Mental health in patients with temporomandibular disorders referring to School of Dentistry, Tehran University of Medical Science
Abstract
Introduction: The aim of this study was to evaluate mental health in temporomandibular disorders (TMD) patients considering: Gender, age, and grade of chronic pain scales (GCPS).Materials and Methods: The data were collected using general health questionnaire (GHQ-28) for evaluating mental health and research diagnostic criteria for TMD for evaluating GCPS, age, and gender from 75 TMD patient seeking treatment at Dental School of Tehran University of Medical Science and Shariati Hospital during 13 months and 75 also non-patient group without TMD diagnosis.Result: According to the results from GHQ questionnaire, total scores of the questionnaire which shows mental impairment and all subscales except for social dysfunction were significantly higher in patients in comparison with non-patients (P < 0.0500). Patients with higher GCPS had higher scores in subscales of GHQ-28 and its total score (P < 0.0500) except for ‘‘social dysfunction.’’ Considering gender in the patient group except for social dysfunction TMD had greater impacts on women’s mental health rather than men. Older individuals revealed the lower likelihood of being depressed.Conclusion: TMD and chronic pain affect mental health negatively so that patients have the poorer mental health in comparison with non-patients.Brown DT, Gaudet EL. Temporomandibular disorder treatment outcomes: second report of a large-scale prospective clinical study. Cranio. 2002; 20(4): 244-53.
Carlsson GE. Epidemiology and treatment need for temporomandibular disorders. J Orofac Pain. 1999; 13(4): 232-7.
Dahlstrom L, Carlsson GE. Temporomandibular disorders and oral health-related quality of life. A systematic review. Acta Odontol Scand. 2010; 68(2): 80-5.
Rantala MA, Ahlberg J, Suvinen TI, Savolainen A, Kononen M. Symptoms, signs, and clinical diagnoses according to the research diagnostic criteria for temporomandibular disorders among Finnish multiprofessional media personnel. J Orofac Pain. 2003; 17(4): 311-6.
Dworkin SF, Huggins KH, LeResche L, von Korff M, Howard J, Truelove E, et al. Epidemiology of signs and symptoms in temporomandibular disorders: clinical signs in cases and controls. J Am Dent Assoc. 1990; 120(3): 273-81.
Celic R, Panduric J, Dulcic N. Psychologic status in patients with temporomandibular disorders. Int J Prosthodont. 2006; 19(1): 28-9.
Miettinen O, Lahti S, Sipila K. Psychosocial aspects of temporomandibular disorders and oral health-related quality-of-life. Acta Odontol Scand. 2012; 70(4): 331-6.
Reissmann DR, John MT, Schierz O, Wassell RW. Functional and psychosocial impact related to specifictemporomandibular disorder diagnoses. J Dent. 2007; 35(8): 643-50.
Noorbala AA, Bagheri Yazdi A, Mohammad K. The validation of general health questionnaire- 28 as a psychiatric screening tool. Hakim Res J. 2009; 11(4): 47-53. (Persian).
Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992; 6(4): 301-55.
Dworkin SF. Psychological and psychosocial assessment. In: Laskin DM, Editor. Temporomandibular disorders: an evidence-based approach to diagnosis and treatment. New York, NY: Quintessence Pub.; 2006. p. 203-28.
Tjakkes GH, Reinders JJ, Tenvergert EM, Stegenga B. TMD pain: the effect on health related quality of life and the influence of pain duration. Health Qual Life Outcomes. 2010; 8: 46.
Yap AU, Tan KB, Chua EK, Tan HH. Depression and somatization in patients with temporomandibular disorders. J Prosthet Dent. 2002; 88(5): 479-84.
Deli R, Macrì LA, Mannocci A, Torre GL. Measuring Quality of Life in TMD: use of SF-36. Italian Journal of Publichealth. 2009; 6(2): 156-63.
Dao TT, LeResche L. Gender differences in pain. J Orofac Pain. 2000; 14(3): 169-84.
LeResche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med. 1997; 8(3): 291-305.
Manfredini D, Winocur E, Ahlberg J, Guarda-Nardini L, Lobbezoo F. Psychosocial impairment in temporomandibular disorders patients. RDC/TMD axis II findings from a multicentre study. J Dent. 2010; 38(10): 765-72.
Hiltunen K, Schmidt-Kaunisaho K, Nevalainen J, Närhi T, Ainamo A. Prevalence of signs of temporomandibular disorders among elderly inhabitants of Helsinki, Finland. Acta Odontologica Scandinavica. 1995; 53(1): 20-3.
Osterberg T, Carlsson GE, Wedel A, Johansson U. A cross-sectional and longitudinal study of craniomandibular dysfunction in an elderly population. J Craniomandib Disord. 1992; 6(4): 237-45.
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Issue | Vol 2 No 3-4 (Summer/Autumn 2015) | |
Section | Original Article(s) | |
Keywords | ||
TMD General Health Questionnaire (GHQ) Mental health Chronic pain scales (GCPs) |
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