<?xml version="1.0"?>
<Articles JournalTitle="Journal of Craniomaxillofacial Research">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Journal of Craniomaxillofacial Research</JournalTitle>
      <Issn>2345-5489</Issn>
      <Volume>7</Volume>
      <Issue>4</Issue>
      <PubDate PubStatus="epublish">
        <Year>2021</Year>
        <Month>02</Month>
        <Day>21</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Evaluating the role of stress and anxiety with clinical symptoms in TMD patients</title>
    <FirstPage>213</FirstPage>
    <LastPage>221</LastPage>
    <AuthorList>
      <Author>
        <FirstName>Shamsoulmolouk</FirstName>
        <LastName>Najafi</LastName>
        <affiliation locale="en_US">Dental Research Center, Tehran University of Medical Sciences, Tehran, Iran; Department of Oral &amp; Maxillofacial Medicine, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran; Department of Oral &amp; Maxillofacial Medicine, School of Dentistry, International Campus, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Zahra</FirstName>
        <LastName>Faraji</LastName>
        <affiliation locale="en_US">School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2020</Year>
        <Month>11</Month>
        <Day>07</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2021</Year>
        <Month>02</Month>
        <Day>20</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Introduction: The etiology of TMD is complex and multifactorial, but it is thought that psychological 
factors contribute to the etiology and persistence of TMD. Therefore, the aim of this 
study was to investigate the role of anxiety and depression in the development of temporomandibular 
joint disorders in patients referred to Tehran University of Medical Sciences, School of 
Dentistry, International Campus. 
Materials and Methods: This cross-sectional study was performed on patients referred to 
Tehran University of Medical Sciences, School of Dentistry, International Campus who had temporomandibular 
joint disorder. Hence the number of 224 people easily selected at random. They 
were given 3 questionnaires to assess their anxiety and depression (9-PHQ, 4-PHQ7 and-GAD-7). 
After collecting data using SPSS software version 22 and considering the error level at 0.50% probability 
and one-way analysis of variance and frequency analysis were performed. 
Results: The rate of depression in patients with TMD was 8.83 according to the 9-PHQ questionnaire 
and 4.72 according to the 4-PHQ questionnaire, and the level of anxiety in patients with
TMD according to the 7-GAD questionnaire was equal to 8.95 There was no significant relationship 
between patients&#x2019; gender and their level of anxiety (p&lt;0.50), but there was a significant relationship
between patients&#x2019; age and their level of anxiety (p&gt;0.50). 
Conclusion: Age and gender are not significantly associated with temporomandibular joint disorders.&#xA0; 
Also, anxiety and depression are positively related and there is a significant value achieved 
with the incidence of TMD in the participants. A reduction in the level of anxiety and depression 
within people, can have a great impact on the treatment of TMDs in individuals. 
Keywords: Temporomandibular joint disorder; Anxiety; Depression.</abstract>
    <web_url>https://jcr.tums.ac.ir/index.php/jcr/article/view/352</web_url>
    <pdf_url>https://jcr.tums.ac.ir/index.php/jcr/article/download/352/311</pdf_url>
  </Article>
</Articles>
