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Field-testing a psychosocial assessment scoring form for TMD patients - summarizing axis II instruments

BACKGROUND: The etiology of temporomandibular disorders (TMD) can be explained on the basis of a biopsychosocial model. However, psychosocial assessment is challenging in daily dental practice. The purpose of the current study was to field-test the practicability of a novel psychosocial assessment s...

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Autores principales: Günther, Tamara, Schierz, Oliver, Hahnel, Sebastian, Rauch, Angelika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7528229/
https://www.ncbi.nlm.nih.gov/pubmed/32998738
http://dx.doi.org/10.1186/s12903-020-01248-7
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author Günther, Tamara
Schierz, Oliver
Hahnel, Sebastian
Rauch, Angelika
author_facet Günther, Tamara
Schierz, Oliver
Hahnel, Sebastian
Rauch, Angelika
author_sort Günther, Tamara
collection PubMed
description BACKGROUND: The etiology of temporomandibular disorders (TMD) can be explained on the basis of a biopsychosocial model. However, psychosocial assessment is challenging in daily dental practice. The purpose of the current study was to field-test the practicability of a novel psychosocial assessment scoring form regarding the reliability of scoring procedures and the opinion of examiners. The working hypotheses were that the scoring results of inexperienced undergraduate students were similar to the results collected by a gold standard and that the scoring form was easy to use. METHODS: A psychosocial assessment scoring form was developed in accordance with guidelines of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), including results of the Graded Chronic Pain Scale (GCPS), Patient Health Questionnaires (PHQ), and Generalized Anxiety Disorders (GAD). Inexperienced operators (undergraduate students) examined patients with TMD-associated complaints and rated the practicability of the scoring form. The scoring results were recalculated by two experienced operators and a consensus was defined as a gold standard. Reliability coefficients were determined comparing results of the gold standard and the inexperienced operators. RESULTS: Sixty-five examiners used the scoring form to obtain results for patients with TMD-associated complaints. Of the patients, 78.8% received a diagnosis according to DC/TMD decision trees. Two-thirds of the operators (62.9%) stated that the form was easy to complete, and 83.0% would use it in their dental practice. The reliability coefficients ranged between 0.81–1.00. CONCLUSIONS: Within the limitations of the present study, the psychosocial assessment scoring form seems to be an easy-to-use and practicable tool. The vast majority of the inexperienced examiners recommended the application.
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spelling pubmed-75282292020-10-01 Field-testing a psychosocial assessment scoring form for TMD patients - summarizing axis II instruments Günther, Tamara Schierz, Oliver Hahnel, Sebastian Rauch, Angelika BMC Oral Health Research Article BACKGROUND: The etiology of temporomandibular disorders (TMD) can be explained on the basis of a biopsychosocial model. However, psychosocial assessment is challenging in daily dental practice. The purpose of the current study was to field-test the practicability of a novel psychosocial assessment scoring form regarding the reliability of scoring procedures and the opinion of examiners. The working hypotheses were that the scoring results of inexperienced undergraduate students were similar to the results collected by a gold standard and that the scoring form was easy to use. METHODS: A psychosocial assessment scoring form was developed in accordance with guidelines of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), including results of the Graded Chronic Pain Scale (GCPS), Patient Health Questionnaires (PHQ), and Generalized Anxiety Disorders (GAD). Inexperienced operators (undergraduate students) examined patients with TMD-associated complaints and rated the practicability of the scoring form. The scoring results were recalculated by two experienced operators and a consensus was defined as a gold standard. Reliability coefficients were determined comparing results of the gold standard and the inexperienced operators. RESULTS: Sixty-five examiners used the scoring form to obtain results for patients with TMD-associated complaints. Of the patients, 78.8% received a diagnosis according to DC/TMD decision trees. Two-thirds of the operators (62.9%) stated that the form was easy to complete, and 83.0% would use it in their dental practice. The reliability coefficients ranged between 0.81–1.00. CONCLUSIONS: Within the limitations of the present study, the psychosocial assessment scoring form seems to be an easy-to-use and practicable tool. The vast majority of the inexperienced examiners recommended the application. BioMed Central 2020-10-01 /pmc/articles/PMC7528229/ /pubmed/32998738 http://dx.doi.org/10.1186/s12903-020-01248-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Günther, Tamara
Schierz, Oliver
Hahnel, Sebastian
Rauch, Angelika
Field-testing a psychosocial assessment scoring form for TMD patients - summarizing axis II instruments
title Field-testing a psychosocial assessment scoring form for TMD patients - summarizing axis II instruments
title_full Field-testing a psychosocial assessment scoring form for TMD patients - summarizing axis II instruments
title_fullStr Field-testing a psychosocial assessment scoring form for TMD patients - summarizing axis II instruments
title_full_unstemmed Field-testing a psychosocial assessment scoring form for TMD patients - summarizing axis II instruments
title_short Field-testing a psychosocial assessment scoring form for TMD patients - summarizing axis II instruments
title_sort field-testing a psychosocial assessment scoring form for tmd patients - summarizing axis ii instruments
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7528229/
https://www.ncbi.nlm.nih.gov/pubmed/32998738
http://dx.doi.org/10.1186/s12903-020-01248-7
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