Pain Predictors in a Population of Temporomandibular Disorders Patients

Osiewicz, Magdalena; Lobbezoo, Frank; Ciapała, Bartosz; Pytko-Polończyk, Jolanta; Manfredini, Daniele

doi:10.3390/jcm9020452

Cited by 35 publications

(42 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Greater pain intensity, longer duration of pain, persistent pain, impaired social functioning, and the likelihood of poor treatment outcome are seen when depression and pain coexist [ 48 ]. A similar study assessing the potential role of biological, psychological, and social factors in order to predict the presence of painful TMD using multivariate analysis found a relationship between TMD pain and depression, which supports the need of considering both psychological factors in relation to TMD signs and symptoms [ 27 ].…”

Section: Discussionmentioning

confidence: 69%

“…Decreased PPT and higher scorings for psychological factors in TMD patients compared to healthy controls are well known in the literature [ 5 , 14 , 15 , 21 , 27 , 32 , 41 , 42 ], but the relationship of different factors with predicting TMD patients is yet to be described. To our knowledge, this study is the first to analyse the interrelationship between experimental pain thresholds and psychometric variables in relation to TMD by using a multivariate regression model.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Catastrophizing Has a Better Prediction for TMD Than Other Psychometric and Experimental Pain Variables

Willassen

Johansson

Kvinnsland

et al. 2020

Pain Research and Management

View full text Add to dashboard Cite

Temporomandibular disorders (TMDs) are characterized by moderate to severe pain in the masticatory muscles and/or the temporomandibular joint (TMJ). The present study is a part of a multidisciplinary project, initiated by the Norwegian Ministry of Health. The main purpose of this study is to compare a cohort of TMD patients to healthy individuals regarding experimental pain, the degree of disability caused by living with pain and psychometric variables, and to investigate which of these variables is the best predictor for TMD patients. We hypothesised that TMD patients have more disability when living with pain and lower pain thresholds than healthy controls, and those psychometric variables are stronger predictors than pain thresholds provoked by experimental pain. Sixty TMD patients were matched by sex and age to sixty healthy individuals without TMD symptoms or other musculoskeletal symptoms in the head and neck region. All subjects completed a questionnaire that included psychometric characteristics, that is, a one- and two-item version of the Pain Catastrophizing Scale, the Hospital Anxiety and Depression Scale (HADS), and the Roland Morris Scale (RMS), which measures disability when living with pain. They also underwent a clinical examination including the measurement of pain thresholds with electrical and pressure stimuli. The TMD patients had lower pain thresholds for experimental electrical and pressure stimuli compared with the controls ( P < 0.05 and <0.001, respectively). They also scored higher than healthy individuals with disability living with pain ( P < 0.001 ), anxiety ( P < 0.001 ), depression ( P < 0.001 ), and catastrophizing ( P < 0.001 ). The results for anxiety, depression, and catastrophizing have been published earlier, and the reused data in this study are compared with RMS and pain thresholds. The conditional logistic regression model identified catastrophizing (OR = 2.42, CI 1.22–4.79) as a significant predictor of TMD patients. The results support this hypothesis and indicate that TMD patients have lower pain thresholds and more disability when living with pain compared to healthy individuals, where the strongest prediction for TMD was catastrophizing. Awareness of psychometric disabilities in TMD patients is of importance when considering the choice of treatment.

show abstract

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Catastrophizing Has a Better Prediction for TMD Than Other Psychometric and Experimental Pain Variables

Willassen

Johansson

Kvinnsland

et al. 2020

Pain Research and Management

View full text Add to dashboard Cite

show abstract

“…Temporomandibular disorders (TMD) refer to a set of conditions affecting masticatory muscles and the temporomandibular joints. The impact of stressful events on the occurrence and worsening of TMD symptoms is not completely clear but evidence shows a strong connection between the two (Auerbach, Laskin, Frantsve, & Orr, 2001; Canales, Guarda‐Nardini, Rizzatti‐Barbosa, Conti, & Manfredini, 2019; Osiewicz, Lobbezoo, Ciapała, Pytko‐Polończyk, & Manfredini, 2020), with more numerous and/or frequent somatic, psychologic, and behavioral symptoms of stress in TMD patients when compared to control (Beaton, Egan, Nakagawa‐Kogan, & Morrison, 1991; Jivnani et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

COVID‐19 pandemic and Zagreb earthquakes as stressors in patients with temporomandibular disorders

Vrbanović

Alajbeg

2020

Oral Diseases

View full text Add to dashboard Cite

Objective To evaluate stress effect of COVID‐19 pandemic and Zagreb earthquakes on symptoms of temporomandibular disorders (TMD). Materials and Methods One hundred and two previously diagnosed TMD patients were contacted by email to participate in an online survey about impact of those events on current and/or new symptoms, perceived stress, anxiety and symptom intensity in time‐points at the baseline, following pandemic and following earthquake. We compared data between earthquake‐affected and non‐affected respondents. Results Response rate was 79.4%. Effects stress had on deterioration of symptoms were significantly different between earthquake‐affected and non‐affected (p = .024). In earthquake‐affected, numerical pain rating scale (NPRS) scores significantly increased between baseline and after COVID‐19 (p > .001) and between baseline and after earthquakes (p > .05). However, scores insignificantly dropped from COVID‐19 to after earthquakes time‐points. In earthquake‐affected, positive correlation was found between impact of COVID‐19 on stress and NPRS (p < .001) and between earthquakes’ impact on stress and NPRS (p < .001). Earthquake‐affected respondents reported significantly more new behavioral habits when compared to non‐affected (p = .048). Conclusions A series of stressful events do not necessarily have a cumulative effect, but are likely to have a complex interaction (e.g., acute stress might trigger the protective mechanisms), which could have decreased pain scores after the earthquakes.

show abstract

“…So far, several studies have assessed the different factors from different domains as predictors for the pain-related outcomes in TMDs. For example, Osiewicz et al [ 41 ] assessed the association of biological, psychological, and social factors with the presence of painful TMDs, and found that depression was the most important predictor for the presence of painful TMD. Banafa et al [ 42 ] assessed the association of socio-demographic background and denture status at baseline with TMJ pain and masticatory muscles pain on palpation after 11-year follow-up in Finnish adult population, and found that all the predictors, including gender and age, were not significantly associated with the presence of TMJ pain at follow-up.…”

Section: Discussionmentioning

confidence: 99%

Development and internal validation of prediction models for persistence of self-reported orofacial pain in the follow-up of patients with myofascial pain

Lobbezoo

Selms

et al. 2020

Clin Oral Invest

Self Cite

View full text Add to dashboard Cite

Objectives To identify predictors in patient profiles, and to develop, internally validate, and calibrate prediction models for the persistence of self-reported orofacial pain at the 6-month and 12-month follow-up in patients with myofascial pain. Materials and methods A cohort of 63 adult patients with moderate to severe chronic myofascial pain was included. Patient and disease characteristics at baseline were recorded as potential predictors. Patients` presence or absence of improvement of orofacial pain at follow-up was considered the outcome. Binary logistic regression analyses were used to develop the models. The performance and clinical values of the models were determined. Results Forty-three percent and 30% of the patients had persistence of orofacial pain at 6-month and 12-month follow-up, respectively. Pain elsewhere, depression, parafunctional activities, and mandibular function impairment (MFI) were significantly associated with persistence of the pain at 6-month follow-up, whereas depression, parafunctional activities, and MFI were significantly associated with persistence of the pain at 12-month follow-up. Both of the models showed good calibration and discrimination, with shrunken area under the curve (AUC) values of 0.73 and 0.76, respectively. The clinical added predictive values for ruling in the risk of the persistence were 0.30 and 0.31, respectively, and those for ruling it out were 0.25 and 0.20, respectively. Conclusions Potential predictors for prediction of the persistence of self-reported orofacial pain at follow-up were identified. The calibration, discrimination, and clinical values of the models were acceptable. Clinical relevance The models may assist clinicians in decision-making regarding the improvement of orofacial pain of individual patients during follow-up in clinical settings.

show abstract

Pain Predictors in a Population of Temporomandibular Disorders Patients

Cited by 35 publications

References 27 publications

Catastrophizing Has a Better Prediction for TMD Than Other Psychometric and Experimental Pain Variables

Catastrophizing Has a Better Prediction for TMD Than Other Psychometric and Experimental Pain Variables

COVID‐19 pandemic and Zagreb earthquakes as stressors in patients with temporomandibular disorders

Development and internal validation of prediction models for persistence of self-reported orofacial pain in the follow-up of patients with myofascial pain

Contact Info

Product

Resources

About