Oral behaviors in Chinese temporomandibular disorder patients: insights from exploratory and confirmatory factor analyses

AimThis study aimed to evaluate the factor structure of the Oral Behaviors Checklist (OBC) in Chinese temporomandibular disorder (TMDs) patients and compare the outcomes with those of Western patients. Additionally, it examined the correlations between different OBC subscale scoring methods.MethodsA...

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Main Authors: Tiqian Liu, Adrian Ujin Yap, Yanyu Sun, Yunhao Zheng, Tianqi Wang, Shiya Zeng, Zhen Liu, Xin Xiong
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Neurology
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Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2024.1522057/full
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author Tiqian Liu
Tiqian Liu
Adrian Ujin Yap
Adrian Ujin Yap
Adrian Ujin Yap
Yanyu Sun
Yanyu Sun
Yunhao Zheng
Yunhao Zheng
Tianqi Wang
Tianqi Wang
Shiya Zeng
Shiya Zeng
Zhen Liu
Xin Xiong
Xin Xiong
author_facet Tiqian Liu
Tiqian Liu
Adrian Ujin Yap
Adrian Ujin Yap
Adrian Ujin Yap
Yanyu Sun
Yanyu Sun
Yunhao Zheng
Yunhao Zheng
Tianqi Wang
Tianqi Wang
Shiya Zeng
Shiya Zeng
Zhen Liu
Xin Xiong
Xin Xiong
author_sort Tiqian Liu
collection DOAJ
description AimThis study aimed to evaluate the factor structure of the Oral Behaviors Checklist (OBC) in Chinese temporomandibular disorder (TMDs) patients and compare the outcomes with those of Western patients. Additionally, it examined the correlations between different OBC subscale scoring methods.MethodsA total of 869 patients completed a survey that included demographic information, the Symptom Questionnaire, and OBC. This was followed by a clinical examination and diagnosis based on the Diagnostic Criteria for TMDs (DC/TMDs). Exploratory factor analysis, along with confirmatory factor analysis, was applied to waking-state oral behaviors, revealing two key factors: Chinese non-functional (C-NFA) and functional (C-FA) oral activities. Items were contrasted with those of Italian TMDs patients (I-NFA and I-FA), and subscale scores were computed, compared, and correlated using Kruskal Wallis and Post-hoc and Spearman’s rank-order correlation (α = 0.05).ResultsVariations in NFA and FA items were observed between Chinese and Italian TMDs patients. For both NFA scoring methods, significant differences were noted between pain-related and intra-articular TMDs. The C-NFA and I-NFA, as well as C-FA and I-FA, scoring methods yielded scores with strong correlations (r > 0.8).ConclusionNFA and FA subscale items were determined for Chinese TMDs patients. Despite item discrepancies, C-NFA and C-FA scores were strongly correlated with I-NFA and I-FA scores, respectively. The OBC can be effectively simplified for use with Chinese TMDs patients. Developing and validating an East–West short-form version of the OBC should be prioritized, given the variations in oral behaviors across countries and cultures.
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spelling doaj-art-75abe4cbcac84e5289fc24545cdd7f892025-01-29T15:53:47ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-12-011510.3389/fneur.2024.15220571522057Oral behaviors in Chinese temporomandibular disorder patients: insights from exploratory and confirmatory factor analysesTiqian Liu0Tiqian Liu1Adrian Ujin Yap2Adrian Ujin Yap3Adrian Ujin Yap4Yanyu Sun5Yanyu Sun6Yunhao Zheng7Yunhao Zheng8Tianqi Wang9Tianqi Wang10Shiya Zeng11Shiya Zeng12Zhen Liu13Xin Xiong14Xin Xiong15West China School of Stomatology, Sichuan University, Chengdu, ChinaState Key Laboratory of Oral Diseases, National Centre for Stomatology & National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Chengdu, Sichuan University, Chengdu, ChinaWest China School of Stomatology, Sichuan University, Chengdu, ChinaDivision of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore, SingaporeNational Dental Research Institute Singapore, National Dental Centre Singapore, Duke-NUS Medical School, Singapore Health Services, Singapore, SingaporeWest China School of Stomatology, Sichuan University, Chengdu, ChinaState Key Laboratory of Oral Diseases, National Centre for Stomatology & National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Chengdu, Sichuan University, Chengdu, ChinaWest China School of Stomatology, Sichuan University, Chengdu, ChinaState Key Laboratory of Oral Diseases, National Centre for Stomatology & National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Chengdu, Sichuan University, Chengdu, ChinaWest China School of Stomatology, Sichuan University, Chengdu, ChinaState Key Laboratory of Oral Diseases, National Centre for Stomatology & National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Chengdu, Sichuan University, Chengdu, ChinaWest China School of Stomatology, Sichuan University, Chengdu, ChinaState Key Laboratory of Oral Diseases, National Centre for Stomatology & National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Chengdu, Sichuan University, Chengdu, ChinaAffiliated Hospital of North Sichuan Medical College, Nanchong, ChinaWest China School of Stomatology, Sichuan University, Chengdu, ChinaState Key Laboratory of Oral Diseases, National Centre for Stomatology & National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Chengdu, Sichuan University, Chengdu, ChinaAimThis study aimed to evaluate the factor structure of the Oral Behaviors Checklist (OBC) in Chinese temporomandibular disorder (TMDs) patients and compare the outcomes with those of Western patients. Additionally, it examined the correlations between different OBC subscale scoring methods.MethodsA total of 869 patients completed a survey that included demographic information, the Symptom Questionnaire, and OBC. This was followed by a clinical examination and diagnosis based on the Diagnostic Criteria for TMDs (DC/TMDs). Exploratory factor analysis, along with confirmatory factor analysis, was applied to waking-state oral behaviors, revealing two key factors: Chinese non-functional (C-NFA) and functional (C-FA) oral activities. Items were contrasted with those of Italian TMDs patients (I-NFA and I-FA), and subscale scores were computed, compared, and correlated using Kruskal Wallis and Post-hoc and Spearman’s rank-order correlation (α = 0.05).ResultsVariations in NFA and FA items were observed between Chinese and Italian TMDs patients. For both NFA scoring methods, significant differences were noted between pain-related and intra-articular TMDs. The C-NFA and I-NFA, as well as C-FA and I-FA, scoring methods yielded scores with strong correlations (r > 0.8).ConclusionNFA and FA subscale items were determined for Chinese TMDs patients. Despite item discrepancies, C-NFA and C-FA scores were strongly correlated with I-NFA and I-FA scores, respectively. The OBC can be effectively simplified for use with Chinese TMDs patients. Developing and validating an East–West short-form version of the OBC should be prioritized, given the variations in oral behaviors across countries and cultures.https://www.frontiersin.org/articles/10.3389/fneur.2024.1522057/fullfactor structureoral behaviorstemporomandibular disordersexploratory factor analysisconfirmatory factor analyses
spellingShingle Tiqian Liu
Tiqian Liu
Adrian Ujin Yap
Adrian Ujin Yap
Adrian Ujin Yap
Yanyu Sun
Yanyu Sun
Yunhao Zheng
Yunhao Zheng
Tianqi Wang
Tianqi Wang
Shiya Zeng
Shiya Zeng
Zhen Liu
Xin Xiong
Xin Xiong
Oral behaviors in Chinese temporomandibular disorder patients: insights from exploratory and confirmatory factor analyses
Frontiers in Neurology
factor structure
oral behaviors
temporomandibular disorders
exploratory factor analysis
confirmatory factor analyses
title Oral behaviors in Chinese temporomandibular disorder patients: insights from exploratory and confirmatory factor analyses
title_full Oral behaviors in Chinese temporomandibular disorder patients: insights from exploratory and confirmatory factor analyses
title_fullStr Oral behaviors in Chinese temporomandibular disorder patients: insights from exploratory and confirmatory factor analyses
title_full_unstemmed Oral behaviors in Chinese temporomandibular disorder patients: insights from exploratory and confirmatory factor analyses
title_short Oral behaviors in Chinese temporomandibular disorder patients: insights from exploratory and confirmatory factor analyses
title_sort oral behaviors in chinese temporomandibular disorder patients insights from exploratory and confirmatory factor analyses
topic factor structure
oral behaviors
temporomandibular disorders
exploratory factor analysis
confirmatory factor analyses
url https://www.frontiersin.org/articles/10.3389/fneur.2024.1522057/full
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