Cross‐cultural differences in types and beliefs about treatment in women with temporomandibular disorder pain

Al-Harthy, Mohammad; List, Thomas; Ohrbach, Richard; Michelotti, Ambra

doi:10.1111/joor.12683

Cited by 8 publications

(8 citation statements)

References 54 publications

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“…There are some relevant studies that evaluated the beliefs of patients with TMD and other painful conditions. [26][27][28][29][30] Beliefs in causal attributions in which patients express beliefs about the cause of their own conditions are relevant among these studies. For instance, one study investigated whether the existence of an association between self-reported oral waking behaviours and TMD pain depended on patients' beliefs that these behaviours were prejudicial.…”

Section: Temp Oromandibul Ar Disorder S (Mis) B Eliefs and Their Impac Tmentioning

confidence: 99%

“…35 For instance, cross-cultural differences are associated with different beliefs about the influence of behavioural factors on TMD pain. 26,27 Thus, when outlining strategies to change the erroneous beliefs of patients, it is necessary to consider that the patients' understanding and reporting of pain and their treatment-seeking behaviour can be influenced by cultural factors.…”

Section: Temp Oromandibul Ar Disorder S (Mis) B Eliefs and Their Impac Tmentioning

confidence: 99%

“…There are some relevant studies that evaluated the beliefs of patients with TMD and other painful conditions 26–30 . Beliefs in causal attributions in which patients express beliefs about the cause of their own conditions are relevant among these studies.…”

Section: Temporomandibular Disorders (Mis)beliefs and Their Impactmentioning

confidence: 99%

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Detrimental impact of temporomandibular disorders (mis)beliefs and possible strategies to overcome

Cintra

Oliveira

Lorenzo

et al. 2022

J of Oral Rehabilitation

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Aim This topical review presents common patients’ misbeliefs about temporomandibular disorders (TMD) and discusses their possible impact on the diagnosis, treatment and prognosis. We also discussed the possible influence of the beliefs and behaviours of healthcare providers on the beliefs of patients with TMD and suggested possible strategies to overcome the negative impacts of such misbeliefs. Methods This topical review was based on a non‐systematic search for studies about the beliefs of patients and healthcare professionals about TMD in PubMed and Embase. Results Patients’ beliefs can negatively impact the diagnosis, treatment and prognosis of TMD. These beliefs can be modulated by several factors such as culture, psychosocial aspects, gender, level of knowledge and previous experiences. Moreover, primary healthcare professionals, including dentists, may lack sufficient experience and skills regarding TMD diagnosis and treatment. Misbeliefs of the healthcare professionals can be based on outdated evidence that is not supported by rigorous methodological investigations. Education and dissemination of knowledge to patients and the general population are effective for prevention, promotion of health and disruption of the cycle of misinformation and dissemination of misbeliefs. Conclusion The lack of basic information about TMD and the dissemination of mistaken and outdated concepts may delay the diagnosis, hinder the treatment, and consequently increase the risk of worsening the condition. Education is key to overcome TMD misbeliefs.

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Section: Temp Oromandibul Ar Disorder S (Mis) B Eliefs and Their Impac Tmentioning

confidence: 99%

Section: Temp Oromandibul Ar Disorder S (Mis) B Eliefs and Their Impac Tmentioning

confidence: 99%

See 1 more Smart Citation

Detrimental impact of temporomandibular disorders (mis)beliefs and possible strategies to overcome

Cintra

Oliveira

Lorenzo

et al. 2022

J of Oral Rehabilitation

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“…Treatment provided by general practicing dentists differs notably between cultures when treatment, such as behavioural therapies, is outside the usual training of the dentist . One study found that patients in three cultures rate behavioural factors higher than biomedical factors in contributing to their TMD; patients also suggest that behaviour therapy should be part of their treatment . In contrast to the patient perspective, dentists rely on a biomechanical approach for most treatment selection; this reflects a discrepancy between the beliefs of the patient vs the provider concerning treatment need.…”

Section: Health Literacy and Education Of Students Clinicians And Pamentioning

confidence: 99%

Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain

Sharma

Breckons

Lambelet³

et al. 2019

J of Oral Rehabilitation

Self Cite

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Distress, suffering and care‐seeking behaviour are characteristics of pain‐related disease and illness. Pain that transitions from an acute to a chronic phase carries with it the potential of further effects: these include a worsening of the disease or illness; high‐impact chronic pain; and substantial personal, societal and economic burden. The biopsychosocial model directly addresses these multiple processes, yet clinical frameworks supporting this model are not universally implemented. This paper explores barriers to clinical implementation of a full biopsychosocial framework for temporomandibular disorders (TMD) and other oro‐facial pain (OFP) conditions. In June 2016, INfORM invited OFP researchers to a workshop designed to optimise the DC/TMD Axis‐II. Workshop groups identified five sources of implementation barriers: (1) cultures and societies, (2) levels‐of‐care settings, (3) health services, (4) cross‐cultural validity of self‐report instruments and (5) provider and patient health literacy. Three core problems emerged: (A) mental health aspects are seldom fully considered, thus impairing the recognition of illness, (B) training in use of validated multi‐axial assessment protocols is under‐rated and insufficiently used, and (C) clinical assessment often fails to recognise that sensory and emotional dimensions are fundamental aspects of pain. To improve patient care, these barriers and problems require action. Most importantly, TMD/OFP educators and researchers need to coordinate globally and (i) be educated in the biopsychosocial model, (ii) implement evidence‐based biopsychosocial guidelines for assessment and management of OFP conditions at their institutions, (iii) incorporate this model in undergraduate and postgraduate dental curricula and (iv) be responsive to stakeholders, including regulatory authorities and practitioners.

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“…Within the communications model of pain [ 13 , 14 ], these two aspects, namely the facial expression of pain on the one hand and the judgment of the facial expressions by observers on the other hand, are conceptualized as the encoding and decoding of pain, respectively. As culture, ethnic, and linguistic aspects may shape the individual’s responses and believes towards pain [ 15 , 16 ], these aspects could influence the facial encoding as well as the decoding process of pain. Moreover, facial responses to pain (encoding) might also differ between individuals with different types of cognitive impairments.…”

Section: Introductionmentioning

confidence: 99%

Observing Pain in Individuals with Cognitive Impairment: A Pilot Comparison Attempt across Countries and across Different Types of Cognitive Impairment

et al. 2021

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Facial expression is a key aspect in observational scales developed to improve pain assessment in individuals with cognitive impairments. Although these scales are used internationally in individuals with different types of cognitive impairments, it is not known whether observing facial expressions of pain might differ between regions or between different types of cognitive impairments. In a pilot study, facial responses to standardized experimental pressure pain were assessed among individuals with different types of cognitive impairments (dementia, mild cognitive impairment, Huntington’s disease, and intellectual disability) from different countries (Denmark, Germany, Italy, Israel, and Spain) and were analyzed using facial descriptors from the PAIC scale (Pain Assessment in Impaired Cognition). We found high inter-rater reliability between observers from different countries. Moreover, facial responses to pain did not differ between individuals with dementia from different countries (Denmark, Germany, and Spain). However, the type of cognitive impairment had a significant impact; with individuals with intellectual disability (all being from Israel) showing the strongest facial responses. Our pilot data suggest that the country of origin does not strongly affect how pain is facially expressed or how facial responses are being scored. However, the type of cognitive impairment showed a clear effect in our pilot study, with elevated facial responses in individuals with intellectual disability.

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Cross‐cultural differences in types and beliefs about treatment in women with temporomandibular disorder pain

Cited by 8 publications

References 54 publications

Detrimental impact of temporomandibular disorders (mis)beliefs and possible strategies to overcome

Detrimental impact of temporomandibular disorders (mis)beliefs and possible strategies to overcome

Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain

Observing Pain in Individuals with Cognitive Impairment: A Pilot Comparison Attempt across Countries and across Different Types of Cognitive Impairment

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