Original scientific paper
The Psychological Status in Patients with Temporomandibular Disorders in Turkish Population
Coşkun Akan Gülcan
Eryüksel Gül
Erdem Adalet
Abstract
Objective: To examine the relationship between psychological status and pain in patients with temporomandibular disorders (TMD) in Izmir, Turkey.
Material and methods: One hundred and twenty-three TMD patients (102 women (mean age 31.31±12.58), 21 men (mean age 39.52±15.3)) referred to Ege University, School of Dentistry, Department of Prosthodontics. A history of pain was asked to all patients. Patients were diagnosed based on clinical examination and the complaint of pain was recorded. Psychological status was assessed with the Symptom Checklist-90-R (SCL-90-R). Data were analyzed statistically. (Student t-test, One-way ANOVA and Chi-Square, α=0.05) Results: In a total of 70 patients (14 males (20%), and 56 females (80%), muscle disorders were involved (56.9%). Twenty-two females (17.9%) were diagnosed having disc displacement. Eighty-five patients (69.1%) referred with the complaint of pain which was significantly correlated to somatization
(p=0.020). The depression values from subscales of SCL-90-R of the disc displacement diagnosed patients were significantly high (p=0.023). The majority of the patients referred with TMD in Turkish population were women, as seen in other populations. The psychological evaluation results revealed high somatization (p=0.039).
Conclusion: Patients with disc displacement exhibited high depression
levels. For data on greater populations, a multicenter study model is required.
Keywords
Pain; Depression; Somatoform Disorders; Temporomandibular Joint Disorders
Hrčak ID:
18224
URI
Publication date:
6.12.2007.
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