Is there an association between anxiety/depression and temporomandibular disorders in college students?
J. appl. oral sci
; 22(1): 15-21, Jan-Feb/2014. tab, graf
Article
in En
| LILACS, BBO
| ID: lil-699915
Responsible library:
BR1.1
ABSTRACT
Objective:
Considering the high incidence of Temporomandibular Disorders (TMD) in the population aged 15-30 years and the fact that students are exposed to stressful psychosocial factors, the purposes of this study were to verify clinical symptoms and jaw functionality in college students with TMD according to the anxiety/depression (A/D) level and to evaluate the correlation between A/D and functionality, maximum mouth opening (MMO) and pain and muscle activity. Material andMethods:
Nineteen students with TMD diagnosed according to the Research Diagnostic Criteria for Temporomandibular Disorders underwent two assessments during an academic semester. The evaluations were based on questionnaires (MFIQ - Mandibular Function Impairment Questionnaire; HADS - Hospital Anxiety and Depression Scale), clinical measurements (MMO without pain, MMO and assisted MMO; palpation of joint and masticatory muscles), and electromyography. The HADS scores obtained in the two assessments were used to classify all data as either "high" or "low" A/D. Data normality, differences and correlations were tested with the Shapiro-Wilk test, Student's t-test (or the Wilcoxon test), and Spearman test, respectively. The alpha level was set at 0.05.Results:
None of the clinical variables were significantly different when comparing low and high A/D data. In low A/D there was a significant correlation between HADS score and MFIQ (P=0.005, r=0.61), and MMO without pain (P=0.01, r=-0.55).Conclusions:
Variation in A/D level did not change clinical symptoms or jaw functionality in college students with TMD. Apparently, there is a correlation between TMJ functionality and A/D level, which should be further investigated, taking into account the source of the TMD and including subjects with greater functional limitation. .Key words
Full text:
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Index:
LILACS
Main subject:
Anxiety Disorders
/
Students
/
Temporomandibular Joint Disorders
/
Depression
Type of study:
Qualitative_research
/
Risk_factors_studies
Limits:
Adolescent
/
Female
/
Humans
/
Male
Language:
En
Journal:
J. appl. oral sci
Journal subject:
ODONTOLOGIA
Year:
2014
Type:
Article