The Effects of a Cognitive-Behavioral Treatment Program on Temporo-Mandibular Pain and Dysfunction Syndrome

Abstract

Sixty-one patients clearly diagnosed as suffering from Temporo-Mandibular Pain and Dysfunction Syndrome (TMPDS) were randomly assigned to one of three groups, 1) hypnosis and cognitive coping skills, 2) relaxation and cognitive coping skills, or 3) a no-treatment control group. All patients were evaluated with a standard hypnotic susceptibility scale before treatment. The two treatment groups received four weekly sessions of their respective treatments. Patients in the hypnosis and relaxation groups reported equivalent decrements in pain, abnormal sounds in the temporomandibular joint, and limitations of jaw mobility. Hypnotic susceptibility was significantly correlated with reductions in reported pain for the treatment groups. Patients' age and the duration of pain before treatment were not related to treatment outcome. Patients who dropped out of treatment had fewer limitations in jaw movement but did not differ in any other variable from patients who remained in treatment. These findings are discussed in relation to the hypothesis that Temporo-Mandibular Pain and Dysfunction Syndrome is stress-related muscular pain and dysfunction.

Differential effectiveness of psychological interventions for reducing osteoarthritis pain: a comparison of Erickson hypnosis and Jacobson relaxation

“…For instance, it is surprising that the efficacy of hypnosis for OA pain relief has not been studied, despite the fundamental and clinical research evidence that hypnosis affects pain. Indeed, fundamental research has established that hypnosis is efficient as a cognitive intervention to produce analgesia (Hilgard, 1975; Hilgard and Hilgard, 1975; Sheehan and Perry, 1976; Girodo and Wood, 1979; Spanos et al ., 1984, 1985, 1990; Tripp and Marks, 1986; Stam et al ., 1984; Elton et al ., 1988; Zeltzer et al ., 1989; Baker and Kirsch, 1993; Chaves, 1999; Zachariae and Bjerring, 1994, Montgomery et al ., 2000) and to alter pain perception—hypo‐ and hyperalgesia (Meier et al ., 1993) or to decrease or increase pain threshold (Arendt‐Nielsen et al ., 1990)—as well as to differentiate dimensions of pain (Houle et al ., 1888; Malone et al ., 1989; Price, 1996; Price and Barber, 1987; Rainville et al ., 1999). Further, Kiernan et al ., (1995) report that hypnosis has a measurable physiological effect in modifying pain level.…”

Health psychology in autobiography: Three Canadian critical narratives

“…He left Carleton in 1982 with his PhD in experimental social psychology, moved straight out of graduate school into a Postdoctoral Fellowship at the University of Calgary and subsequently into health-related research (and retrained as a clinical psychologist) at the Tom Baker Cancer Centre. Prior to graduation he had spent six months at the University of Western Ontario in the psychology department and the dental school conducting research on temporomandibular joint pain (e.g., Stam, McGrath & Brooke, 1984). Having conducted research on hypnosis and pain, the move into health psychology was relatively straightforward.…”

Chronische Myoarthropathien des Kausystems

“…In einer randomisierten klinischen Studie (Evidenzkategorie Ib) zeigten Stam et al [46], dass kognitive Verhaltenstherapie plus Hypnose vergleichbar wirksam war wie kognitive Verhaltensmaßnahmen plus Entspannungstherapie.…”