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Psychological Factors Associated With Development of TMD: The OPPERA Prospective Cohort Study

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TLDR
Evidence is provided that measures of psychological functioning can predict first onset of TMD, and several premorbid psychological variables predict first-onset TMD in the OPPERA study, a large prospective cohort study designed to discover causal determinants of T MD pain.
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This article is published in The Journal of Pain.The article was published on 2013-12-01 and is currently open access. It has received 312 citations till now. The article focuses on the topics: Chronic pain.

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Citations
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Extracellular matrix turnover and inflammation in chemically-induced TMJ arthritis mouse models.

TL;DR: This work provides two methods of chemically induced TMJ inflammatory arthritis through a condyle explant model and intra-articular injection model that replicate findings seen in synovial fluid of human patients, which can be used for further studies delineating the mechanisms underlying TMJ pathology.
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Temporomandibular disorders among medical students in China: prevalence, biological and psychological risk factors.

TL;DR: Wang et al. as mentioned in this paper evaluated the prevalence of temporomandibular disorders (TMD) and associated biological and psychological factors in Chinese university students and found that individuals with TMD have a high prevalence of psychological distress and oral parafunctional habits.
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Temporomandibular Disorder: a practical guide for dental practitioners in diagnosis and management.

TL;DR: The scope of the dental practitioner in the management of acute and chronic temporomandibular disorders is presented, with guidance about when referral to a specialist is indicated.
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Temporomandibular Joint Disorders: Current Concepts and Controversies in Diagnosis and Management

TL;DR: The authors discuss the present thinking in the etiology and classification of TMD, followed by the diagnostic approach and the current trend and controversies in management.
References
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Manual for the State-Trait Anxiety Inventory

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TL;DR: In this paper, the authors describe the important ideas in these areas in a common conceptual framework, and the emphasis is on concepts rather than mathematics, with a liberal use of color graphics.
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Frequently Asked Questions (12)
Q1. What are the contributions in "Psychological factors associated with development of tmd: the oppera prospective cohort study" ?

For this study, 3,263 TMD-free participants completed a battery of psychological instruments assessing general psychological adjustment and personality, affective distress, psychosocial stress, somatic symptoms, and pain coping and catastrophizing. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to their customers the authors are providing this early version of the manuscript. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. 

The second stage of the analysis involved a series of multivariable Cox regression models in which the entered psychological variables were derived from a principal component analysis (PCA), which was performed in order to reduce the number of psychological variables by identifying putative latent constructs. 

in univariate analyses as well as both multivariable approaches the somatic symptom construct represented the strongest predictor of TMD onset, suggesting convergence of findings regarding somatic symptoms across analytic methods. 

The Stress and Negative Affectivity component was a weakly significant predictor in the unimputed analysis, but did not significantly predict TMD onset in the analysis using imputed data (HR=1.12). 

Of the 3,263 participants enrolled into the inception cohort, 2,737 (84%) completed one or more quarterly follow-up questionnaires, with a median of 10 follow-up questionnaires over a median 2.8 follow-up year period. 

While multiple psychological measures predicted TMD onset in univariate analyses, results of multivariable models provide strong evidence that reported somatic symptoms represents the strongest predictor of incident TMD in this analysis. 

When the average eigenvalue from these randomly generated data sets is larger than the corresponding eigenvalue of the original data, then the principal component associated with that eigenvalue is likely to be random noise (see Supplementary e-Figure 1). 

This suggests that Stress and Negative Affectivity does not additively contribute to TMD risk over and above Global Psychological and Somatic Symptoms, rather in the absence of global symptomatology, stress/negative affect emerges as a potentially important risk factor. 

For the CSQ Ignoring Pain Sensations scale, TMD incidence was greatest at a score of 0 and decreased in linear fashion until a score of approximately two, beyond which incidence increased slightly. 

Parallel analysis estimates the number of components to include in a PCA model by generating random data sets with the same numbers of observations and predictor variables as the original data. 

In univariate analyses, Stress and Negative Affectivity also predicted incident TMD; however, this association became weak or non-significant in multivariable analyses that adjusted for the other principal components. 

the subscales of the Pain Catastrophizing Scale (Rumination, Magnification, Helplessness) predicted TMD onset to a statistically significant degree, although the Helplessness scale was weakly significant when using imputed data (HR=1.12).