Document Detail

Self-care behaviors associated with myofascial temporomandibular disorder pain.
MedLine Citation:
PMID:  17717958     Owner:  NLM     Status:  MEDLINE    
AIMS: To document the frequency of self-care in a clinical sample of patients with myofascial temporomandibular disorder (TMD) pain; report the perceived relief and control of pain for each of the self-care behaviors; and to test for associations between the frequency and efficacy of each self-care behavior and pain, depression and sleep quality, as assessed during a clinical visit, and to determine whether the frequency was associated with changes in pain intensity, depression, and sleep quality 30 days later. METHODS: The sample consisted of 99 female and 27 male myofascial TMD pain patients who were participants in a multidisciplinary facial pain evaluation program. The subjects participated in a structured interview during a clinical visit and a follow-up telephone interview 30 days later. The interviews included questions about self-care, including resting, relaxation techniques, massage, hot and/or cold packs, home remedies, stretching or exercise, herbal remedies, and the use of vitamins or nutritional supplements for pain. RESULTS: The passive self-care behaviors, such as resting when experiencing pain (66%) and relaxation techniques (62%), were the most commonly used. Patients reported that hot or cold packs (5.3, 0-to-10 scale) and massage (4.7) provided the greatest relief from pain, whereas resting (4.9), relaxation (4.8), and massage (4.8) resulted in the greatest ability to control pain. The most striking finding was that initial levels of pain or change in pain were not consistently associated with self-care use; however, psychosocial outcomes of depression and sleep quality were associated with self-care frequency and reported efficacy and improved in relation to patient-reported self-care frequency. CONCLUSION: Since people with chronic myofascial TMD pain engage in a range of pain self-care strategies, clinicians need to discuss self-care with patients regularly.
Joseph L Riley; Cynthia D Myers; Thomas P Currie; Oliver Mayoral; Rochelle G Harris; Jocelyn A Fisher; Henry A Gremillion; Michael E Robinson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of orofacial pain     Volume:  21     ISSN:  1064-6655     ISO Abbreviation:  J Orofac Pain     Publication Date:  2007  
Date Detail:
Created Date:  2007-08-27     Completed Date:  2007-11-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9418507     Medline TA:  J Orofac Pain     Country:  United States    
Other Details:
Languages:  eng     Pagination:  194-202     Citation Subset:  D    
Department of Community Dentistry and Behavioral Sciences, University of Florida Gainesville, Florida 32610-3628, USA.
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MeSH Terms
Complementary Therapies / methods
Depression / complications
Epidemiologic Methods
Facial Pain / complications,  therapy*
Self Care / methods*
Sleep Disorders / complications
Temporomandibular Joint Disorders / complications,  therapy*
Time Factors

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