title: The relative efficacy of three cognitive-behavioral treatment approaches to temporomandibular disorders.
abstract: The purpose of this study was to evaluate the relative efficacy of different biopsychosocial treatment conditions on patients with chronic temporomandibular disorder. Ninety-four patients with chronic temporomandibular disorder were assigned to either a biofeedback treatment group, a cognitive-behavioral skills training (CBST) treatment group, a combined (combination of biofeedback/CBST) treatment group, or a no-treatment control group. Pain scores were analyzed pretreatment and posttreatment to determine group and within-subjects treatment effects. Results demonstrated that, in terms of a self-reported pain score, all three treatment groups had significantly decreased pain scores from pretreatment to posttreatment, while the no-treatment group did not. Moreover, patients in the biofeedback group were the most significantly improved compared to the no-treatment group. Finally, participants in the three treatment groups displayed significant improvement in mood states.
authors.affiliation: Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas 75235-9044, USA.
authors.forename: K D
authors.initials: KD
authors.lastname: Mishra
authors.forename: R J
authors.initials: RJ
authors.lastname: Gatchel
authors.forename: M A
authors.initials: MA
authors.lastname: Gardea
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001676:Biofeedback, Psychology / Q000379:methods*; D016009:Chi-Square Distribution; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013705:Temporomandibular Joint Disorders / Q000628:therapy*; D016896:Treatment Outcome