Temporomandibular Eklem Bozukluğu Olan Hastaların Psikolojik Durumu ve Ağız Sağlığı ile İlişkili Yaşam Kalitesi: Kesitsel Bir Klinik Çalışma

Abstract

Objective: The aim of this study is to examine the association of psychological factors such as stress, anxiety, and depression with the quality of life in patients with temporomandibular disorder (TMD). Material and Methods: This cross-sectional clinical study was carried out on 375 patients with temporomandibular joint disorder in Oral and Maxillofacial Surgery Clinic of Afyonkarahisar University of Health Sciences Faculty of Dentistry. While the stress level of the participants was evaluated with the Perceived Stress Scale-14, the levels of anxiety and depression were evaluated using the Beck Anxiety and Beck Depression Scales. Participants' quality of life was evaluated using the Oral Health Impact Profile-14 (OHIP-14). SPSS for Windows 21.0 program was used for statistical analyses. Results were evaluated in 95% confidence interval, at p<0.05 and p<0.001 significance levels. Results: The OHIP-14 scale mean score of the participants was 17.42. In this study, the highest scores were observed in the OHIP-14 sub-dimensions of 'physical pain (3.97±2.22)' and 'psychological disturbance (3.02±2.09)'. Both the total OHIP-14 score and the OHIP-14 sub-dimension scores increased significantly as the levels of stress, anxiety and depression increased (p<0.05). Conclusion: These study findings revealed that stress, anxiety, and depression level were positively and strongly correlated with quality of life in patients with TMD. Therefore, it should be taken into consideration in the psychosocial parameters in the treatment of the disease and improving the quality of life.