Brief cognitive-behavioral treatment for TMD pain: long-term outcomes and moderators of treatment.

Pain
Mark D LittDonald L Kreutzer

Abstract

The purpose of this study was to determine whether a brief (6-8 sessions) cognitive-behavioral treatment for temporomandibular dysfunction-related pain could be efficacious in reducing pain, pain-related interference with lifestyle and depressive symptoms. The patients were 101 men and women with pain in the area of the temporomandibular joint of at least 3 months duration, randomly assigned to either standard treatment (STD; n=49) or standard treatment+cognitive-behavioral skills training (STD+CBT; n=52). Patients were assessed at posttreatment (6 weeks), 12 weeks, 24 weeks, 36 weeks, and 52 weeks. Linear mixed model analyses of reported pain indicated that both treatments yielded significant decreases in pain, with the STD+CBT condition resulting in steeper decreases in pain over time compared to the STD condition. Somatization, self-efficacy and readiness for treatment emerged as significant moderators of outcome, such that those low in somatization, or higher in self-efficacy or readiness, and treated with STD+CBT reported of lower pain over time. Somatization was also a significant moderator of treatment effects on pain-related interference with functioning, with those low on somatization reporting of less pain interferenc...Continue Reading

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Citations

Mar 25, 2014·Pain Management·Elizabeth G MannElizabeth G Vandenkerkhof
Aug 29, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Mark P JensenErrol M Gould
Oct 7, 2015·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Ryan J AndersonMichael E Robinson
Oct 18, 2015·The Journal of Pain : Official Journal of the American Pain Society·Kristin R ArcherStephen T Wegener
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Oct 13, 2012·The Journal of Pain : Official Journal of the American Pain Society·Cheryl RitenbaughRichard E Harris
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Oct 8, 2013·The Journal of Pain : Official Journal of the American Pain Society·Mark D Litt, Felipe B Porto
Jul 21, 2015·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Monique Lalue SanchesLuis Garcia Alonso
Sep 10, 2015·The Journal of Pain : Official Journal of the American Pain Society·Melissa A DayMark P Jensen
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Oct 5, 2019·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Felipe PortoTheresa Gonzales

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