The Relation between Psychological Stress and Temporomandibular Joint Disorder: A Rapid Review and Meta-Analysis

Abstract

Introduction: Stress is one of the problems that often occur in human life that is inevitable. Stress can contribute 50-70% to the onset of most diseases. Psychosomatic and/or psychosocial stress have been associated with pain, including temporomandibular joint disorder. TMD's are not solely related to psychological stress. So there is a need to study the impact of direct stress on temporomandibular joint.

Aims: This study aims to analyze the relationship between temporomandibular joint disorders and psychological stress.  

Methods: The research procedure was carried out using the rapid review method by following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) guidelines. Article searches were conducted using keywords in two databases, PubMed, and Scopus. The results of the quantitative analysis will be visualized in table and forest plots. Results: 11 articles were included in this review after screening process. The quantitative analysis showed a positive and significant relationship between distress (OR 1.21 [95% CI: 1.11, 1.32], p < 0.00001), depression (OR 1.35 [95% CI: 1.09, 1.67], p < 0.00001), and anxiety (OR 1.47 [1.09, 1.99], p < 0.00001) towards temporomandibular joint disorder.  

Conclusion: This review shows a significant relationship between temporomandibular joint disorders and psychological stress that can be seen from various dimensions such as distress (OR 1.21 [95% CI: 1.11, 1.32], p < 0.00001), depression(OR 1.35 [95% CI: 1.09, 1.67], p < 0.00001), and anxiety (OR 1.47 [1.09, 1.99], p < 0.00001).

Keywords: TMD, stress, depression, anxiety, rapid review, meta-analysis

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