Psychological correlates of medical comorbidities in patients with temporomandibular disorders

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Psychological correlates of medical comorbidities in patients with temporomandibular disorders

Carlson Jessica L. Burris, Daniel R. Evans and Charles R.

J Am Dent Assoc 2010;141;22-31

Medical comorbidities
The coexistence of two or more disease processes.

Pulmonary Cancer/Tumor
Gastrointestinal
Endocrine Caedivascular
Rheumatoid Stroke Scleroderma
arthritis

Medical comorbidities
The coexistence of two or more disease processes.

Hay fever Asthma

Neurological STD Musculoskeletal

Hematologic Genitourinary

Psychological function
Distress, strain, Psychiatric condition, etc.

Preoccupation
Pain threshold
Interfere with
traetment succeed

Psychological health is an important
consideration of patients with TMD

Medical comorbidities
Psychological function

Medical comorbidities
Physical function
Psychological function

Medical comorbidities
Physical function
Undue strain
Psychological function

Medical comorbidities
Physical function
Treatment interference
Undue strain
Psychological function

Medical comorbidities
Physical function
Treatment interference
Undue strain
Systemic inﬂuence

Psychological function

Psychological Medical
function comorbidities

TMD

function ?
Psychological Medical
comorbidities

TMD

1,060
patients with TMDs was predominantly female

Psychological measures
The West Haven-Yale
Symptom Checklist-90-
Multidimensional Pain
Revised (SCL-90-R)
Inventory (WHYMPI)

Statistical analyses
Multiple analyses covariance
(MANCOVAs)

SCL-90-R / The numbers of Medical comorbidities

WHYMPI / The numbers of Medical comorbidities

A linear relationship between
number of medical comorbidities
and overall psychological distress.

SCL-90-R Global Severity Index
Designed to measure overall psychological distress.

WHYMPI Interference

There may be particular medical
comorbidities that are relate more
strongly than are others to the psychological
functioning of patients with TMD.

Medical comorbidities
&
Psychological function

Questionnaire

Cross section
design

Medical comorbidities
&
Psychological function

Questionnaire

Cross section
TMD diagnosis
design

Medical comorbidities
&
Psychological function

Questionnaire

To use multidisciplinary
treatment approaches the
patient with TMD.

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