A cognitive-behavioral approach to temporomandibular dysfunction treatment failures:: A controlled comparison

• Autores: Mark Oakley, Charles P. McCreary, Glenn T. Clark, Steve Holston, Dorothy Glover, Kathleen Kashima
• Localización: Journal of Oral & Facial Pain and Headache, ISSN-e 2333-0376, ISSN 2333-0384, Vol. 8, Nº. 4, 1994, págs. 397-407
• Idioma: inglés
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• Resumen

  • 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.