The Association Between Psychological Symptoms and Self-Reported Temporomandibular Disorders Pain Symptoms in Children and Adolescents
Background: Several studies have reported an association between temporomandibular disorder pain (TMD-P) and emotional disorders in children and adolescents. However, no studies have reported if self-reported TMD-P in Saudi Arabia is associated with psychosocial symptoms. Therefore, the current stud...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-11-01
|
| Series: | Frontiers in Oral Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/froh.2021.675709/full |
| _version_ | 1818835924183678976 |
|---|---|
| author | Amal Al-Khotani Amal Al-Khotani Amal Al-Khotani Dalia E. Meisha Samaa Al Sayegh Samaa Al Sayegh Britt Hedenberg-Magnusson Britt Hedenberg-Magnusson Malin Ernberg Malin Ernberg Nikolaos Christidis Nikolaos Christidis |
| author_facet | Amal Al-Khotani Amal Al-Khotani Amal Al-Khotani Dalia E. Meisha Samaa Al Sayegh Samaa Al Sayegh Britt Hedenberg-Magnusson Britt Hedenberg-Magnusson Malin Ernberg Malin Ernberg Nikolaos Christidis Nikolaos Christidis |
| author_sort | Amal Al-Khotani |
| collection | DOAJ |
| description | Background: Several studies have reported an association between temporomandibular disorder pain (TMD-P) and emotional disorders in children and adolescents. However, no studies have reported if self-reported TMD-P in Saudi Arabia is associated with psychosocial symptoms. Therefore, the current study aimed to evaluate the association between self-reported TMD-P with depression, anxiety and somatic problems in children and adolescents in Saudi Arabia. The hypothesis was that there is an association between self-reported TMD-P and psychological symptoms among children and adolescents.Materials and Methods: The included participants were randomly selected boys and girls aged between 10 and 18 years, with a mean (SD) age of 14.0 (2.3) years. Out of 633 children and adolescents that were invited to participate, 509 voluntarily agreed to participate, and 466 completed all questionnaires. The questionnaires included items retrieved from the Youth Self Report (YSR) and Axis II of the Research Diagnostic Criteria for TMD (RDC/TMD) besides demographic data, medical history, and presence of oral parafunctions. To assess the presence of self-reported TMD-Pain, each participant was verbally asked two validated questions regarding the presence of TMD-P and dysfunction (2Q-TMD).Results: Self-reported TMD-P in children and adolescents was significantly associated with anxiety, depression, somatic symptoms, and social problems (P < 0.0001). Further, the frequencies of anxiety, depression, and somatic disorders were more evident among children and adolescents who suffered from TMD-P (P < 0.0001). The odds of reporting TMD-P in children and adolescents was 1.4 times for border line and clinical diagnosis scores for anxiety and withdrawal depression domains, and 2.6 times for the somatic symptoms' domains. However, in the multiple regression model after controlling for possible confounders, only somatic symptoms and social scores were significant. Moreover, self-reported TMD-P was twice as prevalent among girls compared to boys.Conclusion: This study reports a significant association between psychosocial burden and presence of self-reported TMD-Pain, with a stronger impact on girls than boys. There were significantly higher number of participants with self-reported TMD-P reporting a poor oral and general health. In addition, self-reported TMD-P was higher among those with borderline and clinically diagnosed anxiety/depression scores. Based on this finding, the current study supports that an early approach and recognition of children and adolescents with anxiety, depression, somatic symptoms, and TMD problems. This could result in a lesser burden for these children and adolescents both in regard to pain and psychosocial implications with increased quality of life. |
| first_indexed | 2024-12-19T02:58:26Z |
| format | Article |
| id | doaj.art-e94907155c434d00814b069816d94535 |
| institution | Directory Open Access Journal |
| issn | 2673-4842 |
| language | English |
| last_indexed | 2024-12-19T02:58:26Z |
| publishDate | 2021-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oral Health |
| spelling | doaj.art-e94907155c434d00814b069816d945352022-12-21T20:38:17ZengFrontiers Media S.A.Frontiers in Oral Health2673-48422021-11-01210.3389/froh.2021.675709675709The Association Between Psychological Symptoms and Self-Reported Temporomandibular Disorders Pain Symptoms in Children and AdolescentsAmal Al-Khotani0Amal Al-Khotani1Amal Al-Khotani2Dalia E. Meisha3Samaa Al Sayegh4Samaa Al Sayegh5Britt Hedenberg-Magnusson6Britt Hedenberg-Magnusson7Malin Ernberg8Malin Ernberg9Nikolaos Christidis10Nikolaos Christidis11Dental Department, East Jeddah Hospital, Ministry of Health, Jeddah, Saudi ArabiaScandinavian Center for Orofacial Neurosciences (SCON), Huddinge, SwedenDivision of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Huddinge, SwedenDepartment of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi ArabiaScandinavian Center for Orofacial Neurosciences (SCON), Huddinge, SwedenDivision of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Huddinge, SwedenScandinavian Center for Orofacial Neurosciences (SCON), Huddinge, SwedenDepartment of Orofacial Pain and Jaw Function, Eastman Institutet, Folktandvården Stockholm AB, Stockholm, SwedenScandinavian Center for Orofacial Neurosciences (SCON), Huddinge, SwedenDivision of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Huddinge, SwedenScandinavian Center for Orofacial Neurosciences (SCON), Huddinge, SwedenDivision of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Huddinge, SwedenBackground: Several studies have reported an association between temporomandibular disorder pain (TMD-P) and emotional disorders in children and adolescents. However, no studies have reported if self-reported TMD-P in Saudi Arabia is associated with psychosocial symptoms. Therefore, the current study aimed to evaluate the association between self-reported TMD-P with depression, anxiety and somatic problems in children and adolescents in Saudi Arabia. The hypothesis was that there is an association between self-reported TMD-P and psychological symptoms among children and adolescents.Materials and Methods: The included participants were randomly selected boys and girls aged between 10 and 18 years, with a mean (SD) age of 14.0 (2.3) years. Out of 633 children and adolescents that were invited to participate, 509 voluntarily agreed to participate, and 466 completed all questionnaires. The questionnaires included items retrieved from the Youth Self Report (YSR) and Axis II of the Research Diagnostic Criteria for TMD (RDC/TMD) besides demographic data, medical history, and presence of oral parafunctions. To assess the presence of self-reported TMD-Pain, each participant was verbally asked two validated questions regarding the presence of TMD-P and dysfunction (2Q-TMD).Results: Self-reported TMD-P in children and adolescents was significantly associated with anxiety, depression, somatic symptoms, and social problems (P < 0.0001). Further, the frequencies of anxiety, depression, and somatic disorders were more evident among children and adolescents who suffered from TMD-P (P < 0.0001). The odds of reporting TMD-P in children and adolescents was 1.4 times for border line and clinical diagnosis scores for anxiety and withdrawal depression domains, and 2.6 times for the somatic symptoms' domains. However, in the multiple regression model after controlling for possible confounders, only somatic symptoms and social scores were significant. Moreover, self-reported TMD-P was twice as prevalent among girls compared to boys.Conclusion: This study reports a significant association between psychosocial burden and presence of self-reported TMD-Pain, with a stronger impact on girls than boys. There were significantly higher number of participants with self-reported TMD-P reporting a poor oral and general health. In addition, self-reported TMD-P was higher among those with borderline and clinically diagnosed anxiety/depression scores. Based on this finding, the current study supports that an early approach and recognition of children and adolescents with anxiety, depression, somatic symptoms, and TMD problems. This could result in a lesser burden for these children and adolescents both in regard to pain and psychosocial implications with increased quality of life.https://www.frontiersin.org/articles/10.3389/froh.2021.675709/fullpainanxietydepressionsomaticTMD (temporomandibular disorders) |
| spellingShingle | Amal Al-Khotani Amal Al-Khotani Amal Al-Khotani Dalia E. Meisha Samaa Al Sayegh Samaa Al Sayegh Britt Hedenberg-Magnusson Britt Hedenberg-Magnusson Malin Ernberg Malin Ernberg Nikolaos Christidis Nikolaos Christidis The Association Between Psychological Symptoms and Self-Reported Temporomandibular Disorders Pain Symptoms in Children and Adolescents Frontiers in Oral Health pain anxiety depression somatic TMD (temporomandibular disorders) |
| title | The Association Between Psychological Symptoms and Self-Reported Temporomandibular Disorders Pain Symptoms in Children and Adolescents |
| title_full | The Association Between Psychological Symptoms and Self-Reported Temporomandibular Disorders Pain Symptoms in Children and Adolescents |
| title_fullStr | The Association Between Psychological Symptoms and Self-Reported Temporomandibular Disorders Pain Symptoms in Children and Adolescents |
| title_full_unstemmed | The Association Between Psychological Symptoms and Self-Reported Temporomandibular Disorders Pain Symptoms in Children and Adolescents |
| title_short | The Association Between Psychological Symptoms and Self-Reported Temporomandibular Disorders Pain Symptoms in Children and Adolescents |
| title_sort | association between psychological symptoms and self reported temporomandibular disorders pain symptoms in children and adolescents |
| topic | pain anxiety depression somatic TMD (temporomandibular disorders) |
| url | https://www.frontiersin.org/articles/10.3389/froh.2021.675709/full |
| work_keys_str_mv | AT amalalkhotani theassociationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT amalalkhotani theassociationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT amalalkhotani theassociationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT daliaemeisha theassociationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT samaaalsayegh theassociationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT samaaalsayegh theassociationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT britthedenbergmagnusson theassociationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT britthedenbergmagnusson theassociationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT malinernberg theassociationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT malinernberg theassociationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT nikolaoschristidis theassociationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT nikolaoschristidis theassociationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT amalalkhotani associationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT amalalkhotani associationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT amalalkhotani associationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT daliaemeisha associationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT samaaalsayegh associationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT samaaalsayegh associationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT britthedenbergmagnusson associationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT britthedenbergmagnusson associationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT malinernberg associationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT malinernberg associationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT nikolaoschristidis associationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents AT nikolaoschristidis associationbetweenpsychologicalsymptomsandselfreportedtemporomandibulardisorderspainsymptomsinchildrenandadolescents |