Psychological assessment of patients with temporomandibular disorders: confirmatory analysis of the dimensional structure of the Brief Symptoms Inventory 18

J Psychosom Res. 2006 Apr;60(4):365-70. doi: 10.1016/j.jpsychores.2005.10.013.

Abstract

Objective: This article analyzes the psychometric and structural properties of the Brief Symptoms Inventory 18 in a sample of patients with temporomandibular disorders (TMDs), given the convenience of a brief evaluation of distress in these patients.

Methods: Confirmatory factor analysis was carried out in a sample of 114 patients with TMDs. Two models were tested: the theoretical model with the original structure proposed--which considers three dimensions--and the empirical model obtained through the exploratory factor analysis initially carried out by Leonard R. Derogatis--which consists of the four-factor structure.

Results: Both models reached satisfactory indexes in confirmatory factor analysis. Empirical and theoretical reasons led us to prefer the original proposal of three dimensions: somatization, depression and anxiety, and general distress.

Conclusion: The Brief Symptoms Inventory 18 has been demonstrated to be a reliable and valid tool for the assessment of distress in patients with TMDs, with the advantage of its simplicity and ease of application.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anxiety / psychology
  • Depression / psychology
  • Humans
  • Middle Aged
  • Models, Psychological
  • Personality Inventory*
  • Reproducibility of Results
  • Somatoform Disorders / physiopathology
  • Somatoform Disorders / psychology*
  • Surveys and Questionnaires
  • Temporomandibular Joint Disorders / physiopathology
  • Temporomandibular Joint Disorders / psychology*