Catastrophizing is associated with pain-related disability in temporomandibular disorders

Sousa, C.; Lima-Arsati, Ynara Bosco de Oliveira; Velly, Ana Míriam; Silva, Carlos Alberto Lima da; Arsati, Franco

doi:10.1590/1807-3107bor-2023.vol37.0070

Cited by 4 publications

(4 citation statements)

References 30 publications

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“…Additionally, pain intensity was found to exert a greater impact than pain chronicity [ 19 ]. The role of pain catastrophizing, an exaggerated negative mental response to pain, could be crucial, as it has been related to both pain intensity and jaw functional limitation [ 20 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Intra-articular conditions, by themselves, are devoid of pain and do not usually adversely affect jaw function. Conversely, limitations in jaw function are linked to TMD-related pain intensity, chronicity, and catastrophization [ 15 , 19 , 20 , 35 ]. Even so, recent findings indicate that jaw functional limitation is not correlated with somatization and psychological distress [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

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Sleeping and waking-state oral behaviors in TMD patients: their correlates with jaw functional limitation and psychological distress

Yap,

Kim,

Lee

et al. 2024

Clin Oral Invest

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Objectives This study investigated oral behaviors in various temporomandibular disorder (TMD) subtypes, assessing their frequency, extent, and associations with both jaw functional status and psychological distress. Materials and methods Anonymized data from consecutive "initial-visit" TMD patients at a university-affiliated oral medicine clinic were obtained. Alongside demographic information, patients completed various questionnaires including the Diagnostic Criteria for TMD (DC/TMD) Symptom Questionnaire, Oral Behavior Checklist (OBC), Jaw Functional Limitation Scale-20 (JFLS-20), Patient Health Questionnaire-9 (PHQ-9), and General Anxiety Disorder Scale-7 (GAD-7). Patients underwent a protocolized clinical examination and received diagnoses of pain-related (PT), intra-articular (IT), or combined (CT) TMD using the DC/TMD diagnostic algorithms. Data were evaluated with Chi-square/non-parametric tests and logistic regression analyses (α = 0.05). Results The study comprised 700 patients (mean age 37.4 ± 15.7 years), with 12.6%, 15.1%, and 72.3% diagnosed with PT, IT, and CT, respectively. For all TMD subtypes, oral activities during sleep were more prevalent than those during wakefulness. While variations in total/subscale OBC scores were insignificant, substantial differences were observed in global/subscale JFLS (PT, CT > IT), depression (PT, CT > IT), and anxiety (CT > IT) scores. Near-moderate correlations (rs = 0,36–0.39) were discerned between overall/waking-state non-functional oral behaviors and depression/anxiety. Multivariate analysis indicated that the odds of different TMD subtypes were influenced by sex, age, and jaw functional status. Conclusions For all TMD patients, sleep-related oral activities were more commonly reported than waking-state activities. Factors such as sex, age, and jaw functional limitation are associated with the likelihood of different TMD subtypes. Statement of clinical relevance Oral behaviors, in themselves, do not predict distinct TMD subtypes, in contrast to factors such as sex, age, and jaw functional status.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sleeping and waking-state oral behaviors in TMD patients: their correlates with jaw functional limitation and psychological distress

Yap,

Kim,

Lee

et al. 2024

Clin Oral Invest

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“…After the RDC/TMD examination protocol was completed, all subjects were asked to fill out questionnaires: the Tampa scale for kinesiophobia for temporomandibular disorders (TSK-TMD), patient health questionnaire (PHQ-9), generalized anxiety disorder (GAD-7), jaw functional limitation scale (JFLS-20) and graded chronic pain scale (GCSP). All of questionnaires are standardized and widely used in both clinical and research setups, and show good diagnostic value when applied to the assessment of the TMD population [8,13,16,22]. The whole RDC/TMD examination protocol was performed by a TMD specialist with more than a decade of experience.…”

Section: Methodsmentioning

confidence: 99%

“…Despite the publication of guidelines, no papers have been, to date, been published that investigate the relationship between kinesiophobia, emotional state, functional state and pain, and produce results that can be compared to each other in one global project. While individual studies have tried to address this question in different configurations, their use of different tools produced a limited and selective analysis [10,[14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Kinesiophobia, Emotional State, Functional State and Chronic Pain in Subjects with/without Temporomandibular Disorders

Marciniak,

Kruk-Majtyka,

Bobowik

et al. 2024

JCM

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Although there is growing evidence that kinesiophobia is correlated with temporomandibular disorders (TMD), its relationship with other characteristic TMD comorbidities, such as depression, anxiety, functional limitations, and pain in the TMD population, has rarely been investigated. This study aims to evaluate the relationship between kinesiophobia, emotional state, functional state and chronic pain in subjects both with and without TMD. A total of 94 subjects participated in the study and were divided into two groups (47 subjects each)—TMD (subjects with temporomandibular disorders) and nTMD (asymptomatic controls)—on the basis of the RDC/TMD protocol. All measurements were taken with self-administered questionnaires: TSK-TMD for kinesiophobia, PHQ-9 and GAD-7 for psychoemotional state, JFLS-20 for jaw functional limitations, and GCPS for chronic pain. The prevalence of kinesiophobia in the TMD group was 38.3% for moderate risk, and 61.7% for high risk. The TMD group showed significantly higher scores in all categories (kinesiophobia, depression, jaw functional limitations and chronic pain), with the exception of anxiety which was right at the cut-off point. Moreover, a significant correlation was found between kinesiophobia (TSK-TMD) and jaw functional limitations (JFLS-20). Results of this study could provide new insight into the relationship between kinesiophobia and TMD, further improving the diagnosis process.

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How do the mindfulness and sensory‐behavioural‐emotional aspects influence the painful experience related to temporomandibular disorder?

Melchior,

Magri,

Victoria Díaz‐Serrano

et al. 2024

J of Oral Rehabilitation

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BackgroundChronic pain is persistent or recurrent pain lasting longer than 3 months. The experience of temporomandibular disorder (TMD)‐related pain is modulated by emotional and social factors, with mindfulness encapsulating these aspects.ObjectiveTo investigate the association between cognitive‐behavioural‐emotional characteristics, mindfulness and the painful experience in women with chronic pain‐related TMD.MethodsA cross‐sectional study was conducted, including 90 women aged between 18 and 61 years old, diagnosed with chronic pain‐related TMD according to the Diagnostic Criteria for Temporomandibular Disorder, considering both temporomandibular joint and muscle pain. Specific instruments were employed to assess cognitive‐behavioural‐emotional aspects. The Mindful Attention Awareness Scale and the Five Facets of Mindfulness Questionnaire scales evaluated the level and construct of mindfulness. The relationship between variables was analysed using bivariate association tests (.05 > p < .20), followed by multiple regression tests (p < .05).ResultsThe heightened experience of pain correlated with increasing age, a low level of education, the attribution of the locus of control by chance, and lower levels of mindfulness (p < .05). The heightened experience of pain was negatively influenced by mindfulness levels (p < .05). On the other hand, the painful experience was mainly influenced by facets describing negative formulation, distraction, non‐reactivity and non‐judgement (p < .05).ConclusionDemographic, cognitive‐behavioural‐emotional data and levels of mindfulness and its facets presented different influence weights on the painful experience. These findings provide support for future studies focusing on mindfulness strategies, education and pain management in women with chronic pain‐related TMD.

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Catastrophizing is associated with pain-related disability in temporomandibular disorders

Cited by 4 publications

References 30 publications

Sleeping and waking-state oral behaviors in TMD patients: their correlates with jaw functional limitation and psychological distress

Sleeping and waking-state oral behaviors in TMD patients: their correlates with jaw functional limitation and psychological distress

The Relationship between Kinesiophobia, Emotional State, Functional State and Chronic Pain in Subjects with/without Temporomandibular Disorders

How do the mindfulness and sensory‐behavioural‐emotional aspects influence the painful experience related to temporomandibular disorder?

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