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Cited by 270Temporomandibular Joint DisordersMusculoskeletal pain and rehabilitationPsychological Treatments and Assessments

Short-and long-term efficacy of brief cognitive-behavioral therapy for patients with chronic temporomandibular disorder pain: a randomized, controlled trial

Turner, Judith A., Mancl, Lloyd, Aaron, Leslie A.·2006·Pain
DOI 10.1016/j.pain.2005.11.017
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Abstract

We evaluated the short- and long-term efficacy of a brief cognitive-behavioral therapy (CBT) for chronic temporomandibular disorder (TMD) pain in a randomized controlled trial. TMD clinic patients were assigned randomly to four sessions of either CBT (n=79) or an education/attention control condition (n=79). Participants completed outcome (pain, activity interference, jaw function, and depression) and process (pain beliefs, catastrophizing, and coping) measures before randomization, and 3 (post-treatment), 6, and 12 months later. As compared with the control group, the CBT group showed significantly greater improvement across the follow-ups on each outcome, belief, and catastrophizing measure (intent-to-treat analyses). The CBT group also showed a greater increase in use of relaxation techniques to cope with pain, but not in use of other coping strategies assessed. On the primary outcome measure, activity interference, the proportion of patients who reported no interference at 12 months was nearly three times higher in the CBT group (35%) than in the control group (13%) (P=0.004). In addition, more CBT than control group patients had clinically meaningful improvement in pain intensity (50% versus 29% showed > or =50% decrease, P=0.01), masticatory jaw function (P<0.001), and depression (P=0.016) at 12 months (intent-to-treat analyses). The two groups improved equivalently on a measure of TMD knowledge. A brief CBT intervention improves one-year clinical outcomes of TMD clinic patients and these effects appear to result from specific ingredients of the CBT.

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  • In adults and children with chronic headaches, pain-related self-efficacy is associated with less disability, better functioning, and fewer depressive symptoms.

    “In samples of adults and children with chronic headaches, pain-related self-efficacy is associated with less disability, better functioning, and fewer depressive symptoms 370, 371.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [370]

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Authors
Turner, J. A., Mancl, L., & Aaron, L. A.
Affiliations
University of Washington (US)
Corresponding author
Turner, Judith A.
ORCID
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2006-04
Volume
121
Issue
3
Pages
181-194
ISSN
0304-3959 (ISSN-L)
DOI
10.1016/j.pain.2005.11.017
OpenAlex
W2099301838
Cited by
270
References
93
Citations by year
2026: 4 · 2025: 9 · 2024: 12 · 2023: 10 · 2022: 13 · 2021: 11 · 2020: 18 · 2019: 11 · 2018: 15 · 2017: 10 · 2016: 14 · 2015: 18 · 2014: 15 · 2013: 13 · 2012: 16
FWCI
25.78
Type
journal article
Language
en
Open access
closed
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • University of Washington
  • National Institute of Dental and Craniofacial Research (P01 DE08773, P01DE008773)
Topics
  • Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
cognitive behavioral therapy, temporomandibular disorders, chronic pain, brief psychotherapy, pain catastrophizing, pain beliefs, coping strategies, relaxation techniques, activity interference, jaw function, depression, long-term outcomes
MeSH terms
Activities of Daily Living, Adaptation, Psychological, Adult, Chronic Disease, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Mastication, Middle Aged, Pain, Pain Measurement, Psychosomatic Medicine, Surveys and Questionnaires, Temporomandibular Joint, Temporomandibular Joint Disorders, Time, Cognitive Behavioral Therapy, Treatment Outcome, Recovery of Function, Pain Management

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