scholarly journals Even mild catastrophic thinking is related to pain intensity in individuals with painful temporomandibular disorders

2021 ◽  
Vol 48 (11) ◽  
pp. 1193-1200
Author(s):  
Birgitta Häggman‐Henrikson ◽  
Corine Visscher ◽  
Anders Wänman ◽  
Brjánn Ljótsson ◽  
Christopher Peck ◽  
...  
2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Alfonso Gil-Martínez ◽  
Mónica Grande-Alonso ◽  
Ibai López-de-Uralde-Villanueva ◽  
Almudena López-López ◽  
Josué Fernández-Carnero ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Vegard Østensjø ◽  
Ketil Moen ◽  
Trond Storesund ◽  
Annika Rosén

Aim. To estimate the prevalence of painful temporomandibular disorders (TMD-P) among adolescents and to investigate correlations with health, environment, and lifestyle factors. Methods. For this cross-sectional case-control study, 562 patients were consecutively recruited at their yearly revision control from four dental clinics in Rogaland County, Norway. Patients completed a questionnaire on general health, socioeconomics, demographics, and lifestyle factors. Responses to two screening questions identified patients with TMD-P, who then underwent clinical examination to verify the TMD diagnosis. Pain intensity was assessed on a visual analogue scale. Patients without TMD-P constituted the control group and were not clinically examined. Results. 7% experienced TMD-P. The female-to-male ratio is 3:1; median age is 17 years. Patients at urban clinics had higher prevalence compared with those at rural clinics. TMD-P patients had headache and severe menstrual pain compared to controls. They were more likely to live with divorced/single parents and less likely to have regular physical activity. Myalgia was present in 21 patients with TMD-P, arthralgia in nine, and myalgia and arthralgia in nine. Females had higher pain intensity than males. Conclusions. A low prevalence of TMD-P was shown but was comparable to other studies. Sex, health, lifestyle, and environment factors were associated with TMD-P.


2018 ◽  
Vol 99 (5) ◽  
pp. 766-774
Author(s):  
O V Slesarev ◽  
I M Bayrikov ◽  
O S Kovshova ◽  
M V Komarova

Aim. To analyze the influence of psychosocial risk factors on the dynamics of indicators characterizing temporomandibular disorders. Methods. 61 clinical cases of temporomandibular disorders with chronic pain were investigated (18 % of the total number of observations of temporomandibular disorders). Diagnostic criteria of temporomandibular disorders were used: axis II, computed tomography and magnetic resonance imaging of temporomandibular joint. Interviewing method was used for clinical diagnosis of psychological phenomena and testing attitude to the disease, identifying communicative deviations according to R.C. Rogers (2002). Patients were divided into 2 groups: group A - patients with nociceptive pain, social adaptation is not disturbed; group B - patients with neuropathic pain, psychosomatization on the background of mental rigidity. In both groups, an identical treatment regimen was implemented for two years. Statistical processing of the obtained data was carried out using IBM SPSS 21 and included comparison of related groups by Friedman analysis and paired Wilcoxon test, comparison of independent groups by Mann-Whitney-Wilcoxon criterion, and comparison of the qualitative features by contingency tables by Chi-square Pearson. Results. The radiological semiotics of temporomandibular joint in both groups is similar in the structure of nosology. At the beginning of the treatment cycle, the pain intensity and the temporomandibular index are similar. After 2 years of follow-up, patients in group A showed a significantly higher positive response to the therapy compared to patients in group B: pain intensity in group A was 15.36±2.53 and in group B - 37.32±3.45 (p<0.001); depression on the SCL-90-R scale - 0.29±0.04 and 1.12±0.12 (p<0.001), the degree of disability on the GCPS scale - 0.68±0.08 and 1.17±0.10 (p=0.001), temporomandibular index - 0.15±0.01 and 0.23±0.02 (p<0.001), respectively. Conclusion. In patients of group B, affective disorders form the psychosomatic structure of personality and affect the outcome of therapy. When formulating the final diagnosis and planning the treatment in patients with temporomandibular disorders, it is necessary to take into account the psychosocial characteristics of the patient.


2021 ◽  
Vol 1 (1) ◽  

Objectives: Investigate the salivary flow rate together with salivary levels of IL-6, IL-1β, substance P, glutamate and reactive oxygen species (ROS) in patients with temporomandibular disorders (myofascial pain) before and during self-management program. Moreover, evaluate the association of pain intensity with the biomarkers concentration. Materials and method: Saliva of nineteen patients diagnosed with TMD-MD was collected before self-management program and during the treatment (4 and 8 weeks). Results: No significant alteration of the expression levels of the biomarkers evaluated and the salivary flow rate throughout time was found. No correlation was found between pain intensity and the molecular parameters evaluated at any of the three moments. Conclusion: the biomarkers evaluated and salivary flow rates did not change during eight weeks of self-management program intervention in the sample evaluated.


Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Aroldo dos Santos Aguiar ◽  
Cesar Bataglion ◽  
Lilian Ramiro Felício ◽  
Beatriz Azevedo ◽  
Thaís Cristina Chaves

Abstract The objective of this study will be to investigate the additional effect of pain neuroscience education program compared to a craniocervical manual therapy and exercises program for pain intensity and disability in patients with temporomandibular disorders (TMD). This study will be a randomized controlled trial comprising a sample of 148 participants. Subjects between 18 and 55 years, both genders, will undergo a screening process to confirm painful TMD by the Research Diagnostic Criteria (RDC/TMD), and then the volunteers will be randomized into two groups (G1: pain neuroscience education + craniocervical manual therapy and exercises vs. G2: craniocervical manual therapy and exercises). The volunteers will be recruited at the dentistry clinic. The intervention will be administered twice a week for 6 weeks by a single therapist lasting 1 h per session. The primary outcome will be pain intensity and disability and the secondary outcomes will be pain self-efficacy, kinesiophobia, and global perceived effect of improvement. The participants will be assessed immediately after the last session and at one- and three-month follow-ups. All statistical analyses will be conducted following intention-to-treat principles, and the treatment effects will be calculated using linear mixed models. The results of this study may contribute to understand the additional effect of pain neuroscience education intervention on TMD patients submitted to manual therapy and exercise. Trial registration ClinicalTrials.gov NCT03926767. Registered on April 29, 2019.


2012 ◽  
Vol 38 (2) ◽  
pp. 151-157 ◽  
Author(s):  
F. Peters ◽  
A.-M. Vranceanu ◽  
M. Elbon ◽  
D. Ring

The aim of this study was to determine whether psychological factors (depression, catastrophic thinking, and pain anxiety) and pain intensity are associated with choice of operative treatment. Ninety new patients with a ganglion cyst on their hand or wrist completed psychological questionnaires (Pain Catastrophizing Scale, Pain Anxiety Symptoms Scale, and Center for the Epidemiological Study of Depression instrument) and an ordinal measure of pain intensity. After a minimum of 4 months, patients were contacted to determine if they chose operative treatment, to rate their pain intensity, and to complete the Disabilities of the Arm, Shoulder, and Hand questionnaire. Younger patients were more likely to choose operative treatment. Psychological factors were associated with pain intensity at enrolment, but not with treatment choice. Operative treatment did not result in less pain intensity or disability, or higher satisfaction compared with non-operative treatment.


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