Brief group cognitive-behavioral intervention for temporomandibular disorders

作者：Samuel F. Dworkin, Judith Axler Turner, Leanne Wilson, Donna L. Massoth, Coralyn W. Whitney, Kimberly Hanson Huggins, Jeffrey A. Burgess, Earl E. Sommers, Edmond L. Truelove · 发表于：Pain · 年份：1994 · DOI：10.1016/0304-3959(94)90070-1 · 被引用次数：146 · 研究领域：Temporomandibular Joint Disorders、Eating Disorders and Behaviors、Fibromyalgia and Chronic Fatigue Syndrome Research

Temporomandibular disorders (TMD) are currently viewed as an interrelated set of clinical conditions presenting with signs and symptoms in masticatory and related muscles of the head and neck, and the soft tissue and bony components of the temporomandibular joint. Epidemiologic and clinical studies of TMD confirm its status as a chronic pain problem. In this report we present results from a randomized clinical trial which compared, at 3- and 12-month follow-ups, the effects of usual TMD treatment on TMD pain and related physical and psychological variables with the effects of a cognitive-behavioral (CB) intervention delivered to small groups of patients before usual TMD treatment began. The purpose of this study was to determine whether a minimal CB intervention followed by dental TMD treatment enhanced the effects of usual clinical dental treatment. A second purpose of the study was to determine whether patients classified as high in somatization and psychosocial dysfunction would respond less favorably to this minimal intervention than would those low in somatization and dysfunction. Patients who participated in the CB intervention followed by usual treatment showed greater long-term decreases in reported pain level and pain interference in daily activities than did patients who received only usual treatment. The benefits of CB intervention were not seen when the CB and UT groups were compared at 3-month follow-up. During the 3-12-month follow-up interval, however, the UT g...