Differential treatment responses of TMD patients as a function of psychological characteristics
Abstract
A number of studies have reported that psychological factors play a significant role in TMD. Several studies have identified subgroups of patients based on their responses to psychological assessments; however, none of these studies have reported on the clinical utility of classifications of TMD patients on these various measures. In this study, the differential response of 133 TMD patients classified within 3 psychosocial-behaviorally based subgroups to a conservative, standardized treatment was examined. The treatment consisted of the combination of an intra-oral appliance, biofeedback, and stress management. Follow-up assessments were conducted 6 months after treatment termination. The results demonstrated that overall as a group patients significantly improved and maintained improvements on physical, psychosocial, and behavioral measures (P < 0.0001). Comparisons across patient subgroups, however, revealed differential patterns of improvement on the outcome measures. Most notably, reliable change indices demonstrated that the patients classified into a subgroup characterized by the greatest degree of psychological distress (Dysfunctional) demonstrated significantly greater improvements on measures of pain intensity (P < 0.001), perceived impact of TMD symptoms on their lives (P < 0.001), depression (P < 0.01), and negative thoughts (P < 0.001), compared with groups characterized by greater interpersonal problems (Interpersonally Distressed) and those patients who appeared…
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Several studies have shown that the MPI subgroups identified by Turk and others do predict how patients with persistent pain respond to treatment.
“Several studies have shown that the MPI subgroups identified by Turk and others do predict how patients with persistent pain respond to treatment.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [103]
In Rudy et al.'s study of patients with temporomandibular disorder, patients in the DYS group showed significant decreases in pain, pain interference, and depression during treatment compared to patients in the AC and ID groups.
“Data analyses showed that, when compared to patients in the AC and ID groups, patients in the DYS group showed significant decreases in pain, pain interference, and depression during the course of treatment.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [103]
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References 41 · Cited by 215
- Authors
- Rudy, T. E., Turk, D. C., Kubinski, J. A., & Zaki, H. S.
- Affiliations
- University of Pittsburgh (US)
- Corresponding author
- Rudy, Thomas E.
- Venue
- Pain
- Published
- 1995-04
- Volume
- 61
- Issue
- 1
- Pages
- 103-112
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W1968180362
- Cited by
- 215
- References
- 41
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 9 · 2019: 5 · 2017: 5 · 2016: 6 · 2015: 6 · 2014: 3 · 2013: 12 · 2012: 7
- FWCI
- 25.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01de007514-14)
- U.S. Public Health Service
- Medical Center, University of Pittsburgh
- National Institute of Dental and Craniofacial Research (R01 DE07514)
- Topics
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- temporomandibular disorders, psychological factors, patient subgroups, treatment response, biofeedback, stress management, psychological distress, depression, negative thinking, interpersonal problems, pain intensity, treatment outcomes
- MeSH terms
- Adaptation, Physiological, Adolescent, Adult, Analysis of Variance, Biofeedback, Psychology, Female, Follow-Up Studies, Humans, Male, Middle Aged, Temporomandibular Joint Disorders, Treatment Outcome
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