Diagnostic criteria for temporomandibular disorders (DC/TMD) in children and adolescents: an international Delphi study-Part 2-Development of Axis IIDepartment of Prosthodontics and Periodontology, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.
School of Dental Sciences, Newcastle University, Newcastle-Upon-Tyne, UK.
Faculty of Dental Medicine, Laval University, Quebec, Canada.
Clinic of Pediatric Dentistry, University of Leipzig, Leipzig, Germany.
Department of Oral Function and Prosthetic Dentistry, College of Dental Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Department of Epidemiology, University of Washington, Seattle, United States.
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, United States.
Division of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo, Japan.
Department of Orofacial pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Department of Oral Diagnostic Sciences, University at Buffalo, Buffalo, United States.
Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, United States.
Faculty of Medicine and Health, University of Sydney, Westmead, Australia.
School of Dental Sciences, Newcastle University, Newcastle-Upon-Tyne, UK.
CES-LPH Research Group, Universidad CES, Medellin, Colombia.
Institute for Occlusion and Orofacial Pain Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Department of Orofacial pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Department of Stomatognathic Physiology, Kalmar County Hospital, Kalmar, Sweden.
School of Orthodontics, Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Naples, Italy.
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2022 (engelsk)Inngår i: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 49, nr 5, s. 541-552Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]
BACKGROUND: Unlike the psychosocial assessment established for adults in the diagnostic criteria for temporomandibular disorders (DC/TMD), a standardized psychosocial assessment for children and adolescents with TMD complaints has not yet been established.
OBJECTIVES: To develop a new standardized instrument set to assess the psychosocial functioning in children and adolescents by adapting the psychosocial status and pain-related disability (Axis II) of the adult DC/TMD and by including new instruments.
METHODS: A modified Delphi method was used to survey 23 international TMD experts and four international experts in pain-related psychological factors for consensus regarding assessment tools for psychosocial functioning and pain-related disability in children and adolescents. The TMD experts reviewed 29 Axis II statements at round 1, 13 at round 2, and 2 at round 3. Agreement was set at 80% for first-round consensus level and 70% for each of the second and third rounds. The psychological experts completed a complementary Delphi survey to reach a consensus on tools to use to assess more complex psychological domains in children and adolescents. For the psychological experts, the first round included 10 open-ended questions on preferred screening tools for depression, anxiety, catastrophizing, sleep problems, and stress in children (ages 6-9 years old) and adolescents (ages 10-19 years old) as well as on other domains suggested for investigation. In the second round, the psychological experts received a 9-item questionnaire to prioritize the suggested instruments from most to least recommended.
RESULTS: The TMD experts, after three Delphi rounds, reached consensus on the changes of DC/TMD to create a form to evaluate Axis II in children and adolescents with TMD complaints. The psychological experts added tools to assess depression and anxiety, sleep disorders, catastrophizing, stress, and resilience.
CONCLUSION: Through international expert consensus, this study adapted Axis II of the adult DC/TMD to assess psychosocial functioning and pain-related disability in children and adolescents. The adapted Axis II protocols will be validated in the target populations.
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Wiley-Blackwell, 2022. Vol. 49, nr 5, s. 541-552
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Identifikatorer
URN: urn:nbn:se:mau:diva-49274DOI: 10.1111/joor.13301ISI: 000759532100001PubMedID: 34951729Scopus ID: 2-s2.0-85125070022OAI: oai:DiVA.org:mau-49274DiVA, id: diva2:1626175
2022-01-102022-01-102024-11-11bibliografisk kontrollert