Zhong Yu, Luo Fang, Li Xinbei, Zeng Shiya, Zhang Shuyuan, Si Jiarui, Xiong Xin, Fang Shanbao
Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction, Guangxi Stomatological Virtual Reality Engineering Research Center, College & Hospital of Stomatology, Guangxi Medical University, 530021 Nanning, Guangxi, China.
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, 610041 Chengdu, Sichuan, China.
J Oral Facial Pain Headache. 2024 Sep;38(3):87-99. doi: 10.22514/jofph.2024.030. Epub 2024 Sep 12.
Oral behaviors and psychological distress are known to be related to temporomandibular disorders (TMDs). However, the relationship between various oral behaviors and specific TMD subgroups in adult women experiencing psychological distress is still unclear. To investigate the relationship between various oral behaviors and different TMD subgroups with different psychological distress states. A total of 210 female TMD patients were divided into 3 subgroups according to their symptoms: pain-related (PT), intra-articular (IT) and combined pain-related and intra-articular (CT). Another 70 participants without TMDs were recruited as the non-TMD (NT) control group. We used reduced Chinese versions of the Oral Behavior Checklist (OBC-Ch 8), including awake (OBC-Ch 6) and sleep-related activities, the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder Scale (GAD-7) to assess oral behaviors and psychological distress. Differences in OBC scores among TMD subgroups were analyzed using Chi-square, Kruskal-Wallis H and tests, with significance set at < 0.05. Oral behavior subscale scores significantly differed among TMD subgroups ( < 0.01). The OBC-Ch 8 scores of PT, IT and CT subjects were significantly higher than the NT group. PT and CT groups also had significantly higher GAD-7 and PHQ-9 scores. Sleep-related OBC scores of the PT, IT and CT groups were higher than those in the NT group, regardless of psychological states ( < 0.001). In psychologically distressed subjects, OBC-Ch 8 scores for PT and CT subgroups were significantly higher than those in the NT group. Oral behaviors are differentially associated with various TMD subgroups in female adults, and a correlation exists between individual psychological status and OBC scores.
已知口腔行为与心理困扰与颞下颌关节紊乱病（TMDs）有关。然而，在经历心理困扰的成年女性中，各种口腔行为与特定TMD亚组之间的关系仍不清楚。为了研究各种口腔行为与具有不同心理困扰状态的不同TMD亚组之间的关系。共有210名女性TMD患者根据其症状分为3个亚组：疼痛相关组（PT）、关节内组（IT）以及疼痛相关和关节内合并组（CT）。另外招募70名无TMDs的参与者作为非TMD（NT）对照组。我们使用简化中文版的口腔行为检查表（OBC-Ch 8），包括清醒时（OBC-Ch 6）和与睡眠相关的活动、9项患者健康问卷（PHQ-9）和7项广泛性焦虑障碍量表（GAD-7）来评估口腔行为和心理困扰。使用卡方检验、Kruskal-Wallis H检验和t检验分析TMD亚组之间OBC得分的差异，显著性设定为P < 0.05。TMD亚组之间口腔行为子量表得分存在显著差异（P < 0.01）。PT、IT和CT组的OBC-Ch 8得分显著高于NT组。PT组和CT组的GAD-7和PHQ-9得分也显著更高。无论心理状态如何，PT、IT和CT组与睡眠相关的OBC得分均高于NT组（P < 0.001）。在有心理困扰的受试者中，PT和CT亚组的OBC-Ch 8得分显著高于NT组。成年女性的口腔行为与各种TMD亚组存在差异关联，个体心理状态与OBC得分之间存在相关性。
