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http://dx.doi.org/10.14476/jomp.2019.44.1.16

The Revised Version of the Minnesota Multiphasic Personality Inventory in Korean College Students with Symptoms of Temporomandibular Disorders  

Park, Hye Sook (Department of Dental Technology, Shingu College)
Publication Information
Journal of Oral Medicine and Pain / v.44, no.1, 2019 , pp. 16-24 More about this Journal
Abstract
Purpose: The purpose of this study was to assess the association of personality characteristics with temporomandibular disorders (TMDs). Methods: Four hundred and fifty one college students in Gyeonggi-do completed the revised version of the Minnesota Multiphasic Personality Inventory (MMPI-2) and a questionnaire and collected data were analyzed by IBM SPSS Statistics ver. 25.0 software (IBM Co., Armonk, NY, USA). Results: Mean values of the number of positive answers of TMD symptoms were significantly higher in higher scorers on hypochondriasis (Hs), depression (D), paranoia (Pa) (Hs>60, D>64, Pa>59) (p<0.01). Higher scorers on Hs, hysteria (Hy), schizophrenia (Sc), Pa, psychasthenia (Pt) (Hy>64, Sc>64, Pt>64) exhibited significantly higher mean values of the number of positive answers of contributing factors for TMD (p<0.01, p<0.001). Low scorers on social introversion ($Si{\leq}44$) exhibited significantly lower mean value of the number of positive answers of contributing factors for TMD than high or moderate scorers on Si (Si>64, 45-64) (p<0.01, p<0.05). The percentage of subjects who responded that they had at least one TMD symptom was significantly higher in higher scorers on Hs, Pt, D (p<0.05, p<0.01). The significantly higher percentage of higher scorers on D, Pa reported at least one contributing factor for TMD (p<0.05). The percentage of subjects who responded that they had at least one TMD symptom or one contributing factor for TMD was significantly different among three groups divided by T-score on Si (p<0.01, p<0.05). T-scores of Hs, D, Hy, Pt and Sc showed significant correlation with the numbers of TMD symptoms and contributing factors for TMD, respectively (p<0.001). A correlation was found between T-score of Pd and the number of TMD symptoms (p<0.001). T-score of Si correlated to the number of contributing factors for TMD (p<0.001). Conclusions: Most clinical scales of MMPI-2 were found to be related to TMD. Psychological assessment including MMPI-2 may play a role in predicting treatment outcome and planning treatment of TMD.
Keywords
Contributing factor for temporomandibular disorder; Minnesota Multiphasic Personality Inventory-2; Personality; Temporomandibular disorder symptom;
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  • Reference
1 Bell WE. Temporomandibular disorders: classification, diagnosis and management 3rd ed. Chicago: Year Book Medical Publishers; 1990. pp. 166-176.
2 Clark GT, Solberg WK. Perspectives in temporomandibular disorders. Chicago: Quintessence; 1987. pp. 13.
3 De Kanter RJ, Truin GJ, Burgersdijk RC, et al. Prevalence in the Dutch adult population and a meta-analysis of signs and symptoms of temporomandibular disorder. J Dent Res 1993;72:1509-1518.   DOI
4 Von Korff M, Dworkin SF, Le Resche L, Kruger A. An epidemiologic comparison of pain complaints. Pain 1988;32:173-183.   DOI
5 Dworkin SF, LeResche L, Von Korff MR. Diagnostic studies of temporomandibular disorders: challenges from an epidemiologic perspective. Anesth Prog 1990;37:147-154.
6 Okeson JP. Management of temporomandibular disorders and occlusion. 6th ed. Amsterdam: Elsevier Mosby; 2007. pp. 141-156.
7 Kim KS. Factors contributing to temporomandibular disorders. J Korean Dent Assoc 1991;29:354-358.
8 Michelotti A, Martina R, Russo M, Romeo R. Personality characteristics of temporomandibular disorder patients using M.M.P.I. Cranio 1998;16:119-125.   DOI
9 Pankhurst CL. Controversies in the aetiology of temporomandibular disorders. Part 1. Temporomandibular disorders: all in the mind? Prim Dent Care 1997;4:25-30.
10 McKinney MW, Londeen TF, Turner SP, Levitt SR. Chronic TM disorder and non-TM disorder pain: a comparison of behavioral and psychological characteristics. Cranio 1990;8:40-46.   DOI
11 Robin O. Tooth clenching as a risk factor for temporomandibular disorders. Int J Stomatol Occlusion Med 2012;5:1-9.   DOI
12 Kim MJ, Lim MJ, Park WK, Kho HS. Comparison between the SCL-90-R and MMPI in TMD patients with psychological problems. Oral Dis 2012;18:140-146.   DOI
13 Mutlu N, Herken H, Guray E, Oz F, Kalayci A. Evaluation of the prevalence of temporomandibular joint disorder syndrome in dental school students with psychometric analysis. Turk J Med Sci 2002;32:345-350.
14 Mongini F, Rota E, Deregibus A, Mura F, Francia Germani A, Mongini T. A comparative analysis of personality profile and muscle tenderness between chronic migraine and chronic tension-type headache. Neurol Sci 2005;26:203-207.   DOI
15 Fishbain DA, Cole B, Cutler RB, Lewis J, Rosomoff HL, Rosomoff RS. Chronic pain and the measurement of personality: do states influence traits? Pain Med 2006;7:509-529.   DOI
16 McNeill C; American Academy of Orofacial Pain. Temporomandibular disorders: guidelines for classification, assessment, and management. 2nd ed. Chicago: Quintessence Publishing Co.; 1993. pp. 62.
17 Nilner M. Prevalence of functional disturbances and diseases of the stomatognathic system in 15-18 year olds. Swed Dent J 1981;5:189-197.
18 Mongini F, Ciccone G, Ibertis F, Negro C. Personality characteristics and accompanying symptoms in temporomandibular joint dysfunction, headache, and facial pain. J Orofac Pain 2000;14:52-58.
19 Ko MY, Kim YK. A study on personality traits of the patients with TMJ dysfunction through the MMPI. Korean J Oral Med 1985;10:17-31.
20 Southwell J, Deary IJ, Geissler P. Personality and anxiety in temporomandibular joint syndrome patients. J Oral Rehabil 1990;17:239-243.   DOI
21 Graham JR. MMPI-2 : assessing personality and psychopathology. 5th ed. New York: Oxford University Press; 2011. pp. 63-91.
22 Lupton DE. Psychological aspects of temporomandibular joint dysfunction. J Am Dent Assoc 1969;79:131-136.   DOI
23 Parker MW, Holmes EK, Terezhalmy GT. Personality characteristics of patients with temporomandibular disorders: diagnostic and therapeutic implications. J Orofac Pain 1993;7:337-344.
24 Gerschman JA, Wright JL, Hall WD, Reade PC, Burrows GD, Holwill BJ. Comparisons of psychological and social factors in patients with chronic oro-facial pain and dental phobic disorders. Aust Dent J 1987;32:331-335.   DOI
25 Rugh JD, Woods BJ, Dahlstrom L. Temporomandibular disorders: assessment of psychological factors. Adv Dent Res 1993;7:127-136.   DOI
26 Jeung JO. (A) Study on psychological characteristics of T.M.J. pain and dysfunction using SCL-90-R [Master's Thesis]. Gwangju: Chosun University; 1986.
27 Chung SC, Ko MY, Kim YJ. A study on the background variable in the patients with TMJ dysfunction. Korean J Oral Med 1983;8:69-76.
28 Ko MY, Kim CJ, Lim YH. Personality characteristics of TMJ patients through the SCL-90-R. Pusan Univ Dent J 1986;3:27-35.
29 Mongini F, Barbalonga E, Raviola F. The MMPI-2 in women with headache or facial pain. A comparative study. J Headache Pain 2000;2:105-110.   DOI
30 Park HS. Personality type test (MBTI) of Korean college students with symptoms of temporomandibular disorders. Korean J Oral Med 2011;36:25-37.