A cognitive-behavioral approach to temporomandibular dysfunction treatment failures: a controlled comparison.
The effects of cognitive-behavioral treatment for patients with temporomandibular disorders were studied by comparing active treatment to a wait-list control condition. Patients were predominantly women and had been referred to the study after having poor response to dental/physical medicine care. Patients' conditions were evaluated pretreatment and posttreatment based on self-report measures of pain, distress, and jaw function problems. They were examined by a dentist who assessed pain-free opening, muscle palpation pain, and tenderness of the temporomandibular joints. The 5-week cognitive-behavioral treatment included relaxation training, self-monitoring of stressors, and cognitive coping strategies. Treatment had its greatest impact on improving mood, especially anxiety; however, there were some effects on the patients' experiences of pain.
Oakley
M E
ME
Department of Psychiatry and Biobehavioral Sciences, School of Medicine, University of California, Los Angeles 90024-1762, USA.
McCreary
C P
CP
Clark
G T
GT
Holston
S
S
Glover
D
D
Kashima
K
K
D000328:Adult; D000704:Analysis of Variance; D001521:Behavior Therapy; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D006990:Hypnosis; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D010147:Pain Measurement; D010555:Personality Inventory; D012064:Relaxation Therapy; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000628:therapy*; D017211:Treatment Failure