Evidence map›Paper›PMID 42098718›Full record

ArticleBMC nursing2026

Latent profiles of oral health-related quality of life in temporomandibular disorders: implications for nurse-led stratified care.

Qingying Zhu, Junjie Wang, Yanhong Zhang, Qianju Wu, Xiaping Wang, Yi Zhang, Liqing Su

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Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Qingying ZhuDepartment of ProsthodonticsⅡ, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Stomatological Hospital of Xiamen Medical College, No.1309, Lvling Road, Huli District, Xiamen, Fujian, 361008, China.
Junjie Wang *Department of ProsthodonticsⅡ, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Stomatological Hospital of Xiamen Medical College, No.1309, Lvling Road, Huli District, Xiamen, Fujian, 361008, China.
Yanhong Zhang *Department of ProsthodonticsⅡ, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Stomatological Hospital of Xiamen Medical College, No.1309, Lvling Road, Huli District, Xiamen, Fujian, 361008, China.
Qianju WuDepartment of ProsthodonticsⅡ, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Stomatological Hospital of Xiamen Medical College, No.1309, Lvling Road, Huli District, Xiamen, Fujian, 361008, China.
Xiaping WangDepartment of ProsthodonticsⅡ, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Stomatological Hospital of Xiamen Medical College, No.1309, Lvling Road, Huli District, Xiamen, Fujian, 361008, China.
Yi ZhangDepartment of ProsthodonticsⅡ, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Stomatological Hospital of Xiamen Medical College, No.1309, Lvling Road, Huli District, Xiamen, Fujian, 361008, China. 244107740@qq.com.
Liqing SuDepartment of ProsthodonticsⅡ, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Stomatological Hospital of Xiamen Medical College, No.1309, Lvling Road, Huli District, Xiamen, Fujian, 361008, China. 13616047973@163.com.

Funding

2025 Fujian Provincial Health Science and Technology Program Grant No. 2025RKA025the Education and Teaching Reform Project of Xiamen Medical College XWSJ2025014
6 · The paper itself

Abstract

backgroundTemporomandibular disorders (TMD) are common chronic orofacial pain conditions that substantially impair oral health-related quality of life (OHRQoL). The multidimensional burden of TMD, involving pain, functional limitation, psychological distress, and maladaptive behaviors, is highly heterogeneous. However, nursing practice lacks empirically derived frameworks that support early risk stratification and profile-informed, nurse-led care.

methodsThis cross-sectional study was conducted in a tertiary TMD specialty clinic between February 2024 and August 2025. A total of 515 adults diagnosed with TMD according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) were enrolled. OHRQoL was assessed using the OHIP-TMD-22. Latent profile analysis (LPA) was performed based on seven OHIP-TMD-22 domain scores to identify distinct OHRQoL profiles. Pain intensity (NRS), jaw functional limitation (JFLS-8), psychological distress (DASS-21), and oral-related behaviors were compared across profiles. Multinomial logistic regression was used to examine factors associated with profile membership from a nursing assessment perspective.

resultsFour latent OHRQoL profiles with a clear gradient structure were identified: minimal impact (46.80%), mild-moderate impact (31.26%), psychological-functional high impact (16.89%), and severe generalized impairment (5.05%). Progressive increases in pain, functional limitation, psychological distress, and behavioral risk clustering were observed across profiles. Pain intensity, jaw functional limitation, and stress emerged as the most consistent factors associated with profile membership, while depressive symptoms were additionally associated with the most severe profile. These patterns suggest that pain, function, and stress may serve as practical candidate indicators for nurse-led early screening of patients with higher multidimensional burden.

conclusionsThis study suggests that TMD is a nursing-sensitive chronic pain condition characterized by substantial heterogeneity in OHRQoL. The identified latent profiles may offer a preliminary framework for nurse-led risk stratification and stratified care planning. Integrating OHRQoL, pain, functional, and psychological assessments into routine nursing practice may help improve early identification of vulnerable subgroups and inform more tailored nursing care; however, the practical utility of this approach warrants further validation in longitudinal and multicenter studies. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Jaw functional limitationLatent profile analysisNurse-led careOral health-related quality of lifePsychological distressSelf-managementStratified careTemporomandibular disorders

Identifiers

PMID42098718
PMCPMC13182050

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.