TMD prevalence, Brief Job Stress Questionnaire to assess job demands, Kessler Psychological Distress Scale (K6) to assess psychological distress, and the Japanese version of Recovery Experience Questionnaire to assess recovery experiences. The moderated mediation analysis was conducted using the process macro program for SPSS developed by Preacher and Hayes, examining the effect of job demands on TMD through psychological distress, moderated by the recovery experience. Results: The results showed that 12% (n=168) of the respondents had TMD. Mediation analysis indicated high job demands were associated with an increased TMD prevalence through psychological distress. The moderated mediation analysis revealed that relaxation and control moderated the relationship between job demands and psychological distress. Conclusions: This cross-sectional study establishes the relationship between job demands, psychological distress, and TMD among Japanese workers. The findings suggest that increased job demands contribute to high TMD prevalence through the mediation of psychological distress, moderated by relaxation and control.