Background & Aims
The multisystem phenotype of non-clinical community samples afflicted with Temporomandibular disorders (TMDs) remains unexplored. This study utilized the multisystem assessment approach to examine the inter-relationships between somatic symptoms, psychological distress, and sleep quality in young adults with TMDs. It also identified the biopsychosocial risk factors for different types of TMD symptoms.
Methods
Young adults were enrolled from a private university, and eligible participants completed an online form that included demographics, the quintessential five TMD symptoms (5Ts), Patient Health Questionnaire-15 (PHQ-15), Depression, Anxiety, Stress Scales-21 (DASS-21), and Pittsburgh Sleep Quality Index (PSQI). The data were examined using Kruskal-Wallis/Mann-Whitney U tests, Spearman’s correlation, and logistic regression analyses (? = 0.05).
Results
Among the 365 participants (mean age of 22.5 ± 1.3 years), 41.6% had no TMD (NT) symptoms, while 17.3%, 19.5%, and 21.6% experienced pain-related (PT), intra-articular (IT), and combined (CT) symptoms respectively. Significant differences in somatic symptoms (CT, PT > IT, NT), anxiety (CT > IT, NT), and overall sleep quality (CT > IT, NT) were discerned. Somatic, but not TMD, symptoms exhibited moderate correlations to anxiety, stress, overall sleep quality, and daytime dysfunction (rs = 0.44-0.52). Multivariate regression revealed that somatic symptoms were the only significant risk factor for both PT (OR = 1.18; 95% CI = 1.11-1.25) and CT (OR = 1.15; 95% CI = 1.08-1.22) symptoms.
Conclusions
The routine assessment of somatic symptoms, along with screening for associated psychological and sleep disturbances, is advocated for TMD prevention and management.
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Presenting Author
Carolina Marpaung
Poster Authors
Topics
- Assessment and Diagnosis