A cross-sectional study of the association between anxiety and temporomandibular disorder in Australian chiropractic students
| Autor: | Sheila Mortimer-Jones, Norman J. Stomski, Jean Théroux, Vicki Cope, Laura Maurice |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
business.industry
Cross-sectional study Temporomandibular disorder 030206 dentistry Original Articles Oral health Chiropractic 03 medical and health sciences stomatognathic diseases 0302 clinical medicine Quality of life (healthcare) Medicine Anxiety 030212 general & internal medicine Chiropractics medicine.symptom Association (psychology) business Clinical psychology |
| Zdroj: | The Journal of chiropractic education. 33(2) |
| ISSN: | 1042-5055 |
| Popis: | Objective: This study examined the association between anxiety and temporomandibular disorder (TMD) in Australian chiropractic students, particularly its effect on quality of life. Methods: Chiropractic students (n = 185) completed online surveys, including the Oral Health Impact Profile for TMDs (OHIP-TMD) and the Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaire. The OHIP-TMD psychometric properties were assessed using principal component analysis. Linear regression models were used to examine demographic predictors for anxiety and TMD. A general linear model assessed the association between anxiety and the psychosocial and function scales identified through analysis of the OHIP-TMD questionnaire. Results: The mean value for the OHIP-TMD and PROMIS was 1.3 (SD = 0.7) and 9.5 (SD = 4.1), respectively. Women reported significantly lower quality of life (QoL) related to TMD symptoms (p = 0.006) and that QoL related to TMD symptoms increased significantly as students progressed through the course (p = .025). Lower levels of anxiety were significantly associated with male gender (p = .000), employment (p = .008), higher program levels (p = .003), and having children (p = .005). General linear model analysis revealed that increased anxiety was significantly associated with higher levels of oral physical function impairment (p = .003) and elevated psychosocial distress (p = .0001). Conclusion: Anxiety was significantly associated with psychosocial distress and oral physical function impairment in university chiropractic students. In addition to impacting on oral health-related QoL, anxiety also affects students' engagement with learning and academic performance. It would therefore be beneficial to implement strategies that mitigate students' anxiety levels. |
| Databáze: | OpenAIRE |
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