Efficacy of an early intervention for patients with acute temporomandibular disorder-related pain: A one-year outcome study

Robert J. Gatchel, Anna Wright Stowell, Lynn Wildenstein, Richard Riggs, Edward Ellis

Research output: Contribution to journalArticle

84 Citations (Scopus)

Abstract

Background. The authors conducted a randomized clinical trial to evaluate the efficacy of a biopsychosocial intervention for patients who were at high risk (HR) of progressing from acute to chronic temporomandibular disorder (TMD)-related pain. Methods. The authors classified subjects' risk using a predictive algorithm and randomized them into an early-intervention (EI) or a nonintervention (NI) group. The EI included cognitive behavioral skills training and biofeedback. The authors assessed pain and psychosocial measures at intake and at a one-year follow-up. Subjects' self-reported pain levels were measured on an analog scale and as a response to palpation. Results. At one year, El-group subjects had significantly lower levels of self-reported pain and depression. At one year, more NI-group subjects than El-group subjects had utilized health care for jaw-related pain. NI-group subjects were 12.5 times as likely to have a somatoform disorder, more than seven times as likely to have an anxiety disorder, and 2.7 times more likely to have an affective disorder at one year, compared with EI-group subjects. Conclusions. EI-group subjects had reduced pain levels, improved coping abilities and reduced emotional distress at one year. Clinical Implications. The TMD-related pain experience is complex and requires early identification with a biopsychosoaal EI to achieve maximal, sustainable results.

Original languageEnglish (US)
Pages (from-to)339-347
Number of pages9
JournalJournal of the American Dental Association
Volume137
Issue number3
StatePublished - Mar 2006
Externally publishedYes

Fingerprint

Temporomandibular Joint Disorders
Outcome Assessment (Health Care)
Pain
Somatoform Disorders
Aptitude
Palpation
Anxiety Disorders
Jaw
Mood Disorders
Randomized Controlled Trials
Depression
Delivery of Health Care

Keywords

  • Biopsychosocial
  • Early intervention
  • Pain
  • Temporomandibular disorder

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Efficacy of an early intervention for patients with acute temporomandibular disorder-related pain : A one-year outcome study. / Gatchel, Robert J.; Stowell, Anna Wright; Wildenstein, Lynn; Riggs, Richard; Ellis, Edward.

In: Journal of the American Dental Association, Vol. 137, No. 3, 03.2006, p. 339-347.

Research output: Contribution to journalArticle

Gatchel, Robert J. ; Stowell, Anna Wright ; Wildenstein, Lynn ; Riggs, Richard ; Ellis, Edward. / Efficacy of an early intervention for patients with acute temporomandibular disorder-related pain : A one-year outcome study. In: Journal of the American Dental Association. 2006 ; Vol. 137, No. 3. pp. 339-347.
@article{f0eab6bba62b4815be16014037a58fb0,
title = "Efficacy of an early intervention for patients with acute temporomandibular disorder-related pain: A one-year outcome study",
abstract = "Background. The authors conducted a randomized clinical trial to evaluate the efficacy of a biopsychosocial intervention for patients who were at high risk (HR) of progressing from acute to chronic temporomandibular disorder (TMD)-related pain. Methods. The authors classified subjects' risk using a predictive algorithm and randomized them into an early-intervention (EI) or a nonintervention (NI) group. The EI included cognitive behavioral skills training and biofeedback. The authors assessed pain and psychosocial measures at intake and at a one-year follow-up. Subjects' self-reported pain levels were measured on an analog scale and as a response to palpation. Results. At one year, El-group subjects had significantly lower levels of self-reported pain and depression. At one year, more NI-group subjects than El-group subjects had utilized health care for jaw-related pain. NI-group subjects were 12.5 times as likely to have a somatoform disorder, more than seven times as likely to have an anxiety disorder, and 2.7 times more likely to have an affective disorder at one year, compared with EI-group subjects. Conclusions. EI-group subjects had reduced pain levels, improved coping abilities and reduced emotional distress at one year. Clinical Implications. The TMD-related pain experience is complex and requires early identification with a biopsychosoaal EI to achieve maximal, sustainable results.",
keywords = "Biopsychosocial, Early intervention, Pain, Temporomandibular disorder",
author = "Gatchel, {Robert J.} and Stowell, {Anna Wright} and Lynn Wildenstein and Richard Riggs and Edward Ellis",
year = "2006",
month = "3",
language = "English (US)",
volume = "137",
pages = "339--347",
journal = "Journal of the American Dental Association",
issn = "0002-8177",
publisher = "American Dental Association",
number = "3",

}

TY - JOUR

T1 - Efficacy of an early intervention for patients with acute temporomandibular disorder-related pain

T2 - A one-year outcome study

AU - Gatchel, Robert J.

AU - Stowell, Anna Wright

AU - Wildenstein, Lynn

AU - Riggs, Richard

AU - Ellis, Edward

PY - 2006/3

Y1 - 2006/3

N2 - Background. The authors conducted a randomized clinical trial to evaluate the efficacy of a biopsychosocial intervention for patients who were at high risk (HR) of progressing from acute to chronic temporomandibular disorder (TMD)-related pain. Methods. The authors classified subjects' risk using a predictive algorithm and randomized them into an early-intervention (EI) or a nonintervention (NI) group. The EI included cognitive behavioral skills training and biofeedback. The authors assessed pain and psychosocial measures at intake and at a one-year follow-up. Subjects' self-reported pain levels were measured on an analog scale and as a response to palpation. Results. At one year, El-group subjects had significantly lower levels of self-reported pain and depression. At one year, more NI-group subjects than El-group subjects had utilized health care for jaw-related pain. NI-group subjects were 12.5 times as likely to have a somatoform disorder, more than seven times as likely to have an anxiety disorder, and 2.7 times more likely to have an affective disorder at one year, compared with EI-group subjects. Conclusions. EI-group subjects had reduced pain levels, improved coping abilities and reduced emotional distress at one year. Clinical Implications. The TMD-related pain experience is complex and requires early identification with a biopsychosoaal EI to achieve maximal, sustainable results.

AB - Background. The authors conducted a randomized clinical trial to evaluate the efficacy of a biopsychosocial intervention for patients who were at high risk (HR) of progressing from acute to chronic temporomandibular disorder (TMD)-related pain. Methods. The authors classified subjects' risk using a predictive algorithm and randomized them into an early-intervention (EI) or a nonintervention (NI) group. The EI included cognitive behavioral skills training and biofeedback. The authors assessed pain and psychosocial measures at intake and at a one-year follow-up. Subjects' self-reported pain levels were measured on an analog scale and as a response to palpation. Results. At one year, El-group subjects had significantly lower levels of self-reported pain and depression. At one year, more NI-group subjects than El-group subjects had utilized health care for jaw-related pain. NI-group subjects were 12.5 times as likely to have a somatoform disorder, more than seven times as likely to have an anxiety disorder, and 2.7 times more likely to have an affective disorder at one year, compared with EI-group subjects. Conclusions. EI-group subjects had reduced pain levels, improved coping abilities and reduced emotional distress at one year. Clinical Implications. The TMD-related pain experience is complex and requires early identification with a biopsychosoaal EI to achieve maximal, sustainable results.

KW - Biopsychosocial

KW - Early intervention

KW - Pain

KW - Temporomandibular disorder

UR - http://www.scopus.com/inward/record.url?scp=33645022880&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33645022880&partnerID=8YFLogxK

M3 - Article

C2 - 16570467

AN - SCOPUS:33645022880

VL - 137

SP - 339

EP - 347

JO - Journal of the American Dental Association

JF - Journal of the American Dental Association

SN - 0002-8177

IS - 3

ER -