IADR Abstract Archives

Emotional Profile of Patients with Temporomandibular Dysfunction

Objectives: To determine the prevalence of TMD clinical diagnoses,psychological distress and psychosocial dysfunction using standardized protocol of diagnostic criteria for analysis of TMD(RDC/TMD);to determine whether acute and chronic patients have more pronounced depression and anxiety in comparison with control,and whether significant stressful event preceded appearance of TMD using psychological tests (Emotions profile index, Somatization scale and Recent life events scale.:

Methods: 90 female patients participated in this research–60 had TMD.Remaining 30 presented a control group.At beginning of research,patients filled out a screening evaluation test to determine position in research group.Next step was RDC/TMD protocol,followed by psychological tests.:

Results: Patients' age ranged from 22 to 67 years,with average age of 38,5 ± 12 years. In statistical analysis we used descriptive statistics,Kolmogorov-Smirnov test of distribution fitting for psychological variables,t-test for independent samples,variance analysis and Scheffe post-hoc tests.By analyzing RDC/TMD protocol,following results were obtained: group I disorders (muscular) were found in 77,4% acute and 90% chronic patients;groups II disorders (disc dislocation) in 51,6% chronic and 36,6% acute patients, while 71% chronic and 76,6% acute patients had a group III disorder(arthralgia, arthritis, arthrosis).Evaluation of psychological status according to axis II. showed that 19,4% chronic and 26,7% acute patients present pronounced depression,while 33,3% acute and 48,4% chronic patients have high results of non-specific physical symptoms (somatization).Psychosocial dysfunction was noted in 26,7% acute and 22,6% chronic patients.Psychological tests show that chronic patients are more depressed and inclined towards somatization in comparison with acute; acute patients are more anxious in comparison with control, patients who state a higher degree of depression are more prone to somatization and have experienced more stressful life events in the past 6 months.:

Conclusions: After this research, it is clear that TMD etiology is multifactorial and unclear, while psychological factors play an important role in its genesis.:


Division: IADR/AADR/CADR General Session
Meeting: 2007 IADR/AADR/CADR General Session (New Orleans, Louisiana)
Location: New Orleans, Louisiana
Year: 2007
Final Presentation ID: 742
Abstract Category|Abstract Category(s): Neuroscience / TMJ
Authors
  • Simonic-kocijan, Suncana  ( University of Rijeka, Medical Faculty, School of Dentistry, Rijeka, N/A, Croatia )
  • Mikic, Vlatka  ( University of Rijeka, Medical Faculty, School of Dentistry, Rijeka, N/A, Croatia )
  • Fugosic, Vesna  ( University of Rijeka, Medical Faculty, School of Dentistry, Rijeka, N/A, Croatia )
  • Grzic, Renata  ( University of Rijeka, Medical Faculty, School of Dentistry, Rijeka, N/A, Croatia )
  • Kovacevic Pavicic, Daniela  ( University of Rijeka, Medical Faculty, School of Dentistry, Rijeka, N/A, Croatia )
  • Bakarcic, Danko  ( University of Rijeka, Medical Faculty, School of Dentistry, Rijeka, N/A, Croatia )
  • Horvat, Jelena  ( University of Rijeka, Medical Faculty, School of Dentistry, Rijeka, N/A, Croatia )
  • SESSION INFORMATION
    Poster Session
    TMD/orofacial pain epidemiology and treatment
    03/22/2007