Document Detail


Efficacy of an early intervention for patients with acute temporomandibular disorder-related pain: a one-year outcome study.
MedLine Citation:
PMID:  16570467     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The authors conducted a randomized clinical trial to evaluate the efficacy of a biopsychosocial intervention for patients who were at high risk (HR) of progressing from acute to chronic temporomandibular disorder (TMD)-related pain. METHODS: The authors classified subjects' risk using a predictive algorithm and randomized them into an early-intervention (EI) or a nonintervention (NI) group. The EI included cognitive behavioral skills training and biofeedback. The authors assessed pain and psychosocial measures at intake and at a one-year follow-up. Subjects' self-reported pain levels were measured on an analog scale and as a response to palpation. RESULTS: At one year, EI-group subjects had significantly lower levels of self-reported pain and depression. At one year, more NI-group subjects than EI-group subjects had utilized health care for jaw-related pain. NI-group subjects were 12.5 times as likely to have a somatoform disorder, more than seven times as likely to have an anxiety disorder, and 2.7 times more likely to have an affective disorder at one year, compared with EI-group subjects. CONCLUSIONS: EI-group subjects had reduced pain levels, improved coping abilities and reduced emotional distress at one year. CLINICAL IMPLICATIONS: The TMD-related pain experience is complex and requires early identification with a biopsychosocial EI to achieve maximal, sustainable results.
Authors:
Robert J Gatchel; Anna Wright Stowell; Lynn Wildenstein; Richard Riggs; Edward Ellis
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of the American Dental Association (1939)     Volume:  137     ISSN:  0002-8177     ISO Abbreviation:  J Am Dent Assoc     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-30     Completed Date:  2006-05-16     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  7503060     Medline TA:  J Am Dent Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  339-47     Citation Subset:  D; IM    
Affiliation:
Department of Psychology, College of Science, University of Texas at Arlington, 313 Life Science Building, 501 S. Nedderman Drive, Arlington, Texas 76019-0528, USA. gatchel@uta.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Biofeedback, Psychology*
Chi-Square Distribution
Cognitive Therapy / methods*
Facial Pain / etiology,  therapy*
Female
Humans
Male
Middle Aged
Pain Measurement
Psychology
Statistics, Nonparametric
Temporomandibular Joint Disorders / complications,  therapy*
Grant Support
ID/Acronym/Agency:
1K05 MH071892/MH/NIMH NIH HHS; 2R01 DE10713/DE/NIDCR NIH HHS; 2R01 MH46452/MH/NIMH NIH HHS
Comments/Corrections
Comment In:
J Am Dent Assoc. 2006 Jun;137(6):726; author reply 728   [PMID:  16803801 ]
J Evid Based Dent Pract. 2007 Mar;7(1):14-6   [PMID:  17403505 ]

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