A Study on the Symptom of Temporomandibular disorder(TMD) and the Relationship with the Psychological Character using Symptom Check List-90-Revision(SCL-90-R)

간이정신진단검사(SCL-90-R)를 이용한 측두하악장애 증상과 심리특성과의 관계 연구

  • Lee, Tae-Yong (Depratment of Preventive Medicine, Chungnam National University School of Medicine and Research Institute for Medical Sciences) ;
  • Kim, Jung Suk (Deparrtment of Dental Technology, Daejeon college) ;
  • Lee, Hye-Eun (Deparrtment of Dental Technology, Kyung-dong university)
  • 이태용 (충남대학교 의과대학 예방의학교실) ;
  • 김정숙 (대전보건대학교 치기공과) ;
  • 이혜은 (경동대학교 치기공과)
  • Received : 2014.08.14
  • Accepted : 2015.01.08
  • Published : 2015.01.31


This study examined the symptoms of temporomandibular disorder and the relationship with the psychological character using Symptom Check List-90-Revision (SCL-90-R). The self-administered questionnaire survey was implemented from March 1, 2014 to June 30, 2014 targeting 294 University Students in Daejeon and Gangwon area aged 20-31 years old (Men 140 persons, Women 54 persons). The data showed that the teeth grinding and the unilateral chewing out of corrupt practices in the mouth in relation to the use of the lower jaw showed a significant correlation (p<0.01) with the depth of symptoms of temporomandibular disorder, as the result of the simple psychodiagnosis inspection (SCL-90-R), and a significant correlation (p<0.05) with the depth of symptoms of temporomandibular disorder in the item excluding phobic anxiety (PHOB). The somatization (SOM) criteria out of individual psychological characteristic appeared to have the significant plus (+) effect on the depth of symptoms of temporomandibular disorder as a result of implementing multiple regression analysis by controlling the individual characteristic variables to check the influence of the psychological character of the study object on the symptom of temporomandibular disorder.

본 연구는 SCL-90-R을 이용해 측두하악장애 증상과 심리특성과의 관계를 알아보고자 실시되었다. 대전과 강원지역의 20-31세 대학생 294명(남자 140명, 여자 54명)을 대상으로 2014년 03월 01일부터 2014년 6월 30일까지 자기기입식 설문조사를 실시하였다. 수집된 자료의 분석결과 하악 사용과 관련된 구강 내 악습관 중 이갈이와 편측 저작이 측두하악 장애증상의 심도에 유의미한 상관관계(p<0.01)를 보였으며, 간이 정신진단검사(SCL-90-R) 결과 공포불안(PHOB)를 제외한 항목에서 측두하악장애 증상의 심도와 유의미한 상관관계를 보였다(p<0.05). 연구대상자들의 심리특성이 측두하악장애 증상에 미치는 순수한 영향력을 살펴보기 위해 개인적 특성변수를 통제하여 다중회귀분석을 실시한 결과 개인적 심리특성 요인중 신체화(SPM) 척도만이 측두하악장애 증상의 심도에 유의한 정(+)적 영향을 미치는 것으로 나타났다.



  1. Statistics, Economically Active Population Survey, 2013. Re-quoted.
  2. H.O. Jeon. The Influence of Job-seeking Stress, Adult Attachment and Self-assertiveness, on Depression among Korean College Students. JKCA 14(07). 312-324. 2014.
  3. S.O. Kim. A study on Relationships among College Students' Self-differentiation, Self-esteem and Mental Health Focused on Depression and Anxiety. Dept. family studies and consumer sciences Graduate school of Inje univ. 2009.
  4. S.K. Kim. SK, Life stress in Freshman and Adjustment to college. Korean journal of youth studies10(2). 215-237. 2003.
  5. Lupton.D.E. Psycological arpects of T.M.J. dysfunction. JADA(79). 131-136. 1969.
  6. Nilsson IM, Drangsholt M, List T. Impact of temporomandibular disorder pain in adolescents: differences by age and gender. J Orofac Pain. 23(2) 115-22. 2009.
  7. Engstroom AL, Waanman A, Johansson A, Keshishian P, Forsberg M. Juvenile arthritis and development of symptoms of temporomandibular disorders: a 15-year prospective cohort study. J Orofac Pain. 21(2). 120-6. 2007.
  8. S.C.Jung., Y.G.Kim.(Co-Author), Orofacial Pain and Temporomandibular Disorders. Revisions. shinhung international. 2006.
  9. E.G. Seo. Prevalence of temporomandibular disorders and its risk factors among office workers, service workers and teachers. Dept. of Epidemiology and Health Informations Graduate School. Korea University. 2010.
  10. Okeson JP, Philips BA, Baldwin RM. Nocturnal bruxing event: a report of normative data and cardiobascular response. J Oral Rehabil(21), 623-630. 1994.
  11. Thomas LJ, Tiber N, Schireson S. The effects of anxiety and frustration on muscular tension related to the temporomandibular joint syndrome. Oral Surg(36), 763-768. 1973.
  12. J.H. Cha, J.S. Park. M.Y. Ko, Y.W. Ahn. A Psychological Analysis of the Recurred TMD patients by SCL-90-R. Korean Journal of Oral Medicine. 141-146. 2006.
  13. H.Y.Park. Comparison of tension type headache associated with pericranial tenderness and headache attributed to temporomandibular joint disorder using RDC/TMD. Graduate school. kyunghee university. 2010.
  14. K.H.Moon. Evaluation of Temporomandibular Disorders with Tension-Type Headache by Age. Graduate school. kyunghee university. 2009.
  15. J.H.Park. The Effects of Neurofeedback Training on Pain Reduction, Quality of Sleep, and Quality of Life in Patients with Temporomandibular Disorders. Graduate School. Chonbuk National University. 2010.
  16. D.E.Sohn. An Epidemiological Study of Temporomandi -bular Disorders Patients by Screening Questionnaire. Graduate school. Busan National University. 2004.
  17. Neill MC. The American Academy of Oral-facial Pain edited by Charles:Temporomandibular Disorders, Guideleines for Classification. Assessment and Management. 2nd ed., Chicago. Quintessence piblishing co., 62. 1993.
  18. H.S. Park. An epidemiologic Study of Symptoms of Temporomandibular Disorders in Korean College Students. Dept of Dental Laboratory of Shingu College. 2007.
  19. Nilner M.. Prevalence of functional disturbance and diseases of the stomatognathic system in 15-18 year olds. Swed Dent(5) 189-197. 1981.
  20. S.B. Kim, K.J. Lee, Clinical and Psychosomatic analysis of the temporomandibular disorder patient. Journal of The Korean Association of Oral and Maxilofacial Surgeons. Vol18(4) 60-72. 1992.
  21. B.S.Kim., J.Y.Hoe., S.M.Ok., Cyber Leisure Activities and Physical Activities In Adolescants with Temporomandibular Disorder. Korean journal of oral medicine 38(2), 187-201, 2013.
  22. H.S.Kim., S.C.Park., M.H.Jung., A S셔요 on the Relationship between Malocclusion and the Prevalence of Temporomandibular Disorder. The Journal of Korean academy of dental technology. 35(3), .231-242, 2013. DOI:
  23. J.P. Hatch, J.D. Rugh, S Sakai et al. Is use of exogenous estrogen associated with temporomandibular signs and symptoms. JADA(32) 319-326. 2001.
  24. B.S. Krogstad, A Jokstad, B.L. Dahl, O Vassend. The reporting of pain, somatic complaint, and anxiety in a group of patients with TMD before and 2 years after treatment : sex differences. Journal of Orofacial Pain(10) 263-269.1996.
  25. E.J.Park., Y.J.Yoon. Relationship between the prevalence of temporomandibular joint disorders in some male high school students and computer utilization. Journal of Korean Society of Dental Hygiene . 13(4), .651-657, 2013.
  26. Okeson JP. Fundamentals occlusion and TMJ disor -ders. 2nd ed., Mosby Co., 9, 167, 209, 310. 1985.
  27. Agerberg G, Bergenholtz A. Craniomandibular disorders in adult populations of West Bothnia Sweden. Acta Odont Scand(47) 129-140. 1989.
  28. G.Y. Kim. The Prevalence of TMJ Osteoarthritis in Korean TMD Patients. Graduate school of seoul university. 2014
  29. S.M.Ok. A clinical study of Temporomandibular Disorder among Adolescents. Graduate school of Busan university. 2014.
  30. Madland G, Feinmann C, Newman S. Factors associa -ted with anxiety and depression in facial arthromyalgia. Pain(84) 225-232. 2000.
  31. U.G.G. The relationship between etiologic factors and stress temporomandibular disorder patients by heart rate variability test. The journal of the Korean dental association 43(6). 416-427, 2005.
  32. M.Y. Go, Y.G. Kim. A Study on personality Traits of the Patients with TMJ Dysfunction Through the MMPI). Korean Journal of Oral Medicine. Vol10(1). 1995.