Temporomandibular disorder and somatic symptoms: Relations to ‘fear of missing out’ and other negative emotional states

Authors

  • Adrian Ujin Yap Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore, Singapore; National Dental Research Institute Singapore, National Dental Center Singapore and Duke-NUS Medical School, Singapore Health Services, Singapore, Singapore; Department of Prosthodontics, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia https://orcid.org/0000-0003-0361-6209
  • Florencia Kurniawan Department of Prosthodontics, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia https://orcid.org/0009-0007-7107-3142
  • Yenny Pragustine Department of Prosthodontics, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia https://orcid.org/0000-0002-1932-2689
  • Carolina Marpaung Department of Prosthodontics, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia https://orcid.org/0000-0002-9621-6257

DOI:

https://doi.org/10.2340/aos.v83.40776

Keywords:

Temporomandibular joint disorders, Somatization, Depression, Anxiety, Stress

Abstract

Objective: The association between the ‘fear of missing out (FOMO)’ and physical symptoms has not been widely explored. This study aimed to investigate the relationship between FOMO and other negative emotions with Temporomandibular disorder (TMD) and somatic symptoms in young adults. The correlations between the various physical and emotional variables were also established.

Material and methods: TMD and somatic symptoms were appraised with the Short-form Fonseca Anamnestic Index, quintessential five TMD symptoms of the Diagnostic Criteria (DC)/TMD, and Patient Health Questionnaire-15. FOMO and other negative emotional states were assessed with the FOMO Scale and Depression, Anxiety, Stress Scales-21 (DASS-21). Data were evaluated using non-parametric tests/correlation and regression analysis (α = 0.05).

Results: While only negative affectivity (total DASS), anxiety, and stress differed significantly between those without and with TMDs, significant variances in FOMO and all DASS-21 constructs were discerned between individuals without and with somatization. 

Conclusions: Individuals with orofacial pain and more severe somatic symptoms have higher levels of negative emotions including FOMO. While somatization increased the prospect of TMDs, being female, presence of TMDs, and negative affectivity were risk factors for somatization in young adults.

Clinical relevance: Asian young adults appear to be disposed to somatization, and TMDs may be a form of functional somatic syndromes. Recognition of somatic symptoms and emotional distress, including FOMO, is essential for person-centric TMD care.

Downloads

Download data is not yet available.

References

Przybylski AK, Murayama K, DeHaan CR, Gladwell V. Motivational, emotional, and behavioral correlates of fear of missing out. Comput Hum Behav. 2013;29(4):1841–1848. https://doi.org/10.1016/j.chb.2013.02.014 DOI: https://doi.org/10.1016/j.chb.2013.02.014

Elhai JD, Yang H, Montag C. Fear of missing out (FOMO): overview, theoretical underpinnings, and literature review on relations with severity of negative affectivity and problematic technology use. Braz J Psychiatry. 2021;43(2):203–209. https://doi.org/10.1590/1516-4446-2020-0870 DOI: https://doi.org/10.1590/1516-4446-2020-0870

Akbari M, Seydavi M, Palmieri S, Mansueto G, Caselli G, Spada MM. Fear of missing out (FoMO) and internet use: A comprehensive systematic review and meta-analysis. J Behav Addict. 2021;10(4):879–900. https://doi.org/10.1556/2006.2021.00083 DOI: https://doi.org/10.1556/2006.2021.00083

Piteo EM, Ward K. Review: social networking sites and associations with depressive and anxiety symptoms in children and adolescents – a systematic review. Child Adolesc Ment Health. 2020;25(4):201–216. https://doi.org/10.1111/camh.12373 DOI: https://doi.org/10.1111/camh.12373

Franchina V, Vanden Abeele M, van Rooij AJ, Lo Coco G, De Marez L. Fear of missing out as a predictor of problematic social media use and phubbing behavior among Flemish adolescents. Int J Environ Res Public Health. 2018;15(10):2319. https://doi.org/10.3390/ijerph15102319 DOI: https://doi.org/10.3390/ijerph15102319

Gupta M, Sharma A. Fear of missing out: a brief overview of origin, theoretical underpinnings and relationship with mental health. World J Clin Cases. 2021;9(19):4881–4889. https://doi.org/10.12998/wjcc.v9.i19.4881 DOI: https://doi.org/10.12998/wjcc.v9.i19.4881

Steers MN, Wickham RE, Acitelli LK. Seeing everyone else’s highlight reels: how Facebook usage is linked to depressive symptoms. J Soc Clin Psychol. 2014;33(8):701–731. https://doi.org/10.1521/jscp.2014.33.8.701 DOI: https://doi.org/10.1521/jscp.2014.33.8.701

Hayran C, Anik L. Well-Being and Fear of Missing Out (FOMO) on digital content in the time of COVID-19: a correlational analysis among University students. Int J Environ Res Public Health. 2021;18(4):1974. https://doi.org/10.3390/ijerph18041974 DOI: https://doi.org/10.3390/ijerph18041974

Gioia F, Fioravanti G, Casale S, Boursier V. The effects of the fear of missing out on people’s social networking sites use during the COVID-19 pandemic: the mediating role of online relational closeness and individuals’ online communication attitude. Front Psychiatry. 2021;12:620442. https://doi.org/10.3389/fpsyt.2021.620442 DOI: https://doi.org/10.3389/fpsyt.2021.620442

Baker ZG, Krieger H, LeRoy AS. Fear of missing out: relationships with depression, mindfulness, and physical symptoms. Transl Issues Psychol Sci. 2016;2(3):275–282. https://doi.org/10.1037/TPS0000075 DOI: https://doi.org/10.1037/tps0000075

De La Torre Canales G, Câmara-Souza MB, Muñoz Lora VRM, et al. Prevalence of psychosocial impairment in temporomandibular disorder patients: a systematic review. J Oral Rehabil. 2018;45(11):881–889. https://doi.org/10.1111/joor.12685 DOI: https://doi.org/10.1111/joor.12685

Al-Khotani A, Meisha DE, Al Sayegh S, Hedenberg-Magnusson B, Ernberg M, Christidis N. The association between psychological symptoms and self-reported Temporomandibular disorders pain symptoms in children and adolescents. Front Oral Health. 2021;2:675709. https://doi.org/10.3389/froh.2021.675709 DOI: https://doi.org/10.3389/froh.2021.675709

Yap AU, Sultana R, Natu VP. Somatic and temporomandibular disorder symptoms – idioms of psychological distress in Southeast Asian youths. Cranio. 2021;1–8. Online ahead of print https://doi.org/10.1080/08869634.2021.1982496 DOI: https://doi.org/10.1080/08869634.2021.1982496

Dreher A, Hahn E, Diefenbacher A, Nguyen MH, Bőge K, Burian H, et al. Cultural differences in symptom representation for depression and somatization measured by the PHQ between Vietnamese and German psychiatric outpatients. J Psychosom Res. 2017;102:71–77. https://doi.org/10.1016/j.jpsychores.2017.09.010 DOI: https://doi.org/10.1016/j.jpsychores.2017.09.010

Choi E, Chentsova-Dutton Y, Parrott WG. The effectiveness of somatization in communicating distress in Korean and American cultural contexts. Front Psychol. 2016;7:383. https://doi.org/10.3389/fpsyg.2016.00383 DOI: https://doi.org/10.3389/fpsyg.2016.00383

Sun Y, Chen G, Wang L, et al. Perception of stigma and its associated factors among patients with major depressive disorder: a multicenter survey from an Asian population. Front Psychiatry. 2019;10:321. https://doi.org/10.3389/fpsyt.2019.00321 DOI: https://doi.org/10.3389/fpsyt.2019.00321

Ahmad F, Maule C, Wang J, Fung WLA. Symptoms and experience of depression among Chinese communities in the West: a scoping review. Harv Rev Psychiatry. 2018;26(6):340–351. https://doi.org/10.1097/HRP.0000000000000202 DOI: https://doi.org/10.1097/HRP.0000000000000202

Burton C, Fink P, Henningsen P, Löwe B, Rief W, EURONET-SOMA Group. Functional somatic disorders: discussion paper for a new common classification for research and clinical use. BMC Med. 2020;18(1):34. https://doi.org/10.1186/s12916-020-1505-4 DOI: https://doi.org/10.1186/s12916-020-1505-4

Manfredini D, Guarda-Nardini L, Winocur E, Piccotti F, Ahlberg J, Lobbezoo F. Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(4):453–462. https://doi.org/10.1016/j.tripleo.2011.04.021 DOI: https://doi.org/10.1016/j.tripleo.2011.04.021

Fantoni F, Salvetti G, Manfredini D, Bosco M. Current concepts on the functional somatic syndromes and temporomandibular disorders. Stomatologija. 2007;9(1):3–9.

Furquim BD, Flamengui LM, Conti PC. TMD and chronic pain: a current view. Dent Press J Orthod. 2015;20(1):127–133. https://doi.org/10.1590/2176-9451.20.1.127-133.sar DOI: https://doi.org/10.1590/2176-9451.20.1.127-133.sar

Restrepo C, Ortiz AM, Henao AC, Manrique R. Association between psychological factors and temporomandibular disorders in adolescents of rural and urban zones. BMC Oral Health. 2021;21(1):140. https://doi.org/10.1186/s12903-021-01485-4 DOI: https://doi.org/10.1186/s12903-021-01485-4

Yap AU, Zhang MJ, Lei J, Fu KY. Diagnostic accuracy of the short-form Fonseca Anamnestic Index in relation to the Diagnostic Criteria for Temporomandibular disorders. J Prosthet Dent. 2021;128(5):977–983. https://doi.org/10.1016/j.prosdent.2021.02.016 DOI: https://doi.org/10.1016/j.prosdent.2021.02.016

Yap AU, Zhang MJ, Zhang XH, Cao Y, Fu KY. Viability of the quintessential 5 temporomandibular disorder symptoms as a TMD screener. Oral Surg Oral Med Oral Pathol Oral Radiol. 2022;133(6):643–649. https://doi.org/10.1016/j.oooo.2021.11.009 DOI: https://doi.org/10.1016/j.oooo.2021.11.009

Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002;64(2):258–266. https://doi.org/10.1097/00006842-200203000-00008 DOI: https://doi.org/10.1097/00006842-200203000-00008

Lovibond SH, Lovibond PF. Manual for the Depression Anxiety & Stress Scales. 2nd ed. Sydney: Psychology Foundation; 1995. DOI: https://doi.org/10.1037/t01004-000

Pires PF, de Castro EM, Pelai EB, de Arruda ABC, Rodrigues-Bigaton D. Analysis of the accuracy and reliability of the Short-Form Fonseca Anamnestic Index in the diagnosis of myogenous temporomandibular disorder in women. Braz J Phys Ther. 2018;22(4):276–282. https://doi.org/10.1016/j.bjpt.2018.02.003 DOI: https://doi.org/10.1016/j.bjpt.2018.02.003

Zagalaz-Anula N, Sánchez-Torrelo CM, Acebal-Blanco F, et al. The short form of the Fonseca Anamnestic Index for the screening of Temporomandibular disorders: validity and reliability in a Spanish-speaking population. J Clin Med. 2021;10(24):5858. https://doi.org/10.3390/jcm10245858 DOI: https://doi.org/10.3390/jcm10245858

Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic criteria for Temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache. 2014;28(1):6–27. https://doi.org/10.11607/jop.1151 DOI: https://doi.org/10.11607/jop.1151

Sitnikova K, Dijkstra-Kersten SMA, Mokkink LB, et al. Systematic review of measurement properties of questionnaires measuring somatization in primary care patients. J Psychosom Res. 2017;103:42–62. https://doi.org/10.1016/j.jpsychores.2017.10.005 DOI: https://doi.org/10.1016/j.jpsychores.2017.10.005

American Psychological Association. Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Washington, DC: American Psychiatric Press; 2000.

Elhai JD, Yang H, Montag C. Anxiety and stress severity are related to greater fear of missing out on rewarding experiences: a latent profile analysis. Psych J. 2021;10(5):688–697. https://doi.org/10.1002/pchj.455 DOI: https://doi.org/10.1002/pchj.455

Kaloeti DVS, Kurnia S A, Tahamata VM. Validation and psychometric properties of the Indonesian version of the fear of missing out scale in adolescents. Psicol Reflex Crit. 2021;34(1):15. https://doi.org/10.1186/s41155-021-00181-0 DOI: https://doi.org/10.1186/s41155-021-00181-0

Lee J, Lee EH, Moon SH. Systematic review of the measurement properties of the Depression Anxiety Stress Scales-21 by applying updated COSMIN methodology. Qual Life Res. 2019;28(9):2325–2339. https://doi.org/10.1007/s11136-019-02177-x DOI: https://doi.org/10.1007/s11136-019-02177-x

Dancey CP, Reidy J. Statistics without maths for psychology. 7th ed. London: Pearson; 2017.

Lieb R, Pfister H, Mastaler M, Wittchen HU. Somatoform syndromes and disorders in a representative population sample of adolescents and young adults: prevalence, comorbidity and impairments. Acta Psychiatr Scand. 2000;101(3):194–208. https://doi.org/10.1034/j.1600-0447.2000.101003194.x DOI: https://doi.org/10.1034/j.1600-0447.2000.101003194.x

Regehr C, Glancy D, Pitts A. Interventions to reduce stress in university students: a review and meta-analysis. J Affect Disord. 2013;148(1):1–11. https://doi.org/10.1016/j.jad.2012.11.026 DOI: https://doi.org/10.1016/j.jad.2012.11.026

Clarke DM, Piterman L, Byrne CJ, Austin DW. Somatic symptoms, hypochondriasis and psychological distress: a study of somatisation in Australian general practice. Med J Aust. 2008;189(10):560–564. https://doi.org/10.5694/j.1326-5377.2008.tb02180.x DOI: https://doi.org/10.5694/j.1326-5377.2008.tb02180.x

Namvar MA, Afkari BF, Moslemkhani C, Mansoori K, Dadashi M. The relationship between depression and anxiety with Temporomandibular disorder symptoms in dental students. Maedica (Bucur). 2021;16(4):590–594. https://doi.org/10.26574/maedica.2021.16.4.590 DOI: https://doi.org/10.26574/maedica.2021.16.4.590

Marpaung C, Yap AU, Hanin I, Fitryanur A. Psychological distress and well-being: their association with temporomandibular disorder symptoms. Cranio. 2024;42(3):285-291. https://doi.org/10.1080/08869634.202 1.1971449 DOI: https://doi.org/10.1080/08869634.2021.1971449

Cao Y, Yap AU, Lei J, Zhang MJ, Fu KY. Subtypes of acute and chronic temporomandibular disorders: their relation to psychological and sleep impairments. Oral Dis. 2021;27(6):1498–1506. https://doi.org/10.1111/odi.13692 DOI: https://doi.org/10.1111/odi.13692

Yap AU, Zhang MJ, Cao Y, Lei J, Fu KY. Comparison of psychological states and oral health-related quality of life of patients with differing severity of temporomandibular disorders. J Oral Rehabil. 2022;49(2):177–185. https://doi.org/10.1111/joor.13216 DOI: https://doi.org/10.1111/joor.13216

Rodrigues-Bigaton D, de Castro EM, Pires PF. Factor and Rasch analysis of the Fonseca anamnestic index for the diagnosis of myogenous temporomandibular disorder. Braz J Phys Ther. 2017;21(2):120–126. https://doi.org/10.1016/j.bjpt.2017.03.007 DOI: https://doi.org/10.1016/j.bjpt.2017.03.007

Stovner Lj, Hagen K, Jensen R, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27(3):193–210. https://doi.org/10.1111/j.1468-2982.2007.01288.x DOI: https://doi.org/10.1111/j.1468-2982.2007.01288.x

Kleykamp BA, Ferguson MC, McNicol E, et al. The prevalence of comorbid chronic pain conditions among patients with temporomandibular disorders: a systematic review. J Am Dent Assoc. 2022;153(3):241–250.e10. https://doi.org/10.1016/j.adaj.2021.08.008 DOI: https://doi.org/10.1016/j.adaj.2021.08.008

Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol. 2005;44(Pt 2):227–239. https://doi.org/10.1348/014466505X29657 DOI: https://doi.org/10.1348/014466505X29657

Daviu N, Bruchas MR, Moghaddam B, Sandi C, Beyeler A. Neurobiological links between stress and anxiety. Neurobiol Stress. 2019;11:100191. https://doi.org/10.1016/j.ynstr.2019.100191 DOI: https://doi.org/10.1016/j.ynstr.2019.100191

Yang H, Liu B, Fang J. Stress and Problematic Smartphone Use severity: smartphone use frequency and fear of missing out as mediators. Front Psychiatry. 2021;12:659288. https://doi.org/10.3389/fpsyt.2021.659288 DOI: https://doi.org/10.3389/fpsyt.2021.659288

Barsky AJ, Peekna HM, Borus JF. Somatic symptom reporting in women and men. J Gen Intern Med. 2001;16(4):266–275. https://doi.org/10.1046/j.1525-1497.2001.016004266.x DOI: https://doi.org/10.1046/j.1525-1497.2001.016004266.x

Bueno CH, Pereira DD, Pattussi MP, Grossi PK, Grossi ML. Gender differences in temporomandibular disorders in adult populational studies: a systematic review and meta-analysis. J Oral Rehabil. 2018;45(9):720–729. https://doi.org/10.1111/joor.12661 DOI: https://doi.org/10.1111/joor.12661

Kawasaki Y, Zhang L, Cheng JK, Ji RR. Cytokine mechanisms of central sensitization: distinct and overlapping role of interleukin-1beta, interleukin-6, and tumor necrosis factor-alpha in regulating synaptic and neuronal activity in the superficial spinal cord. J Neurosci. 2008;28(20):5189–5194. https://doi.org/10.1523/JNEUROSCI.3338-07.2008 DOI: https://doi.org/10.1523/JNEUROSCI.3338-07.2008

Yunus MB. Editorial review: an update on central sensitivity syndromes and the issues of nosology and psychobiology. Curr Rheumatol Rev. 2015;11(2):70–85. https://doi.org/10.2174/157339711102150702112236 DOI: https://doi.org/10.2174/157339711102150702112236

Karvanen J. Study design in causal models. Scand J Statist. 2015;42(2):361–377. https://doi.org/10.1111/sjos.12110 DOI: https://doi.org/10.1111/sjos.12110

Smith WG. Does gender influence online survey participation? A record-linkage analysis of University Faculty online survey response behaviour [Internet]. [cited 18-03-2023]. Available from: https://eric.ed.gov/?id=ED501717

Althubaiti A. Information bias in health research: definition, pitfalls, and adjustment methods. J Multidiscip Healthc. 2016;9:211–217. https://doi.org/10.2147/JMDH.S104807 DOI: https://doi.org/10.2147/JMDH.S104807

Published

2024-05-28

Funding data