| Efficacy of an early intervention for patients with acute temporomandibular disorder-related pain: a one-year outcome study. | |
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MedLine Citation:
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PMID: 16570467 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Robert J Gatchel; Anna Wright Stowell; Lynn Wildenstein; Richard Riggs; Edward Ellis |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural |
Journal Detail:
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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:
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Created Date: 2006-03-30 Completed Date: 2006-05-16 Revised Date: 2009-11-19 |
Medline Journal Info:
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Nlm Unique ID: 7503060 Medline TA: J Am Dent Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 339-47 Citation Subset: D; IM |
Affiliation:
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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 |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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1K05 MH071892/MH/NIMH NIH HHS; 2R01 DE10713/DE/NIDCR NIH HHS; 2R01 MH46452/MH/NIMH NIH HHS |
| Comments/Corrections | |
Comment In:
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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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