| 1. |
- Bijelic, Tessa, et al.
(författare)
-
Expectations and Experiences of Internet-Based Therapy for Adolescents with TMD Pain
- 2022
-
Ingår i: JOURNAL OF ORAL & FACIAL PAIN AND HEADACHE. - : QUINTESSENCE PUBLISHING CO INC. - 2333-0384 .- 2333-0376. ; 36:3, s. 237-252
-
Tidskriftsartikel (refereegranskat)abstract
- Aims: To investigate expectations and experiences of internet-based therapy (IBT) in adolescents with temporomandibular disorder (TMD) pain. Methods: Seven adolescents were strategically selected for this study. All patients had received IBT for their TMD pain in a previous randomized controlled trial. One-on-one interviews were conducted in a nonclinical setting. The interviews were semi-structured, following an interview guide with six domains. The recorded interviews were transcribed, and a qualitative inductive content analysis was then performed. Results: Content analysis indicated that the expectations of the adolescents and their experiences of IBT as a treatment for TMD pain can be understood in light of three main categories: (1) To become better; (2) An ambivalent experience; and (3) A personal challenge. The adolescents expressed expectations of less TMD pain after treatment, but also of improvement in general well-being and everyday life. Although their experiences of IBT varied, adolescents described having mixed feelings about treatment and feeling that it was personally challenging. Conclusion: Gained understanding of expectations and experiences is a necessary basis for revising the IBT program to meet the demands of adolescents and to improve treatment adherence. Furthermore, the content of the three categories clarifies the values of adolescents, and this understanding can in turn contribute to the development of new patient -centered treatment programs.
|
|
| 2. |
- Nilsson, Ing-Marie, et al.
(författare)
-
Adolescents with Temporomandibular Disorder Pain : The Living with TMD Pain Phenomenon
- 2011
-
Ingår i: Journal of Orofacial Pain. - : Quintessence publishing co. inc.. - 1064-6655 .- 1945-3396. ; 25:2, s. 107-116
-
Tidskriftsartikel (refereegranskat)abstract
- Aim: To acquire a deeper understanding of adolescents' experiences of living with temporomandibular disorder (TMD) pain. Methods: twenty-one adolescents with TMD pain, aged 15 to 19, were strategically selected from a group of patients referred to an orofacial pain clinic. The patients were examined and received diagnoses per the Research Diagnostic Criteria for TMD. One-on-one interviews that followed a semistructured protocol focused on the patient's experiences of living with TMD pain. The interviews were recorded and transcribed verbatim, followed by content analysis to obtain a deeper understanding of adolescents' experieces living with TMD pain. Results: Content analysis led to the overall theme "Adolescents with TMD live with recurrent pain; physical problems and daily demands form a vicious circle that causes adolescents to oscillate between hope and despondency." The latent content forming the theme is grounded in three categories that evolved from 13 subcategories. For instance, five subcategories - headache; headache on awakening; jaw and tooth pain; constant thoughts of pain; and popping, cracking, clicking, and locking - formed the category that was labeled TMD pain is recurrent. The latent interpretation, ie, the meaning, of this category was that adolescents with TMD pain constantly thought about the pain, even when it was absent. Conclussion: TMD pain is a substantial problem for affected adolescents and has consequences for all aspects of their lives. In this study, the adolescents were able to talk openly and introduce issues outside of the interview protocol. Qualitative analysis deepens our understanding of the adolescent patient with TMD pain.
|
|
| 3. |
- Nilsson, Ing-Marie, et al.
(författare)
-
Adolescents with TMD Pain : the Living with TMD Pain Phenomenon
- 2010
-
Konferensbidrag (refereegranskat)abstract
- Temporomandibular disorder (TMD) pain is common among adolescents, with more girls than boys reporting pain. Studies have shovn that TMD pain in adolescents has an impact on daily living. Depressive symtoms scores, somatic complaints, and limitations in jaw function were higher in adolescents with TMD pain than in non-affected adolescents. Quantitative research observes patients on a group level. But all patients are unique and the third cornerstone in evidence-based medicine - patient values - is often neglected. patient values are the unique preferences, concerns and expectations each patient brings to a clinical encounter and which must be integrated into clinical decisions if they are to serve the patient. Qualitative research methods can contribute to our knowledge by deepening our understanding of the experiences of the individual teenager with TMD pain. Aims: To acquire a deeper understanding of adolescents' experiences of living with TMD pain. Method: Twenty-one adolescents with TMD pain, aged 15 to 19, were strategically selected from a group of patients referred to an orofacial pain clinic. The patients were examined and received diagnosis per the Research Diagnostic Criteria for Temporomandibular Disorders. One-on-one interviews that followed a semi-structured protocol focused on the patient's experiences of living with TMD pain. The interviews were recorded and transcribed verbatim, followed by content analysis. Result: Content analysis led to the overall theme "Adolescents with TMD pain live in continual pain; physical problems and daily demands form a vicious circle that causes adolescents to oscillate between hope and despondency". The manifest content formning the theme consisted of three categories that evolved from 13 subcategories. Conclusion: TMD pain is a substantial problem for affected adolescents and has consequences for their life, Qualitative analysis deepens our understanding of the adolescent patient with pain, thus making more individualized support and treatment possible.
|
|
| 4. |
- Nilsson, Ing-Marie, et al.
(författare)
-
ADOLESCENTS WITH TMD PAIN, IN SEARCH OF A DEEPER UNDERSTANDING
- 2010
-
Ingår i: Abstracts of the 13th World Congress of Pain. - : IASP (International Association for the Study of Pain and Omnipress).
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Aims: The aim of this study was to acquire a deeper understanding of adolescents’ experiences of living with temporomandibular disorder (TMD) pain. Method: Twenty-one adolescents with TMD pain, aged 15 to 19, were strategically selected from a group of patients referred to an orofacial pain clinic. The patients were examined and received diagnoses per the Research Diagnostic Criteria for Temporomandibular Disorders. One-on-one interviews that followed a semi-structured protocol focused on the patient’s experiences of living with TMD pain. The interviews were recorded and transcribed verbatim, followed by content analysis to get at a deeper understanding of adolescents’ experiences living with TMD pain. Results: The content analysis led to the overall theme “Adolescents with TMD live in constant pain; physical problems and daily demands form a vicious circle that causes adolescents to oscillate between hope and despondency”. The manifest content forming the theme consisted of three categories that evolved from 13 subcategories. For instance, five subcategories - headache; headache on wake-up; jaw and tooth pain; constant thoughts of pain; and popping, cracking, clicking, and locking - evolved into the Pain is constantly present category. The meaning of this category was that the adolescents constantly thought about the pain, even when it was absent. Conclusion: TMD pain is a substantial problem for affected adolescents and has consequences for their whole life. In this study, the adolescents were able to talk openly and introduce issues outside of the interview protocol. Qualitative analysis deepens our understanding of the adolescent patient with pain, thus making more individualized support and treatment possible.
|
|
| 5. |
- Nilsson, Ing-Marie, et al.
(författare)
-
Treatment Seeking and Self-Constructed Explanations of Pain and Pain management Strategies Among Adolescents with Temporomandibular Disorder Pain
- 2016
-
Ingår i: Journal of Oral & Facial Pain Headache. - Hanover Park, IL, United States : Quintessence. - 2333-0376 .- 2333-0384. ; 30:2, s. 127-133
-
Forskningsöversikt (refereegranskat)abstract
- Aims: To explore adolescents' explanations of their temporomandibular disorder (TMD) pain, their pain management strategies for TMD pain, and their treatmentseeking behavior. Methods: One-on-one interviews were conducted with 21 adolescents aged 15 to 19 years old who had TMD pain and followed a semistructured interview guide. Subjects were strategically selected from patients referred to orofacial pain clinic. All participants had been examined and received a pain diagnosis based on the Research Diagnostic Criteria for TMD. The interviews focused on the adolescents' experiences of TMD pain, their strategies for handling pain, and how they seek care. The interviews were recorded, transcribed verbatim, and analyzed using qualitative manifest content analysis. Results: Qualitative manifest content analysis revealed two categories: (1) self-constructed explanations, with three subcategories (situation-based explanatory model, physical/bilogic model, and psychological explanatory model); and (2) pain management strategies, with four subcategories (social support, treatment, relaxation/rest, and psychological strategies). Adolescents used physical activities and psychological and pharmacologic treatment to manage pain. Reasons for seeking treatment were to be cured, to obtain explanation for their pain, and because their symtoms bother others. Conclusion: Adolescents living with TMD pain develop self-constructed explanations and pain management strategies. With access to these descriptions, dentists can be better prepared to have a dialouge with their adolescent patients about their own explanations of pain, the nature of pain, and in wich sitations the pain appears. Dentists can also explore adolescent patients' pain management stategies and perhaps also suggest new treatment stategies at an earlier stage.
|
|
