Association of Temporomandibular Disorders Symptoms with Anxiety and Depression in Tunisian Patients

Objectives. To estimate the prevalence of anxiety and depression using the Hospital Anxiety and Depression Scale (HADS) in a population aged over sixty years with type 2 diabetes and to study the impact of anxiety and depression on glycemic balance and disease outcome.Results. The prevalence of anxiety and depression in the 62 subjects included in the study was, respectively, 40.3% and 22.6%. We found a relationship between these disorders and complicated diabetes. The subjects having an imperfectly balanced diabetes had a higher average anxiety score than those having a good glycemic control ( versus ; ). No relationship was found between diabetes balance and depression.Conclusion. Association between anxiety and depressive disorders and diabetes is frequent and worsens patients’ outcome, in terms of diabetes imbalance as well as in terms of diabetic complications. Our study shows that there is need for physicians to detect, confirm, and treat anxiety and depressive disorders in elderly diabetic patients.

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Efeitos do agulhamento seco profundo no tratamento da disfunção temporomandibular: estudo de casos

Research Society and Development ◽

10.33448/rsd-v10i16.23770 ◽

2021 ◽

Vol 10 (16) ◽

pp. e452101623770

Author(s):

Tânia Ecí Santi Castro ◽

Livia Assis ◽

Paola da Mata Messut ◽

Juliana Carolina Tarocco ◽

Carolina Bruder ◽

...

Keyword(s):

Diagnostic Criteria ◽

Temporomandibular Disorders ◽

Depression Scale ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Research Diagnostic Criteria

O presente estudo teve como objetivo avaliar a eficácia do agulhamento seco profundo para o tratamento de disfunção temporomandibular (DTM) por meio da escala numérica de dor, escala hospitalar de ansiedade e depressão e abertura bucal. Três pacientes foram avaliados e diagnosticados com DTM por exame clínico baseado Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Também foi avaliada a intensidade da dor por meio da escala numérica de dor, mensuração da abertura bucal (com paquímetro) e questionário Hospital Anxiety and Depression Scale (HADS) para avaliação de ansiedade e depressão. O agulhamento seco nos pontos gatilhos nos músculos masseter e temporal foi realizado por meio de agulhas 0,20 x 13 mm. Após 4 semanas de tratamento, 1 sessão por semana, os resultados demonstraram que uma paciente tinha DTM mista e os outros 2 miógena; que a intensidade de dor e pontuação do questionário HADS para ansiedade e depressão diminuíram para todos os pacientes e promoveu o aumento da abertura bucal na paciente que estava com limitação. Em conclusão, o agulhamento seco nos pontos gatilhos ativos nos músculos masseter e temporal em pacientes com DTM miofascial apresentou melhora clínica importante após 4 semanas de tratamento como resolução da dor e diminuição da ansiedade e depressão.

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Anxiety and depression associated with pain and discomfort of temporomandibular disorders

Brazilian Journal Of Pain ◽

10.5935/2595-0118.20200029 ◽

2020 ◽

Author(s):

Lélio Fernando Ferreira Soares ◽

Lucas Machioni Coelho ◽

Amália Moreno ◽

Daniel Augusto de Faria Almeida ◽

Marcela Filié Haddad

Keyword(s):

Temporomandibular Disorders ◽

Anxiety And Depression

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The impact of Covid-19-related distress on general health, oral behaviour, psychosocial features, disability and pain intensity in a cohort of Italian patients with temporomandibular disorders

PLoS ONE ◽

10.1371/journal.pone.0245999 ◽

2021 ◽

Vol 16 (2) ◽

pp. e0245999

Author(s):

Giacomo Asquini ◽

Andrea Edoardo Bianchi ◽

Giulia Borromeo ◽

Matteo Locatelli ◽

Deborah Falla

Keyword(s):

Chronic Pain ◽

Pain Intensity ◽

Temporomandibular Disorders ◽

Central Sensitization ◽

Facial Pain ◽

Psychological Status ◽

Anxiety And Depression ◽

Oral Behaviour ◽

The Impact

This study aimed to understand the impact of COVID-19 distress on psychological status, features of central sensitization and facial pain severity in people with temporomandibular disorders (TMDs). In this prospective cohort study, 45 adults (19 chronic, 26 acute/subacute TMD) were recruited prior to the COVID-19 outbreak. Baseline assessment took place before the outbreak while a follow-up was performed immediately after the lockdown period. Multiple variables were investigated including age, gender, perceived life quality, sleep quality, anxiety and depression, coping strategies, central sensitization, pain intensity, pain-related disability and oral behaviour. COVID Stress Scales (CSS) were applied at follow-up to measure the extent of COVID-related distress. CSS were significantly higher in those with chronic TMDs compared to those with acute/subacute TMDs (p<0.05). In people with chronic TMD, the variation in anxiety and depression from baseline to follow-up was significantly correlated with scores on the CSS (r = 0.72; p = 0.002). Variations of the central sensitization inventory (r = 0.57; p = 0.020) and graded chronic pain scale (r = 0.59; p = 0.017) were significantly correlated with scores on the CSS. These initial findings indicate that people with chronic TMD were more susceptible to COVID-19 distress with deterioration of psychological status, worsening features of central sensitization and increased chronic facial pain severity. These findings reinforce the role of stress as a possible amplifier of central sensitization, anxiety, depression, chronic pain and pain-related disability in people with TMDs. Trial Registration: ClinicalTrials.gov ID: NCT03990662.

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Association and Correlation between Temporomandibular Disorders and Psychological Factors in a Group of Dental Undergraduate Students

International Journal of Applied Sciences and Biotechnology ◽

10.3126/ijasbt.v2i4.11204 ◽

2014 ◽

Vol 2 (4) ◽

pp. 426-431

Author(s):

Divya Sood ◽

Arun V Subramaniam ◽

Tulsi Subramaniam

Keyword(s):

Undergraduate Students ◽

Temporomandibular Disorders ◽

Psychological Factors ◽

Depression Scale ◽

Anxiety Level ◽

Anxiety And Depression ◽

Moderate Degree ◽

Mild Depression ◽

Mild Degree ◽

Depression Level

Aims/Objectives: To evaluate the prevalence and severity of temporomandibular disorders (TMD) and presence of psychological factors (i.e.,anxiety and depression levels) in dental undergraduate students. Second purpose was to assess the association and correlation between TMD degree and psychological factors viz. anxiety and depression.Materials and methods: The sample comprised of 400 Dental undergraduatestudents aged 18- 25 years, including both the genders. TMD degree was evaluated using an anamnestic questionnaire (modified version of Helkimo’s anamnestic index). Morphologic occlusion was evaluated according to Angle classification. The Hospital Anxiety and Depression Scale (HADS) was used to assess of levels of anxiety (HADSa) and depression (HADSd) in the dental undergraduate students.Results: Onbasisof the TMD anamnestic index, 74% of students were TMD free. 24.5% of subjects presented with mild degree of TMD and only 1.5% of subjects presented with moderate degree of TMD. According to the results obtained from HADSa, 35.3% of subjects presented with mild anxiety level, 13.8% with moderate anxiety level, and only 1.3% with severe anxiety level. According to the results obtained from HADSd, 10.3% of subjects presented with mild depression level and only 2.3% with moderate depression level. A definite association between TMD degree and Anxiety level (HADSa) was found. A definite association between TMD degree and Depression level (HADSd) was found. Therewas significant association between TMD degree and occlusion.Conclusions: On the basis of anamnestic index, this study revealed a 26% TMD prevalence in the dental undergraduate students included in the study; majority of cases being of mild degree. Both anxiety and depression were found to be associated with TMD degree/severity. Both anxiety and depression are weakly correlated with TMD in the present study.DOI: http://dx.doi.org/10.3126/ijasbt.v2i4.11204 Int J Appl Sci Biotechnol, Vol. 2(4): 426-431

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Prevalence of symptoms of temporomandibular disorders, oral behaviors, anxiety, and depression in Dentistry students during the period of social isolation due to COVID-19

Journal of Applied Oral Science ◽

10.1590/1678-7757-2020-0445 ◽

2020 ◽

Vol 28 ◽

Cited By ~ 1

Author(s):

Rodrigo Antonio De Medeiros ◽

Danielle Leal Vieira ◽

Emily Vivianne Freitas Da Silva ◽

LilianA Vicente Melo De Lucas Rezende ◽

Rodrigo Wendel Dos Santos ◽

...

Keyword(s):

Social Isolation ◽

Temporomandibular Disorders ◽

Anxiety And Depression

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Determining Emotional Tone and Verbal Behavior in Patients With Tinnitus and Hyperacusis: An Exploratory Mixed-Methods Study

American Journal of Audiology ◽

10.1044/2019_aja-18-0136 ◽

2019 ◽

Vol 28 (3) ◽

pp. 660-672

Author(s):

Suzanne H. Kimball ◽

Toby Hamilton ◽

Erin Benear ◽

Jonathan Baldwin

Keyword(s):

Mixed Methods ◽

Verbal Behavior ◽

Coping Strategies ◽

Mixed Methods Study ◽

Self Report ◽

Anxiety And Depression ◽

Negative Consequences ◽

Emotional Tone ◽

Explanatory Mixed Methods ◽

Quantitative Results

Purpose The purpose of this study was to evaluate the emotional tone and verbal behavior of social media users who self-identified as having tinnitus and/or hyperacusis that caused self-described negative consequences on daily life or health. Research Design and Method An explanatory mixed-methods design was utilized. Two hundred “initial” and 200 “reply” Facebook posts were collected from members of a tinnitus group and a hyperacusis group. Data were analyzed via the LIWC 2015 software program and compared to typical bloggers. As this was an explanatory mixed-methods study, we used qualitative thematic analyses to explain, interpret, and illustrate the quantitative results. Results Overall, quantitative results indicated lower overall emotional tone for all categories (tinnitus and hyperacusis, initial and reply), which was mostly influenced by higher negative emotion. Higher levels of authenticity or truth were found in the hyperacusis sample but not in the tinnitus sample. Lower levels of clout (social standing) were indicated in all groups, and a lower level of analytical thinking style (concepts and complex categories rather than narratives) was found in the hyperacusis sample. Additional analysis of the language indicated higher levels of sadness and anxiety in all groups and lower levels of anger, particularly for initial replies. These data support prior findings indicating higher levels of anxiety and depression in this patient population based on the actual words in blog posts and not from self-report questionnaires. Qualitative results identified 3 major themes from both the tinnitus and hyperacusis texts: suffering, negative emotional tone, and coping strategies. Conclusions Results from this study suggest support for the predominant clinical view that patients with tinnitus and hyperacusis have higher levels of anxiety and depression than the general population. The extent of the suffering described and patterns of coping strategies suggest clinical practice patterns and the need for research in implementing improved practice plans.

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