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Screening for psychological problems in temporomandibular disorder patients
M E Oakley1, C P McCreary, V F Flack
1UCLA Dental Research Institute, Center for the Health Sciences, Los Angeles, CA 90024.
Journal of Orofacial Pain
|January 1, 1993
Summary
This study found that a brief self-rating questionnaire effectively screens for psychological issues in temporomandibular disorder (TMD) patients, aiding comprehensive treatment planning.
Area of Science:
- Oral and Maxillofacial Surgery
- Psychology
- Health Services Research
Background:
- Temporomandibular disorder (TMD) is common, and psychological factors may influence treatment outcomes.
- A quick and reliable method to assess psychological issues in TMD patients is needed.
- Current assessment methods lack consensus on efficiency and ease of use.
Purpose of the Study:
- To evaluate a simple self-rating questionnaire for screening psychological problems in TMD patients.
- To determine if patient self-assessments correlate with results from comprehensive psychological testing.
- To establish a practical tool for identifying psychological factors requiring attention in TMD care.
Main Methods:
- TMD patients completed a brief self-rating questionnaire for psychological problems.
- Patient self-ratings were compared against results from extensive psychometric testing.
- Statistical analyses included sensitivity, specificity, and association modeling.
Main Results:
- The self-rating questionnaire demonstrated moderate to strong associations with psychometric measures.
- Sensitivity and specificity analyses supported the validity of the self-assessment tool.
- Patient self-ratings effectively identified psychological factors comparable to detailed testing.
Conclusions:
- A brief self-rating questionnaire is a potentially useful tool for initial psychological screening in TMD patients.
- This method can help identify patients who may benefit from further psychological evaluation and intervention.
- Implementing this screening can enhance comprehensive treatment planning for TMD.