Kmeid Elio, Nacouzi Mansour, Hallit Souheil, Rohayem Ziad
Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.
Department of otorhinolaryngology, Eye and Ear Hospital, Naccache, Lebanon.
Head Face Med. 2020 Sep 4;16(1):19. doi: 10.1186/s13005-020-00234-2.
The objectives of this study were to study the prevalence of temporomandibular joint disorder (TMD) and its association with anxiety, depression, and stress among the general Lebanese population as well as in a sample of patients recruited from an otolaryngologist clinic.
A cross-sectional study was conducted between September 2018 and December 2019, which enrolled 459 participants from all districts of Lebanon (sample 1) and 37 patients from the otolaryngologist clinic at the Eye and Ear Hospital (sample 2). The temporomandibular disorder screening checklist was used to screen for temporomandibular joint disorder. The Fonseca's anamnestic index was used to assess for temporomandibular joint disorder related signs and symptoms, as well as for symptoms severity.
The results showed that 19.7% of the general Lebanese population had TMD, from which 55.9% were female. In contrast, 59.5% of patients in the sample recruited from the clinic were found to have TMD. Higher stress, anxiety, and depression scores were associated with higher temporomandibular disorder severity score (B = 0.23; B = 0.10 and B = 0.10 respectively). Patients in the sample recruited from the clinic had higher mean stress (20.75 vs 11.43), anxiety (12.46 vs 5.78), depression (13.24 vs 6.52), and temporomandibular disorder severity scores (59.5% vs 19.7%) than the general population.
Temporomandibular joint disorder appears to be associated significantly with depression, anxiety, and stress and remains largely underdiagnosed in the general population.
本研究的目的是调查黎巴嫩普通人群以及从耳鼻喉科诊所招募的患者样本中颞下颌关节紊乱症（TMD）的患病率及其与焦虑、抑郁和压力的关系。
于2018年9月至2019年12月进行了一项横断面研究，招募了来自黎巴嫩所有地区的459名参与者（样本1）和来自眼耳医院耳鼻喉科诊所的37名患者（样本2）。使用颞下颌关节紊乱症筛查清单来筛查颞下颌关节紊乱症。采用丰塞卡问诊指数评估颞下颌关节紊乱症相关的体征和症状以及症状严重程度。
结果显示，黎巴嫩普通人群中19.7%患有TMD，其中55.9%为女性。相比之下，从诊所招募的样本中59.5%的患者被发现患有TMD。更高的压力、焦虑和抑郁评分与更高的颞下颌关节紊乱严重程度评分相关（分别为B = 0.23；B = 0.10和B = 0.10）。从诊所招募的样本中的患者比普通人群具有更高的平均压力（20.75对11.43）、焦虑（12.46对5.78）、抑郁（13.24对6.52）和颞下颌关节紊乱严重程度评分（59.5%对19.7%）。
颞下颌关节紊乱症似乎与抑郁、焦虑和压力显著相关，并且在普通人群中仍 largely 未被诊断出来。 （注：“largely”在文中可能是想表达“很大程度上”，此处译文保留原文英文单词，以便确认原文是否有误或有特殊含义）
