Temporomandibular disorders among Brazilian adolescents: reliability and validity of a screening questionnaire

Author(s)

Franco-Micheloni, Ana Lucia ^{[1, 2]} ; Fernandes, Giovana ^[1] ; de Godoi Goncalves, Daniela Aparecida ^[1] ; Camparis, Cinara Maria ^[1]

Affiliation

^[1] Univ Estadual Paulista, UNESP, Araraquara Dent Sch, Dept Dent Mat & Prosthodont, Araraquara, SP - Brazil

^[2] Ctr Univ Araraquara UNIARA, Araraquara, SP - Brazil

• Document type: Journal article
• Source: Journal of Applied Oral Science; v. 22, n. 4, p. 314-322, JUL-AUG 2014.
• Web of Science Citations: 10

Abstract

Temporomandibular disorders (TMD) screeners assume significant item overlap with the screening questionnaire proposed by the American Academy of Orofacial Pain (AAOP). Objective: To test the reliability and validity of the Portuguese version of AAOP questions for TMD screening among adolescents. Material and Methods: Diagnoses from Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I were used as reference standard. Reliability was evaluated by internal consistency (KR-20) and inter-item correlation. Validity was tested by sensitivity, specificity, predictive values, accuracy and receiver operating characteristic (ROC) curves, the relationship between the true-positive rate (sensitivity) and the false-positive rate (specificity). Test-retest reliability of AAOP questions and intra-examiner reproducibility of RDC/TMD Axis I were tested with kappa statistics. Results: The sample consisted of 1307 Brazilian adolescents (56.8% girls; n=742), with mean age of 12.72 years (12.69 F/12.75 M). According to RDC/TMD, 397 [30.4% (32.7% F/27.3% M)] of adolescents presented TMD, of which 330 [25.2% (27.6% F/22.2% M)] were painful TMD. Because of low consistency, items #8 and #10 of the AAOP questionnaire were excluded. Remaining items (of the long questionnaire version) showed good consistency and validity for three positive responses or more. After logistic regression, items #4, #6, #7 and #9 also showed satisfactory consistency and validity for two or more positive responses (short questionnaire version). Both versions demonstrated excellent specificity (about 90%), but higher sensitivity for detecting painful TMD (78.2%). Better reproducibility was obtained for the short version (k=0.840). Conclusions: The Portuguese version of AAOP questions showed both good reliability and validity for the screening of TMD among adolescents, especially painful TMD, according to RDC/TMD. (AU)

• FAPESP's process: 10/20445-9 - VALIDATION OF A QUESTIONNAIRE FOR THE DIAGNOSIS OF TEMPOROMANDIBULAR DISORDERS AND EPIDEMIOLOGICAL CHARACTERIZATION IN A POPULATIONAL SAMPLE OF ADOLESCENTS
• Grantee: Ana Lúcia Franco Micheloni
• Support Opportunities: Scholarships in Brazil - Doctorate