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Psychological factors in temporomandibular joint dysfunction: depression
D L Bassett1, D C Gerke, A N Goss
1Department of Psychiatry, University of Adelaide, SA.
Australian Prosthodontic Journal
|January 1, 1990
Summary
Patients with temporomandibular joint dysfunction (TMJD) often experience higher depression levels. High depression in TMJD patients correlates with abnormal illness behavior, suggesting potential treatment challenges.
Area of Science:
- Psychology
- Dentistry
- Health Sciences
Background:
- Temporomandibular joint dysfunction (TMJD) is a condition affecting jaw function.
- Psychological factors, such as anxiety and depression, are increasingly recognized as relevant to TMJD.
- Understanding the interplay between TMJD and psychological states is crucial for comprehensive patient care.
Purpose of the Study:
- To investigate the relationship between depression and TMJD.
- To compare psychological and physical parameters in TMJD patients and a control group.
- To identify if depression levels influence illness behavior in TMJD patients.
Main Methods:
- A case-control study involving 105 TMJD patients and 90 matched controls.
- Utilized the Zung self-rating depression scale to categorize patients into high and low depression groups.
- Employed the Goss-Gerke Inventory on Dental and Psychological Factors for comprehensive assessments.
Main Results:
- TMJD patient groups exhibited higher overall depression scores compared to the control group.
- No significant differences in physical parameters were found between high and low depression groups.
- The highly depressed TMJD group demonstrated more abnormal illness behavior.
Conclusions:
- Depression is a significant correlate of TMJD.
- High depression levels in TMJD patients are associated with increased abnormal illness behavior.
- These findings suggest that psychological status, particularly depression, may impact treatment outcomes in TMJD.
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