Theroux Jean, Stomski Norman, Cope Vicki, Mortimer-Jones Sheila, Maurice Laura
J Chiropr Educ. 2019 Oct;33(2):111-117. doi: 10.7899/JCE-18-3. Epub 2019 Feb 5.
This study examined the association between anxiety and temporomandibular disorder (TMD) in Australian chiropractic students, particularly its effect on quality of life.
Chiropractic students ( = 185) completed online surveys, including the Oral Health Impact Profile for TMDs (OHIP-TMD) and the Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaire. The OHIP-TMD psychometric properties were assessed using principal component analysis. Linear regression models were used to examine demographic predictors for anxiety and TMD. A general linear model assessed the association between anxiety and the psychosocial and function scales identified through analysis of the OHIP-TMD questionnaire.
The mean value for the OHIP-TMD and PROMIS was 1.3 (SD = 0.7) and 9.5 (SD = 4.1), respectively. Women reported significantly lower quality of life (QoL) related to TMD symptoms ( = 0.006) and that QoL related to TMD symptoms increased significantly as students progressed through the course ( = .025). Lower levels of anxiety were significantly associated with male gender ( = .000), employment ( = .008), higher program levels ( = .003), and having children ( = .005). General linear model analysis revealed that increased anxiety was significantly associated with higher levels of oral physical function impairment ( = .003) and elevated psychosocial distress ( = .0001).
Anxiety was significantly associated with psychosocial distress and oral physical function impairment in university chiropractic students. In addition to impacting on oral health-related QoL, anxiety also affects students' engagement with learning and academic performance. It would therefore be beneficial to implement strategies that mitigate students' anxiety levels.
本研究调查了澳大利亚脊骨神经医学专业学生焦虑与颞下颌关节紊乱症（TMD）之间的关联，尤其是其对生活质量的影响。
脊骨神经医学专业学生（n = 185）完成了在线调查问卷，包括颞下颌关节紊乱症的口腔健康影响量表（OHIP-TMD）和患者报告结局测量信息系统（PROMIS）问卷。使用主成分分析评估OHIP-TMD的心理测量特性。线性回归模型用于检验焦虑和TMD的人口统计学预测因素。一般线性模型评估焦虑与通过OHIP-TMD问卷分析确定的心理社会和功能量表之间的关联。
OHIP-TMD和PROMIS的平均值分别为1.3（标准差 = 0.7）和9.5（标准差 = 4.1）。女性报告的与TMD症状相关的生活质量（QoL）显著较低（P = 0.006），并且随着学生在课程中不断进步，与TMD症状相关的QoL显著增加（P = 0.025）。较低的焦虑水平与男性性别（P = 0.000）、就业（P = 0.008）、较高的课程水平（P = 0.003）和有孩子（P = 0.005）显著相关。一般线性模型分析显示，焦虑增加与更高水平的口腔生理功能损害（P = 0.003）和更高的心理社会困扰（P = 0.0001）显著相关。
焦虑与大学脊骨神经医学专业学生的心理社会困扰和口腔生理功能损害显著相关。除了影响与口腔健康相关的生活质量外，焦虑还会影响学生的学习参与度和学业成绩。因此，实施减轻学生焦虑水平的策略将是有益的。
