Association Between Clinical Signs of Temporomandibular Disorders and Psychological Distress Among an Adult Finnish Population
| Autor: | Anna Liisa Suominen, Lauri Tuuliainen, Kirsi Sipilä, Mauno Könönen, Pirjo Mäki |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Orofacial pain medicine.medical_specialty Population Logistic regression Palpation Sex Factors Facial Pain medicine Prevalence Humans Dentistry (miscellaneous) education Depression (differential diagnoses) Finland Aged education.field_of_study medicine.diagnostic_test business.industry Age Factors Confounding Factors Epidemiologic Odds ratio Myalgia Middle Aged Temporomandibular Joint Disorders stomatognathic diseases Distress Anesthesiology and Pain Medicine Population Surveillance Masticatory Muscles Physical therapy Female Neurology (clinical) General Health Questionnaire medicine.symptom business Stress Psychological |
| Zdroj: | Journal of oralfacial pain and headache. 29(4) |
| ISSN: | 2333-0384 |
| Popis: | Aims: To evaluate the association between signs of temporomandibular disorders (TMD) and psychological distress in a general population-based sample of Finnish adults. Methods: The Health 2000 Survey was conducted in 2000–2001 by the National Institute for Health and Welfare in Finland. Of the sample of adults aged 30 or over (n = 8,028), 79% participated in a clinical oral health examination, which included examination of TMD signs. The participants (n = 6,155) also completed questionnaires, including the 12-item General Health Questionnaire (GHQ-12), which measured psychological distress. Associations between TMD signs and psychological distress measured by the GHQ-12 were examined in both genders. Statistical measures included chi-square tests, t tests, and logistic regression analyses. Results: The prevalence of the TMD signs (limited opening, clicking, crepitation, temporomandibular joint [TMJ] palpation pain, and muscle palpation pain) was 11.2%, 17.6%, 10.5%, 5.1%, and 18.9% in women, and 6.1%, 12.9%, 5.3%, 2.4%, and 7.2% in men, respectively. High GHQ-12 scores, measured as continuous variables and in quartiles by distress level, were significantly associated with masticatory muscle pain on palpation in both genders (P < .05) and with TMJ pain on palpation in women (P < .05). Additionally, high GHQ-12 scores as continuous were associated with TMJ crepitation in men (P < .05). The logistic regression analyses showed that higher GHQ-12 scores were associated significantly with masticatory muscle pain on palpation both in women (odds ratio [OR] = 2.18; 95% confidence interval [CI] = 1.6–2.9) and men (OR = 2.03; 95% CI = 1.3–3.1). Conclusion: TMD signs and psychological distress appear to be associated. However, due to the limitations of the study, the findings can be regarded as preliminary. |
| Databáze: | OpenAIRE |
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