dc.contributor.author | Lin, Shang-Lun | |
dc.contributor.author | Wu, Shang-Liang | |
dc.contributor.author | Huang, Hsien-Te | |
dc.contributor.author | Lung, For-Wey | |
dc.contributor.author | Chi, Tzong-Cherng | |
dc.contributor.author | Yang, Jung-Wu | |
dc.date.accessioned | 2017-08-30T05:00:35Z | |
dc.date.available | 2017-08-30T05:00:35Z | |
dc.date.issued | 2017 | |
dc.identifier.issn | 0278-2391 | |
dc.identifier.doi | 10.1016/j.joms.2017.02.024 | |
dc.identifier.uri | http://hdl.handle.net/10072/339832 | |
dc.description.abstract | Purposes: For patients with disc displacement disorders (DDDs), psychiatric illness increases the risk of
worsening postsurgical pain, postoperative delirium, postoperative incomplete recovery, and worse
postoperative life quality. This study provides a fast and practical protocol to evaluate psychological
conditions of patients with DDDs of the temporomandibular joint (TMJ) in clinical care.
Materials and Methods: The populations under investigation in this cross-sectional study included
patients with DDD who received treatment from October 2012 through June 2016. Variables included
age, gender, education level, and TMJ (Axis I) and psychological (Axis II) evaluations. The 13-item protocol
of Axis II evaluations contained a 5-item Brief Symptom Rating Scale (BSRS-5), a pain visual analog scale
(VAS; 1 item), major life events (3 items), suicidal risk (3 items), and substance use (1 item). Analysis of
variance, c2 test, and multivariate logistic regression were used for analyses.
Results: Of 177 patients, 75.14% were women (mean age, 37.46 14.06 yr). Pain VAS scores
clearly supported the following ranking of psychosocial discomforts: disc displacement without
reduction with limited opening (DDWORWLO) > disc displacement without reduction without
limited opening > disc displacement with reduction. Pain VAS and BSRS-5 correlated with 5 variables
in Axis I (trismus, acute TMJ pain, chronic awake bruxism, chronic sleep bruxism, and deep bite).
The DDD study indicated that 9.6% of patients required urgent referrals to mental health resources
(MHRs) for their moderate and high suicidal risk DDD and 77% required nonurgent referrals to MHRs
for their psychiatric morbidity.
Conclusions: This study found that patients with DDD showed a prevalence of suicidal ideation and
mean BSRS scores that were higher for anxiety, hostility, depression, interpersonal hypersensitivity, and insomnia than in the general population. Patients with trismus or acute TMJ pain could have a higher pain
VAS score; chronic awake bruxism could involve greater hostility and lower depression; chronic sleep
bruxism could increase sensitivity to interpersonal interactions; and deep bite could involve a higher
anxiety level. DDWORWLO produced the highest pain VAS score in patients with DDD. The 13-item
Axis II evaluations can offer useful clues for oral and maxillofacial surgeons and other specialists to
collaborate with MHRs. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofpagefrom | 1856 | |
dc.relation.ispartofpageto | 1865 | |
dc.relation.ispartofissue | 9 | |
dc.relation.ispartofjournal | Journal of Oral and Maxillofacial Surgery | |
dc.relation.ispartofvolume | 75 | |
dc.subject.fieldofresearch | Dentistry | |
dc.subject.fieldofresearch | Dentistry not elsewhere classified | |
dc.subject.fieldofresearchcode | 3203 | |
dc.subject.fieldofresearchcode | 320399 | |
dc.title | Can a 10-minute Questionnaire Identify Significant Psychological Issues in Patients With Temporomandibular Joint Disease? | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.description.notepublic | This publication has been entered into Griffith Research Online as an Advanced Online Version. | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Wu, Shang-Liang | |