Association between experience of stressful life events and muscle-related temporomandibular disorders in patients seeking free treatment in a dental hospital

R. Akhter, N. M M Hassan, J. Aida, T. Kanehira, K. U. Zaman, Manabu Morita

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objectives: Psychological factors are known to play an important role in the etiology and maintenance of temporomandibular disorders. Since there have been very few studies on this issue in Asian countries, the study was aimed to investigate the relationship between various stressful life events and temporomandibular disorders in patients seeking free treatment in a Dental Hospital, Bangladesh. Materials and Methods: Five hundred and twenty Bangladeshi adults (370 males and 150 females; mean age, 30.9 ± 8.2 years) participated in this study. The subjects were given a questionnaire to evaluate their stress status in the last 12 months. The Research Diagnostic Criteria for TMD (RDC/TMD) was used as TMD diagnostic system by three standardized examiners. Two hundred and thirty-six patients were RDC/TMD-defined TMD-positive and were subsequently classified into 7 groups: group I, myofacial pain only; group II, disk displacement only; group III, joint pain only; group IV, myofacial pain and disc displacement; group V, myofacial pain and joint pain; group VI, disc displacement and joint pain; and group VII, myofacial pain, disk displacement and joint pain. Two hundred and eighty-four subjects were RDC/TMD-defined TMD-negative subjects (controls). Adjusted odds ratios were calculated by multiple logistic regression analysis. Results: Logistic regression analysis revealed that patients diagnosed with myofacial pain (group I) and a combination of myofacial and joint pain (group V) had significantly higher levels of financial and job stress than did the controls. Self-health-related stress and stress related to a spouse or deaths of a relative were also identified as predisposing factors for myofacial pain (group I). Conclusion: This study suggests that myofacial pain is more common in individuals with various types of psychological stress. When treating patients with facial paro, dentists should consider the possible presence of psychological factors.

Original languageEnglish
Pages (from-to)535-540
Number of pages6
JournalEuropean Journal of Medical Research
Volume12
Issue number11
Publication statusPublished - Nov 5 2007
Externally publishedYes

Fingerprint

Temporomandibular Joint Disorders
Facial Pain
Life Change Events
Tooth
Arthralgia
Muscles
Therapeutics
Logistic Models
Regression Analysis
Research
Psychology
Bangladesh
Dentists
Spouses
Psychological Stress
Causality
Odds Ratio
Maintenance
Health

Keywords

  • Financial stress
  • Job stress
  • Myofacial pain
  • Self-health related-stress

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Association between experience of stressful life events and muscle-related temporomandibular disorders in patients seeking free treatment in a dental hospital. / Akhter, R.; Hassan, N. M M; Aida, J.; Kanehira, T.; Zaman, K. U.; Morita, Manabu.

In: European Journal of Medical Research, Vol. 12, No. 11, 05.11.2007, p. 535-540.

Research output: Contribution to journalArticle

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