title: Why seek treatment for temporomandibular disorder pain complaints? A study based on semi-structured interviews.
abstract: OBJECTIVE
  To identify potential predictors of self-reported sleep bruxism (SB) within children's family and school environments.
  
  
  METHODS
  A Aims: To assess possible differences between care seekers and non-care seekers with temporomandibular disorder (TMD) pain complaints, by using semi-structured interviews.
  
  
  METHODS
  Semi-structured interviews were held with 16 subjects who had TMD- pain complaints: 8 care seekers and 8 non-care seekers, matched for age, sex, pain intensity, and fear of movement. Subjects were selected from a previously held survey study, with their consent. The interviews were audiotaped, transcribed verbatim, and analyzed according to qualitative content analysis.
  
  
  RESULTS
  From the analysis, seven themes differentiating care seekers from non-care seekers were identified: catastrophizing, pain management, assertiveness, critical attitude towards health care, confidence in medical care, recognition, and adequate referral.
  
  
  CONCLUSIONS
  Aspects upon which care seekers differed from non-care seekers were mainly person-related characteristics. Next to these characteristics, it appeared that inadequate referrals may play a role in care seeking. The use of semi-structured interviews may further improve insights into processes that determine care seeking among people with TMD pain complaints.
authors.affiliation: Department of Oral Kinesiology, University of Amsterdam, Amsterdam, The Netherlands.
authors.forename: Annemiek
authors.initials: A
authors.lastname: Rollman
authors.forename: Ronald C
authors.initials: RC
authors.lastname: Gorter
authors.forename: Corine M
authors.initials: CM
authors.lastname: Visscher
authors.forename: Machiel M
authors.initials: MM
authors.lastname: Naeije
mesh_terms: D000328:Adult; D001242:Assertiveness; D058443:Catastrophization; D005157:Facial Pain / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D059408:Pain Management; D010342:Patient Acceptance of Health Care; D012017:Referral and Consultation; D013705:Temporomandibular Joint Disorders / Q000523:psychology* / Q000628:therapy*; D035502:Trust