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Cognitive-behavioral profiles among different categories of orofacial pain patients: diagnostic and treatment implications.

Dahlström, Lars (author)
Gothenburg University,Göteborgs universitet,Odontologiska institutionen,Institute of Odontology
Widmark, Göran (author)
Gothenburg University,Göteborgs universitet,Odontologiska institutionen,Institute of Odontology
Carlsson, Sven G., 1935 (author)
Gothenburg University,Göteborgs universitet,Psykologiska institutionen,Department of Psychology
 (creator_code:org_t)
1997
1997
English.
In: European journal of oral sciences. - 0909-8836. ; 105:5 Pt 1, s. 377-83
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Psychological homogeneity in temporomandibular disorders (TMD) is not conclusive. The multidimensional pain inventory (MPI) has previously identified 3 cognitive-behavioral profiles in TMD and chronic pain patients. Our aims were to replicate these findings in another cultural setting and relate the profiles to the diagnosis and to the treatment demand and outcome. The MPI was administered to 112 referrals comprising 6 categories of patients diagnosed with TMD or intractable orofacial pain. Dysfunctional profiles (high in pain and distress) were most common in patients with orofacial pain of obscure origin and more common in myofascial pain patients than in patients with other TMD diagnoses. Interpersonally-distressed profiles were found in all categories. Among patients with disk displacement, the 3rd profile (adaptive copers with low pain and distress and high control and activity) was most common in earlier successfully diskectomized patients and least common in those about to undergo invasive interventions. A dysfunctional profile was associated with treatment failure, conservative or surgical, and with the demand for radical therapy. Some support for a cyclical causality between pain and psychological factors was found. It is concluded that the robustness of the MPI as a relevant assessment instrument was further strengthened.

Subject headings

SAMHÄLLSVETENSKAP  -- Psykologi (hsv//swe)
SOCIAL SCIENCES  -- Psychology (hsv//eng)

Keyword

Adaptation
Psychological
Adult
Aged
Aged
80 and over
Attitude to Health
Behavior
physiology
Causality
Chronic Disease
Cognition
physiology
Culture
Dislocations
psychology
surgery
Facial Pain
diagnosis
psychology
therapy
Female
Health Services Needs and Demand
Humans
Male
Middle Aged
Multivariate Analysis
Osteoarthritis
psychology
Pain Measurement
Quality of Life
Referral and Consultation
Stress
Psychological
psychology
Temporomandibular Joint Disc
pathology
surgery
Temporomandibular Joint Disorders
diagnosis
psychology
therapy
Temporomandibular Joint Dysfunction Syndrome
psychology
Treatment Failure
Treatment Outcome

Publication and Content Type

ref (subject category)
art (subject category)

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By the author/editor
Dahlström, Lars
Widmark, Göran
Carlsson, Sven G ...
About the subject
SOCIAL SCIENCES
SOCIAL SCIENCES
and Psychology
Articles in the publication
European journal ...
By the university
University of Gothenburg

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