The relationship of temporomandibular disorder symptoms with anxiety and stress in Dental students
DOI:
https://doi.org/10.33448/rsd-v12i5.41437Keywords:
Anxiety; Psychological Stress; Dental students; Temporomandibular Joint Dysfunction Syndrome.Abstract
Temporomandibular disorder (TMD) consists of a set of signs and symptoms that affect the temporomandibular joint (TMJ). Its etiology is diverse and is often related to biopsychosocial aspects, including sleep quality and emotional factors such as stress and anxiety. The young population is classified, in many studies, as a group with a greater propensity to have TMD, among them are students of the Dentistry course, who, due to exposure to factors that generate stress and anxiety, configure a group with potential risk for the diagnosis of temporomandibular disorders. This study aimed to evaluate the prevalence of dysfunction symptoms among Dentistry students from different periods, in addition to identifying possible correlations with levels of anxiety and stress. The sample consisted of 205 participants who answered sociodemographic questions and three instruments: Fonseca's Anamnestic Index (for TMD symptoms), Lipp's inventory (for signs of stress) and Beck's Anxiety Inventory. After data collection, statistical analysis was performed. It was concluded that, in the studied public, there was a high prevalence of TMD symptoms, mostly mild. The female gender was more affected by TMD, anxiety and stress. There was an association between the presence of TMD symptoms, anxiety levels and stress symptoms, in addition to an association between the degree of TMD severity and the final period of the course. The higher the levels of anxiety and stress, the greater the degree of TMD.
References
Almeida, R. S. de, Guimarães, J. de L., & Almeida, J. Z. de. (2018). Estresse emocional e sua influência na saúde bucal. Dê Ciência Em Foco, 2(1), 78–102. https://revistas.uninorteac.com.br/index.php/DeCienciaemFoco0/article/view/148
Ahuja, V., Ranjan, V., Passi, D., & Jaiswal, R. (2018). Study of stress-induced temporomandibular disorders among dental students: An institutional study. National journal of maxillofacial surgery, 9(2), 147–154. https://doi.org/10.4103/njms.NJMS_20_18
Barreto, B. R., Drumond, C. L., Carolino, R. de A., & Oliveira Júnior, J. K. de. (2021). Prevalência de disfunção temporomandibular e ansiedade em estudantes universitários. Archives Of Health Investigation, 10(9), 1386–1391. https://doi.org/10.21270/archi.v10i9.5401
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893–897. https://doi.org/10.1037/0022-006x.56.6.893
Chaves, T. C., Oliveira, A. S. de, & Grossi, D. B. (2008). Principais instrumentos para avaliação da disfunção temporomandibular, parte I: índices e questionários; uma contribuição para a prática clínica e de pesquisa. Fisioterapia E Pesquisa, 15(1), 92–100. https://doi.org/10.1590/s1809-29502008000100015
Cunha, J. A. (2001). Manual da versão em português das Escalas Beck. Casa do psicólogo, 171.
Daher, C. R. de M., Cunha, L. F. da, Ferreira, A. P. de L., Souza, A. I. S. de O., Rêgo, T. A. M., Araújo, M. das G. R. de, & Silva, H. J. da. (2018). Pain threshold, sleep quality and anxiety levels in individuals with temporomandibular disorders. Revista CEFAC, 20(4), 450–458. https://doi.org/10.1590/1982-0216201820414417
Doval, R. T. do P., Santos, A. C. M. dos, Penha, E. S. da, Almeida, M. S. C., Guênes, G. M. T., & Figueiredo, C. H. M. da C. (2019). Disfunción temporomandibular y ansiedad en los estudiantes de Odontología. Rev Cubana Estomatol, 56(1), 42–51. https://revestomatologia.sld.cu/index.php/est/article/view/1796
Fonseca, D. M., Bonfante, G., Valle, A. L., & Freitas, S. F. T. (1994). Diagnostico pela anamnese da disfuncao craniomandibular. Revista Gaucha de Odontologia, 1994(1), 23-8.
Freire, M; & Pattussi, M. (2018). Tipos de estudo In Estrela, C. (Org.), Metodologia Científica: Ciência, Ensino, Pesquisa (pp. 187-188). Editora Artes Médicas
Godinho, D. C. A., Melo, S. R., Lemos, M. E. S., & Furlan, R. M. M. M. (2019). Correlação entre sintomas de disfunção temporomandibular, hábitos orais deletérios e sintomas de estresse em estudantes universitários. Distúrbios Da Comunicação, 31(3), 481–492. https://doi.org/10.23925/2176-2724.2019v31i3p481-492
Lemos, G. A., Paulino, M. R., Forte, F. D. S., Beltrão, R. T. S., & Batista, A. U. D. (2015). Influence of temporomandibular disorder presence and severity on oral health-related quality of life. Revista Dor, 16(1). https://doi.org/10.5935/1806-0013.20150003
Lipp, M. E. N. (2015). Manual do Inventário de Sintomas de Stress para Adultos de Lipp. Casa do Psicólogo.
Leão, A. M., Gomes, I. P., Ferreira, M. J. M., & Cavalcanti, L. P. de G. (2018). Prevalência e Fatores Associados à Depressão e Ansiedade entre Estudantes Universitários da Área da Saúde de um Grande Centro Urbano do Nordeste do Brasil. Revista Brasileira De Educação Médica, 42(Rev. bras. educ. med., 2018 42(4)). https://doi.org/10.1590/1981-52712015v42n4RB20180092
Ramos de Luccas, G., Eliene Simões de Lira, C., Guedes, K. P., Silva, L. W. O., Stechman-Neto, J., & Castro Corrêa, C. de. (2021). Disfunção temporomandibular e sono: revisão integrativa de literatura. Archives Of Health Investigation, 10(5), 794–800. https://doi.org/10.21270/archi.v10i5.5233
Maia, C. R., De Almeida, G. C. M., Moura, J. M. B. de O., & Pessoa, D. M. da V. (2022). Prevalência da disfunção temporomandibular associada aos fatores psicológicos em universitários / Prevalence of temporomandibular joint disorder associated to psychological factors in college students. Brazilian Journal of Development, 8(7), 50375–50387. https://doi.org/10.34117/bjdv8n7-111
Medeiros, P. P., & Bittencourt, F. O. (2016). Fatores Associados à Ansiedade em Estudantes de uma Faculdade Particular. Id on Line REVISTA de PSICOLOGIA, 10(33), 42–55. https://doi.org/10.14295/idonline.v10i33.594
Moreira, L. A., Souza, A. de M. e, Rela, M. de O. V., & Mendonça, J. E. F. (2021). Avaliação da influência do estresse e ansiedade nas disfunções temporomandibulares. Research, Society and Development, 10(13), e270101321032. https://doi.org/10.33448/rsd-v10i13.21032
Moreno, A. G. U. T., Bezerra, A. G. V., Alves-Silva, E. G., Melo, E. L. de, Gerbi, M. E. M. de M., Bispo, M. E. A., Sá, R. A. G. de, & Menezes, M. R. A. de. (2021). Influência do estrógeno na modulação da dor na disfunção temporomandibular e sua prevalência no sexo feminino: revisão integrativa. Research, Society and Development, 10(2), e38510212453–e38510212453. https://doi.org/10.33448/rsd-v10i2.12453
Owczarek, J. E., Lion, K. M., & Radwan-Oczko, M. (2020). Manifestation of stress and anxiety in the stomatognathic system of undergraduate dentistry students. Journal of International Medical Research, 48(2), 030006051988948. https://doi.org/10.1177/0300060519889487
Pedrelli, P., Nyer, M., Yeung, A., Zulauf, C., & Wilens, T. (2015). College Students: Mental Health Problems and Treatment Considerations. Academic Psychiatry, 39(5), 503–511. https://doi.org/10.1007/s40596-014-0205-9
Prates, A. M. de S., Santos, E. S., Barros, F. P. C. S., Morais, K. N. F., Lima, R. S., Lima, V. N. de, & Meorin Nogueira, L. (2021). Existe relação entre a prevalência de disfunção temporomandibular e a fase do curso durante a graduação? Archives Of Health Investigation, 10(6), 941–948. https://doi.org/10.21270/archi.v10i6.5021
Réus, J. C., Polmann, H., Souza, B. D. M., Flores-Mir, C., Gonçalves, D. A. G., de Queiroz, L. P., Okeson, J., & De Luca Canto, G. (2022). Association between primary headaches and temporomandibular disorders. The Journal of the American Dental Association, 153(2), 120-131.e6. https://doi.org/10.1016/j.adaj.2021.07.021
Ribeiro, M., & Coelho, M. de S. (2018). Estresse e coping em pacientes com dor crônica relacionada a desordens temporomandibulares. Referências Em Saúde Do Centro Universitário Estácio de Goiás, 1(01), 47–50. https://estacio.periodicoscientificos.com.br/index.php/rrsfesgo/article/view/262
Stangvaltaite‐Mouhat, L., Pūrienė, A., Chałas, R., Hysi, D., Katrova, L., Nacaite, M., Nikolovska, J., Oancea, R., & Berlin, V. (2020). Self‐reported psychological problems amongst undergraduate dental students: A pilot study in seven European countries. European Journal of Dental Education, 24(2), 341–350. https://doi.org/10.1111/eje.12505
Sojka, A., Marcin Żarowski, Steinborn, B., Wiesław Hędzelek, Wiśniewska-Spychała, B., & Dorocka-Bobkowska, B. (2018). Temporomandibular disorders in adolescents with headache. Advances in Clinical and Experimental Medicine, 27(2), 193–199. https://doi.org/10.17219/acem/64945
Takamiya, A. S., Haddad, M. F., Valente, V. B., Túrcio, K. H., Zuim, P. R. J., & Brandini, D. A. (2022). Impacto da dor orofacial crônica da disfunção temporomandibular e ansiedade no desempenho acadêmico de estudantes de odontologia. ABCS Health Sciences, 47. https://doi.org/10.7322/abcshs.2020116.1567
Ton, L. A. B., Mota, I. G., Paula, J. S. d., & Martins, A. P. V. B. (2020). Prevalence of temporomandibular disorder and its association with stress and anxiety among university students. Brazilian Dental Science, 23(1). https://doi.org/10.14295/bds.2020.v23i1.1810
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Fernanda Santos de Oliveira; Érico Artur da Silva Leite; Jennifer Camila de Souza Fornari; Júlia Maria de Oliveira Santos; Crisdan Caina Costa Chagas; Roberta Machado Pimentel Rebello de Mattos; Déborah Pimentel
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
