Murdoch University Research Repository

Welcome to the Murdoch University Research Repository

The Murdoch University Research Repository is an open access digital collection of research
created by Murdoch University staff, researchers and postgraduate students.

Learn more

A cross-sectional study of the association between anxiety and temporomandibular disorder in Australian chiropractic students

Théroux, J., Stomski, N., Cope, V.ORCID: 0000-0002-4528-4268, Mortimer-Jones, S. and Maurice, L. (2019) A cross-sectional study of the association between anxiety and temporomandibular disorder in Australian chiropractic students. Journal of Chiropractic Education, 33 (2). pp. 111-117.

Free to read: https://doi.org/10.7899/JCE-18-3
*No subscription required

Abstract

Objective: This study examined the association between anxiety and temporomandibular disorder (TMD) in Australian chiropractic students, particularly its effect on quality of life.

Methods: Chiropractic students (n = 185) completed online surveys, including the Oral Health Impact Profile for TMDs (OHIP-TMD) and the Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaire. The OHIP-TMD psychometric properties were assessed using principal component analysis. Linear regression models were used to examine demographic predictors for anxiety and TMD. A general linear model assessed the association between anxiety and the psychosocial and function scales identified through analysis of the OHIP-TMD questionnaire.

Results: The mean value for the OHIP-TMD and PROMIS was 1.3 (SD = 0.7) and 9.5 (SD = 4.1), respectively. Women reported significantly lower quality of life (QoL) related to TMD symptoms (p = 0.006) and that QoL related to TMD symptoms increased significantly as students progressed through the course (p = .025). Lower levels of anxiety were significantly associated with male gender (p = .000), employment (p = .008), higher program levels (p = .003), and having children (p = .005). General linear model analysis revealed that increased anxiety was significantly associated with higher levels of oral physical function impairment (p = .003) and elevated psychosocial distress (p = .0001).

Conclusion: Anxiety was significantly associated with psychosocial distress and oral physical function impairment in university chiropractic students. In addition to impacting on oral health-related QoL, anxiety also affects students' engagement with learning and academic performance. It would therefore be beneficial to implement strategies that mitigate students' anxiety levels.

Item Type: Journal Article
Murdoch Affiliation: College of Science, Health, Engineering and Education
Publisher: Brighthall and Allen Press Publishing Services
Copyright: © 2019 Association of Chiropractic Colleges
URI: http://researchrepository.murdoch.edu.au/id/eprint/51523
Item Control Page Item Control Page