Chronic TM Disorder and Non-TM Disorder Pain: A Comparison of Behavioral and Psychological Characteristics

McKinney, Michael W.; Londeen, T F; Turner, Sam; Levitt, Stephen R.

doi:10.1080/08869634.1990.11678298

Cited by 17 publications

(12 citation statements)

References 9 publications

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“…Finally, although the TMD group reported higher chronic stress than individuals in the non-TMD group, they demonstrated significantly less impairment in activity level, higher perceived pain tolerance, and more hope about treatment. These findings led McKinney et al [50] to conclude that, in general, TMD and other groups of patients with chronic pain are psychologically and behaviorally similar; however, individuals presenting with TMD appear to perceive their disorder differently, resulting in less impairment than other groups of patients with chronic pain.…”

Section: Comparison Of Tmd and Other Chronic Pain Groupsmentioning

confidence: 91%

“…McKinney et al [50] compared the behavioral and psychological characteristics of a group of patients with TMD with individuals presenting with a chronic pain problem that was not TMD related. All participants completed the Chronic Pain Battery, a multidimensional instrument specifically designed to gather medical, psychological, behavioral, social, and pain data.…”

Section: Comparison Of Tmd and Other Chronic Pain Groupsmentioning

confidence: 99%

“…Studies have indicated that patients with TMD demonstrate increased somatization, stress, anxiety, and depression relative to healthy individuals [38,50], and a consistent relationship has been demonstrated among anxiety, general somatic complaints, and TMD-related pain [51]. These relationships are especially compelling in individuals presenting with significant psychiatric difficulties, as they complained of more pain associated with temporomandibular pain dysfunction syndrome, and reported more depression, anxiety, and physical symptoms than patients without a mental disorder [52].…”

Section: Psychological Assessmentmentioning

confidence: 99%

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The role of psychosocial factors in temporomandibular disorders

Rollman

Gillespie

2000

Current Review of Pain

161

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The temporomandibular disorders (TMDs) comprise a constellation of symptoms affecting the joints and muscles involved in jaw movement. Patients complain of orofacial pain, limited jaw opening, and clicking or popping sounds. Although pain is generally the defining characteristic of TMD, patients often report marked degrees of stress and interference in daily life. This article reviews recent studies on epidemiology, sex differences, pediatric TMD, classification systems, comparisons to other chronic pain disorders of uncertain etiology, psychological assessment, depression, central modulation and hypervigilance, sleep disturbances, stress, and the management of TMD by conservative physical interventions and cognitive behavioral therapy. Both the assessment and the management of TMD requires a multidisciplinary perspective with strong emphasis on psychosocial variables.

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Section: Comparison Of Tmd and Other Chronic Pain Groupsmentioning

confidence: 91%

Section: Comparison Of Tmd and Other Chronic Pain Groupsmentioning

confidence: 99%

Section: Psychological Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

The role of psychosocial factors in temporomandibular disorders

Rollman

Gillespie

2000

Current Review of Pain

161

View full text Add to dashboard Cite

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“…47 The patients were not divided into diagnostic subgroups, however, and the diagnostic method is not very well described.…”

Section: Notementioning

confidence: 99%

Anxiety and depression in patients with chronic temporomandibular pain and in controls

Giannakopoulos¹,

Keller²,

Rammelsberg³

et al. 2010

Journal of Dentistry

132

120

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“…Temporomandibular disorder (TMD) treatment trends in recent decades have leaned toward multi-modal as well as multi-disciplinary management, in line with that of other chronic musculoskeletal conditions [1]. Such strategies often suggest the use of less invasive and reversible interventions, and has been mainly represented by the involvement of psychotherapy (utilising technology such as biofeedback [2], cognitive and behavioural therapies [3,4]); physiotherapy [5-9] (utilising exercises, mobilisation and various electro-medical therapies); and complementary and alternative medicine therapies (chiropractic [10,11], osteopathy [12,13], massage [14-17], relaxation therapy [18], acupuncture [19,20] and others [21-25]).…”

Section: Introductionmentioning

confidence: 99%

Intra-oral myofascial therapy versus education and self-care in the treatment of chronic, myogenous temporomandibular disorder: a randomised, clinical trial

et al. 2013

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BackgroundMyogenous temporomandibular disorders (TMD) are considered to be a common musculoskeletal condition. No studies exist comparing intra-oral myofascial therapies to education, self-care and exercise (ESC) for TMD. This study evaluated short-term differences in pain and mouth opening range between intra-oral myofascial therapy (IMT) and an ESC program.MethodsForty-six participants with chronic myogenous TMD (as assessed according to the Research Diagnostic Criteria Axis 1 procedure) were consecutively block randomised into either an IMT group or an ESC group. Each group received two sessions per week (for five weeks) of either IMT or short talks on the anatomy, physiology and biomechanics of the jaw plus instruction and supervision of self-care exercises. The sessions were conducted at the first author’s jaw pain and chiropractic clinic in Sydney, Australia. Primary outcome measures included pain at rest, upon opening and clenching, using an eleven point ordinal self reported pain scale. A secondary outcome measure consisted of maximum voluntary opening range in millimetres. Data were analysed using linear models for means and logistic regression for responder analysis.ResultsAfter adjusting for baseline, the IMT group had significantly lower average pain for all primary outcomes at 6 weeks compared to the ESC group (p < 0.001). These differences were not clinically significant but the IMT group had significantly higher odds of a clinically significant change (p < 0.045). There was no significant difference in opening range between the IMT and ESC groups. Both groups achieved statistically significant decreases in all three pain measures at six weeks (p ≤ 0.05), but only the IMT group achieved clinically significant changes of 2 or more points.ConclusionThis study showed evidence of superiority of IMT compared to ESC over the short-term but not at clinically significant levels. Positive changes over time for both IMT and ESC protocols were noted. A longer term, multi-centre study is warranted.Trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12610000508077.

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Chronic TM Disorder and Non-TM Disorder Pain: A Comparison of Behavioral and Psychological Characteristics

Cited by 17 publications

References 9 publications

The role of psychosocial factors in temporomandibular disorders

The role of psychosocial factors in temporomandibular disorders

Anxiety and depression in patients with chronic temporomandibular pain and in controls

Intra-oral myofascial therapy versus education and self-care in the treatment of chronic, myogenous temporomandibular disorder: a randomised, clinical trial

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