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Prevalence of psychosocial impairment in temporomandibular disorder patients: A systematic review
Author(s) -
De La Torre Canales Giancarlo,
CâmaraSouza Mariana Barbosa,
Muñoz Lora Victor Ricardo Manuel,
GuardaNardini Luca,
Conti Paulo César Rodrigues,
Rodrigues Garcia Renata Matheus,
Del Bel Cury Altair Antoninha,
Manfredini Daniele
Publication year - 2018
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1111/joor.12685
Subject(s) - research diagnostic criteria , psychosocial , observational study , medicine , depression (economics) , physical therapy , sample size determination , chronic pain , psychiatry , clinical psychology , statistics , mathematics , economics , macroeconomics
Summary Background Several studies have described high levels of psychosocial disorders in patients with temporomandibular disorders ( TMD ), but an estimate of their prevalence in populations of TMD patients has never been assessed systematically. Objective To conduct a systematic review of the literature on the prevalence of research diagnostic criteria for TMD ( RDC / TMD ) Axis II findings in TMD patients. Methods Search for articles was carried out by two independent researchers to retrieve papers published after 1992. Inclusion was reserved to observational studies with a minimum sample size of 100 individuals, which used RDC / TMD diagnostic protocol. Quality assessment was performed with the adoption of the methodological evaluation of observational research ( MORE ). Results A total of 1186 citations were obtained from search strategy, but only 14 filled the inclusion criteria. Included papers reported somatisation, depression and/or pain‐related disability prevalence or scores from populations of 12 different countries. A broad range in the prevalence of moderate‐to‐severe somatisation in patients with TMD was observed, ranging from 28.5% to 76.6%. Similar results were found for depression, with moderate‐to‐severe levels in 21.4%‐60.1% of patients. Finally, most patients were rated as grade I or II of the Graded Chronic Pain Scale, whereas high pain‐related impairment was present in 2.6% to 24% of the individuals. Conclusion The prevalence of severe‐to‐moderate somatisation and depression was high in TMD patients, while severe physical impairment was not commonly reported.