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.
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For Mishra 2000, allocation concealment was judged unclear risk because it was not reported.
“Unclear risk Not reported”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Mishra 2000
For Mishra 2000, treatment expectations was judged unclear risk because it was not assessed.
“Unclear risk Not assessed”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Mishra 2000
For Mishra 2000, incomplete outcome data was judged high risk because attrition was not reported and a completer analysis was used.
“High risk Attrition not reported; completer analysis”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Mishra 2000
For Mishra 2000, selective reporting was judged unclear risk because the trial was not pre-registered.
“Unclear risk Trial not pre-registered”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Mishra 2000
For Mishra 2000, random sequence generation was judged unclear risk because patients were assigned to group in a semi-random fashion using the urn method of random assignment.
“Unclear risk”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Mishra 2000
For Mishra 2000, blinding of outcome assessment was judged unclear risk because it was not reported.
“Unclear risk Not reported”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Mishra 2000
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Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Eccleston, C., & Morley, S. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub3 · Cited by 1,634 · see citing works
Psychological therapies for the management of chronic pain (excluding headache) in adults
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Psychological therapies for temporomandibular disorders (TMDs)
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- Authors
- Mishra, K. D., Gatchel, R. J., & Gardea, M. A.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- ORCID
- Gatchel, Robert J.
- Venue
- Journal of Behavioral Medicine
- Published
- 2000-06
- Volume
- 23
- Issue
- 3
- Pages
- 293-309
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2102580051
- Cited by
- 83
- References
- 3
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 2 · 2017: 4 · 2016: 5 · 2015: 3 · 2014: 2 · 2013: 6 · 2012: 3
- FWCI
- 9.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (K02MH001107, K02 MH01107)
- National Institute of Dental and Craniofacial Research (R0I DE10713)
- Topics
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Keywords
- temporomandibular disorders, chronic pain, biofeedback, cognitive-behavioral skills training, treatment efficacy, pain scores, mood states, biopsychosocial treatment
- MeSH terms
- Adult, Aged, Analysis of Variance, Biofeedback, Psychology, Chronic Disease, Female, Humans, Male, Middle Aged, Temporomandibular Joint Disorders, Cognitive Behavioral Therapy, Chi-Square Distribution, Treatment Outcome
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