Psychosocial correlates of temporomandibular joint pain and dysfunction

摘要: This study examines psychological differences between temporomandibular joint pain and dysfunction (TMJPD) patients, controls, healthy controls. Two hundred two patients were classified, according to the diagnostic criteria of Eversole Machado, as either myogenic facial (n = 42), internal derangement type I 69), II 85), or III 6). Patients completed Basic Personality Inventory, Illness Behavior Questionnaire, Multidimensional Health Locus Control, Perceived Stress Scale, Ways Coping Checklist. Subjects also answered question pertaining TMJPD symptomatology, including chronicity severity. After conservative treatment with simple jaw exercise ultrasound, contacted again at 5 months complete follow-up questionnaires similar those previously completed. Comparison groups comprised 79 attending outpatient physiotherapy clinics for pain-related injuries not involving 71 pain-free, students. Data analyzed using multivariate statistics. The results indicate a significant relationship intensity (and some extent chronicity) diverse measures personality among controls but patients. calls into validity assuming individual disorders are subsets larger, homogenous disorder population. score higher on hypochondriasis anxiety than pain-free these elevations clinically significant. decrease normal levels in response positive outcome. There no any measures. These suggests that do appear be significantly different from other type, illness, attitudes towards health care, ways coping stress.