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Psychological appraisal in temporomandibular disorders: A cross-sectional study

Aims and Objectives: The objective of this study was to investigate the prevalence of stress and depression within temporomandibular disorder (TMD) patient subgroups with chronic facial pain (cfp) and healthy controls and to assess possible relationships among the different subgroups. It also evaluated the correlation among pain, stress, and depression scores. Materials and Methods: A total number of 120 patients, 60 cases and 60 controls aged 20-40 years were included in the study. The study group after clinical examination was assigned into subgroups depending on the Research Diagnostic Criteria for TMD (RDC/TMD). Age- and sex-matched patients with no complaints of TMD formed the control group. Both the groups were administered the Beck′s inventory of depression (BDI) and stress symptom rating scale (SSRS) questionnaires. Pain intensity was measured by the visual analogue scale. All the scores were statistically analyzed. Results: Depression and stress scores were seen more in the myofascial pain group. Depression was prevalent in 53.3% and stress in 60% of the study group. Positive correlation was seen among pain scores, depression, and stress scores (P < .001). Conclusion: The findings are consistent with previous research indicating a link among depression, stress, and TMD. Screening for such symptoms should be an integral part of the evaluation for effective cognitive behavioural therapy.