Somatic and temporomandibular disorder symptoms - Idioms of psychological distress in Southeast Asian youths

Yap, Adrian Ujin; Sultana, Rehena; Natu, Vaishali Prakash

doi:10.1080/08869634.2021.1982496

Cited by 16 publications

(46 citation statements)

References 38 publications

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“…Subjects with psychological problems had a significantly higher risk of TMD than those without psychological problems. A previous study also indicated that depression and anxiety had a significant effect on TMD symptoms (27).…”

Section: Discussionmentioning

confidence: 90%

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The association between problematic smartphone use and the severity of temporomandibular disorders: A cross-sectional study

Pei

Zhong

et al. 2022

Front. Public Health

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ObjectiveTo evaluate the prevalence of different types of temporomandibular disorders (TMD) symptoms in young adults and determine their associations with problematic smartphone use (PSU).MethodsThe data of the study were collected from local university students through an online questionnaire survey. Demographic information, Fonseca Anamnestic Index (FAI), Smartphone Addiction Scale-Short Version (SAS-SV), and Patient Health Questionnaire-4 (PHQ-4) responses were gathered electronically and analyzed using multiple logistic regression analysis.ResultsThere were 163 male and 307 female respondents were participated in this study. The prevalence of PSU and TMD were 83.6% and 66.4%, respectively. There was a moderate statistical correlation between PSU and TMD among young adults (r = 0.31, p < 0.01). The logistic regression model revealed that the risk of TMD was 1.77 times higher in people with PSU than in those without PSU (OR = 1.77; 95% CI 1.04–3.06). PSU is a risk factor for pain-related TMD (OR = 1.81; 95% CI 1.08–3.04) but not intra-articular TMD.ConclusionSubjects showed high prevalence of both TMD and PSU. People with PSU experienced more severe and frequent pain-related rather than intra-articular TMD symptoms than those without PSU. By reducing the problematic smartphone use, the risk factor of TMD might be avoided.

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Section: Discussionmentioning

confidence: 90%

“…The sample consisted of the college students in different majors. A minimum sample size of 327 was calculated by a sample size calculator (https://www.calculator.net/sample-sizecalculator.html) based on a 95% confidence level, 5% sampling error, total students of 60,000, and a 31% prevalence of TMDs (27).…”

Section: Discussionmentioning

confidence: 99%

The association between problematic smartphone use and the severity of temporomandibular disorders: A cross-sectional study

Pei

Zhong

et al. 2022

Front. Public Health

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“…This was computed with an online sample size calculator (https://www.calcu lator.net/ sampl e-size-calcu lator.html) based on a confidence level of 95%, a precision of 5%, enrolment of 20 638 students at the university and 55% estimated prevalence of TMD symptoms among Asian young adults as determined in earlier studies. 15,35 Details of the study were presented to all potential participants and no financial compensations were offered for their involvement. After obtaining informed consent, the participants were directed to complete an electronic survey containing demographic information, the quintessential five TMD symptoms (5Ts) of the DC/TMD, Big Five Inventory-10 (BFI-10), Depression, Anxiety, Stress Scales-21 (DASS-21), Patient Health Questionnaire-15 (PHQ-15) and OBC.…”

Section: Study Participantsmentioning

confidence: 99%

“…While participants with DT and NT experienced mostly mild somatic symptoms, those with TMD pain (PT and MT) presented moderate somatisation reinforcing the belief that TMDs are a type of FSSs. 15,16 Women are known to experience more numerous, frequent and intense somatic symptoms than men and gender differences in somatic perceptions, symptoms acknowledgement/disclosure, socialisation and psychological distress had been implicated. 53 Findings were congruent with the high prevalence of moderateto-high somatisations in TMD patients and the preponderance of women among them.…”

Section: Somatic Symptoms and Oral Behavioursmentioning

confidence: 99%

Personality, psychosocial and oral behavioural risk factors for temporomandibular disorder symptoms in Asian young adults

Yap

Marpaung

2023

J of Oral Rehabilitation

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BackgroundThe relation between personality, psychosocial factors, somatisation, andoral behaviours as risk factors to temporomandibular disorder symptoms have notbeen well established.ObjectivesThis study examined the association of temporomandibular disorder (TMD) symptoms with personality traits, psychological distress, somatisation and oral behaviours. The psychosocial and oral behavioural risk factors for TMD symptoms were also established in Asian young adults.MethodsParticipants were recruited from a large private University. Based on the quintessential five TMD symptoms (5Ts) of the DC/TMD, the participants were stratified into those with no (NT), painful (PT), dysfunctional (DT) and mixed (MT) TMD symptoms. Personality traits, psychological distress, somatisation and oral behaviours were evaluated with the Big Five Inventory‐10 (BFI‐10), Depression, Anxiety, Stress Scales‐21 (DASS‐21), Patient Health Questionnaire‐15 (PHQ‐15) and Oral Behaviours Checklist (OBC) accordingly. Data were examined using Kruskal–Wallis/Mann–Whitney U and Chi‐squared tests, as well as multivariate logistic regression analysis (α = .05).ResultsOf the 420 young adults (mean age 22.7 ± 1.1 years) evaluated, 41.4% had no TMD symptoms, while 17.4%, 20.0% and 21.2% reported PT, DT and MT, respectively. Though personality traits did not vary notably, participants with MT and PT had significantly higher levels of negative affectivity, anxiety and stress than the NT group. Moreover, those with MT and PT presented significantly greater somatisation and more oral behaviours than the DT and NT groups. Multivariate regression analyses indicated that anxiety, somatisation, sleep‐related and waking‐state nonfunctional oral activities were associated with painful and/or dysfunctional TMD symptoms.ConclusionsExcept for sleep‐related oral activity, psychosocial and oral behavioural risk factors differed for painful, dysfunctional and mixed TMD symptoms in Asian young adults.

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“…Considering the mild-to-moderate psychological distress conveyed by the NT group, results supported the notion that physical symptoms including widespread bodily pain could be a 'cultural idiom' of distress. [32][33][34] TMD pain may be just one of a myriad of physical symptoms used for communicating psychological distress, clarifying the high prevalence of moderate-to-severe somatization (up to 76.6%) in TMD patients. 6,32 The latter also explained the psychosocial commonalities and associations between TMDs and functional somatic syndromes including fibromyalgia, chronic fatigue and irritable bowel syndromes.…”

Section: Tmd and Bodily Painmentioning

confidence: 99%

Painful temporomandibular disorders in Confucian‐heritage cultures: Their inter‐relationship with bodily pain, psychological well‐being and distress

Yap

Lee

2023

J of Oral Rehabilitation

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BackgroundTemporomandibular disorders (TMDs) are common and affect individuals negatively.ObjectivesThis study investigated the inter‐relationship of painful TMDs with bodily pain, psychological well‐being and distress in young people from a Confucian‐heritage culture (CHC).MethodsAdolescents/young adults were recruited from a polytechnic in Singapore. While the presence/severity of painful TMDs and bodily pain were established with the DC/TMD Pain Screener (TPS) and Maciel's Pain Inventory, psychological well‐being and distress were evaluated with the Scales of Psychological Well‐being‐18 (SPWB‐18) and Patient Health Questionnaire‐4 (PHQ‐4). Statistical explorations were conducted using chi‐square/Mann–Whitney U tests, Spearman's correlation and logistic regression analyses (α = .05).ResultsAmong the 225 participants (mean age 20.1 ± 3.9 years) examined, 11.6% had painful TMDs and 68.9% experienced multisite bodily pain. Though painful TMDs were accompanied by a higher occurrence of multisite bodily pain, the overall/discrete number of bodily pain sites did not differ substantially between the ‘no TMD pain’ (NT) and ‘with TMD pain’ (WT) groups. Besides ear pain, differences in overall/discrete bodily pain scores were also insignificant. However, significant differences in environmental mastery, overall psychological distress, depression and anxiety subscale scores were discerned between the NT and WT groups. Psychological well‐being and distress were moderately and negatively correlated (rs = −.56). Multivariate analysis indicated that ear pain and psychological distress increased the prospect of painful TMDs.ConclusionThe prevalence of multi‐site bodily pain was high in young people from CHCs irrespective of the painful TMDs’ presence of painful TMDs. Enhancing environmental mastery and relieving depression/anxiety may help manage TMD pain.

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Somatic and temporomandibular disorder symptoms - Idioms of psychological distress in Southeast Asian youths

Cited by 16 publications

References 38 publications

The association between problematic smartphone use and the severity of temporomandibular disorders: A cross-sectional study

The association between problematic smartphone use and the severity of temporomandibular disorders: A cross-sectional study

Personality, psychosocial and oral behavioural risk factors for temporomandibular disorder symptoms in Asian young adults

Painful temporomandibular disorders in Confucian‐heritage cultures: Their inter‐relationship with bodily pain, psychological well‐being and distress

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