Temporomandibular disorder pain in older adolescents-young adults: Interrelationship with somatic burden, mental ill-being, and well-being.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-02-28 DOI:10.1080/08869634.2024.2322595

Adrian Ujin Yap, Kai Kee Wee, Jia Yu Loh, Carolina Marpaung, Vaishali Prakash Natu

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Abstract

Objectives: The associations of Temporomandibular disorder (TMD) pain with somatic symptoms, mental ill-being/distress, and well-being were explored, along with the mental correlates of TMD (TS) and somatic symptom (SS) burden in older adolescents-young adults.

Methods: TMD/somatic symptoms were appraised with the five quintessential symptoms (5Ts) of the DC/TMD/Somatic Symptom Scale-8, whereas mental distress/well-being was assessed with the Depression, Anxiety, Stress Scales-21/Scales of Psychological Well-being-18. Data were examined using Chi-square/non-parametric tests and multivariate analyses (α = .05).

Results: Among the 366 participants, 51.4%, 28.1%, 6.8%, and 13.7% had no TMD (NT), TMD pain (TP), TMD dysfunction (TD), and combined TMD (CT) respectively. Though mental distress varied substantially (CT, TP>NT, TD), no significant differences in well-being were discerned. SS burden, but not TS burden, was moderately correlated to distress.

Conclusions: The prospect of TMD pain was increased by being female, depressed, and anxious but reduced by "positive relations with others" and "self-acceptance".

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老年青少年和青年的颞下颌关节紊乱疼痛：与躯体负担、精神疾病和幸福感的相互关系。

目的：探讨颞下颌关节紊乱症（TMD）疼痛与躯体症状、精神疾病/压力和幸福感之间的关系，以及 TMD（TS）和精神相关性：探讨颞下颌关节紊乱症（TMD）疼痛与躯体症状、精神疾病/压力和幸福感之间的关联，以及青少年和年轻人TMD（TS）和躯体症状（SS）负担的精神相关性：TMD/躯体症状采用 DC/TMD/Somatic Symptom Scale-8 的五种典型症状（5Ts）进行评估，而精神痛苦/幸福感则采用抑郁、焦虑、压力量表-21/心理幸福感量表-18 进行评估。数据采用卡方/非参数检验和多元分析（α = .05）进行检验：在 366 名参与者中，无 TMD（NT）、TMD 疼痛（TP）、TMD 功能障碍（TD）和合并 TMD（CT）者分别占 51.4%、28.1%、6.8% 和 13.7%。虽然精神痛苦有很大差异（CT、TP>NT、TD），但在幸福感方面没有发现显著差异。SS负担（而非TS负担）与精神痛苦呈中度相关：结论：女性、抑郁和焦虑会增加 TMD 疼痛的可能性，但 "与他人的积极关系 "和 "自我接纳 "会降低这种可能性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.