Abstract
Mental health disorders such as depression or anxiety, or both, are more common in
patients with temporomandibular disorders (TMD) (16%-40%) than in the general population
(16%), and failure to recognise them may be detrimental to the management of TMD.
Paper-based screening tools previously reported in this group require assessment by
clinicians and subsequent collation of data. We describe our experience of a new system
− IMPARTS (Integrating mental and physical: research training and services), which
uses validated tools to identify and to monitor the progress of patients who may benefit
from psychological intervention. At outpatient clinics, patients used an electronic
tablet to complete the General Anxiety Disorder Questionnaire (GAD-7), the Patient
Health Questionnaire (PHQ-9), the Inclusion of Oral Health Impact Profile (OHIP-14),
and the Brief Pain Inventory (BPI). Data were linked directly to their electronic
record to allow the results, with suggestions for treatment, to be reviewed immediately
during the consultation. A total of 162 patients were included. Screening showed that
referral was required in 28 (17%) with a probable major depressive disorder and 32
(20%) with a general anxiety disorder. Two (1%), who were identified as being at high
risk of suicide or self-harm, were referred for immediate psychological assessment.
Use of the system can aid the holistic treatment of patients with TMD through appropriate
referral. Early identification of mental health problems and concurrent management
are most beneficial in those who have had symptoms of TMD for up to two years, and
are therefore essential.
Keywords
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Article info
Publication history
Published online: April 27, 2017
Accepted:
March 22,
2017
Received:
August 13,
2016
Identification
Copyright
© 2017 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
