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Comparison of emotional disturbance, sleep, and life quality in adult patients with painful temporomandibular disorders of different origins

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Abstract

Objectives

This study compared the differences in emotional disturbance, sleep, and life quality among adult patients with temporomandibular (TMD) muscle and/or joint pain.

Materials and methods

The study involved an analytical cross-sectional design. A total of 420 consecutive patients diagnosed with pain-related TMDs based on the Diagnostic Criteria for TMDs (DC/TMD) were recruited from a TMD referral centre and stratified into three groups, namely muscle pain (MP; n = 50), joint pain (JP; n = 329), and combined muscle-joint pain (CP; n = 41). Emotional disturbance, sleep quality, and oral health-related quality of life (OHRQoL) were assessed with the Depression, Anxiety, and Stress Scale-21 (DASS-21), Pittsburgh Sleep Quality Index (PSQI), and Oral Health Impact Profile-TMDs (OHIP-TMDs) respectively. Statistical analyses were performed using the chi-square test, one-way ANOVA, and Pearson’s correlation (p < 0.05).

Results

Mean age for the three pain groups (females = 349; males = 71) ranged from 37.15 ± 14.91 to 38.60 ± 14.37 years (p = 0.973). Ranking of depression, anxiety, and stress scores was as follows: CP > MP > JP. Significant differences in emotional disturbances were observed (p < 0.001). CP patients had significantly poorer sleep quality than those with JP (p = 0.004). Moreover, OHRQoL was also significantly more impaired as compared to both MP (p = 0.006) and JP (p < 0.001) patients. Correlations between global PSQI and OHIP-TMDs scores were weak to moderate (rs = 0.30–0.47).

Conclusions

Patients with combined muscle-joint pain presented higher levels of emotional disturbance than those with only MP or JP. They also had significantly poorer sleep quality and lower OHRQoL.

Clinical relevance

Emotional and sleep health must be considered in the management of painful TMDs.

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Acknowledgements

The authors would like to thank the staff of the Peking University School & Hospital of Stomatology, Center for TMD & Orofacial Pain, for the follow-up care of the TMD patients.

Funding

This study was funded by the Capital Clinical Research Project (Z141107002514157) from the Beijing Municipal Science and Technology Commission, and the Capital Health Research and Development of Special Fund Program (2020-4-4106) from the Beijing Municipal Health Commission.

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Correspondence to Kai-Yuan Fu.

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This study was approved by the Biomedical Institution Review Committee of Peking University School of Stomatology (PKUSSIRB-201732009).

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Signed informed consent was obtained from all study participants.

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Yap, A.U., Cao, Y., Zhang, MJ. et al. Comparison of emotional disturbance, sleep, and life quality in adult patients with painful temporomandibular disorders of different origins. Clin Oral Invest 25, 4097–4105 (2021). https://doi.org/10.1007/s00784-020-03740-4

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  • DOI: https://doi.org/10.1007/s00784-020-03740-4

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