Temporomandibular disorders: assessment of psychological factors.

John D Rugh, B. J. Woods, L. Dahlström

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Factors such as psychological stress, anxiety, depression, oral habits, and chronic pain behaviors have been found in subgroups of Temporomandibular Disorders (TMD) patients. This paper reviews the current status of diagnostic methods and instruments designed to identify various psychological factors. The authors offer the following general conclusions: Although the DSM-III-R has significant limitations, it is currently the most common gold standard with which other psychological instruments are compared. There are several specific assessment instruments, such as the Beck Depression Inventory and the Zung Self-Rating Depression Scale, which have been found to have acceptable sensitivity and specificity scores. In addition, certain simple screening questions may be cost-effective for the identification of psychological factors. Because of studies indicating that the dentists' recognition of psychological factors is inaccurate, a brief screening questionnaire may be useful in TMD patients. The literature does not support the routine use of the MMPI. A major conclusion of this review is that there are several psychological instruments available which have demonstrated reasonable validity through a blind comparison with a gold standard. There is need for further development and testing of brief screening instruments using clinical decision methods.

Original languageEnglish (US)
Pages (from-to)127-136
Number of pages10
JournalAdvances in dental research
Volume7
Issue number2
StatePublished - Aug 1993

Fingerprint

Temporomandibular Joint Disorders
Psychology
Depression
MMPI
Dentists
Psychological Stress
Chronic Pain
Diagnostic and Statistical Manual of Mental Disorders
Habits
Anxiety
Costs and Cost Analysis
Sensitivity and Specificity
Equipment and Supplies

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Temporomandibular disorders : assessment of psychological factors. / Rugh, John D; Woods, B. J.; Dahlström, L.

In: Advances in dental research, Vol. 7, No. 2, 08.1993, p. 127-136.

Research output: Contribution to journalArticle

Rugh, JD, Woods, BJ & Dahlström, L 1993, 'Temporomandibular disorders: assessment of psychological factors.', Advances in dental research, vol. 7, no. 2, pp. 127-136.
Rugh, John D ; Woods, B. J. ; Dahlström, L. / Temporomandibular disorders : assessment of psychological factors. In: Advances in dental research. 1993 ; Vol. 7, No. 2. pp. 127-136.
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