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ISSN (Print) 1013-9052
EISSN 1658-3558

The Saudi Dental Journal,
P.O. Box 52500,
Riyadh 11563,
Kingdom of Saudi Arabia
Tel.
966-1-467-7328
Fax.
933-1-467-7308 /
966-1-467-7534
Email
saudidj@ksu.edu.sa

An Abridged Psychological Self-rating Questionnaire for

screening of patients with temporomandibular disorders

   
Mohammed Al-Hassan Khalid *, MBBS, MSc (Psych)
El-Fatih Ibrahim El-Amin **, BDS, MSc (London), FDSRCSI, AIMPT (UK)
Saeed El-Laithi Ali ***, MSc, MD (Community  Med)
 
*Al-Ahsa Psychiatric Hospital, MOH, Saudi Arabia
** Al-Ahsa Dental Center, MOH, P.O. Box 5161, Al-Ahsa 31982, Saudi Arabia
*** King Fahad Hospital, Hofuf, MOH, Saudi Arabia , P.O. Box 3967, Al-Ahsa 31982


 

An Abridged Psychological Self-rating Questionnaire (APSQ) was taken from the Middlesex Hospital Scale and adapted to the Al-Ahsa colloquial Arabic language. The aim was to develop a simple yet valid screening tool for early detection of  temporomandibular disorder (TMD) patients with psychological problems. It is well known that a considerable number of TMD patients are psychologically dysfunctional  and have  higher rates of anxiety, depression, and health care utilization. This case-control study was done on a systemic random sample of 72 TMD Saudi patients. All subjects were blindly rated on the APSQ during dental assessment, and each followed by a clinical psychiatric assessment consisting of a history and a systemic mental state examination. A cut-off point ranging from 11 to 13 was found acceptable in identifying positive subjects. The best cut-off point was found to be at 12. When using the recommended cut-off point, approximately 15.3% of the subjects were identified by the APSQ form as psychiatric patients as compared to 38.9% being identified by the clinical psychiatric assessment.  The sensitivity ranged from 72.7 to 90.48 % and specificity ranged from 83.87 to
89.7 %. The commonest psychiatric disorder among the subjects was a mixed anxiety-depression disorder. The APSQ was found to be of good validity, thus supporting its usefulness as a screening tool for detecting psychiatric morbidity among TMD patients in the Al-Ahsa area.
 
Saudi Dental Journal 2002;14(1):20-25.
 
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