Researchers used patient daily electronic ratings of outcome (activity
interference, pain intensity, jaw use limitations, negative mood) and
process (pain-related beliefs, catastrophizing, and coping) variables
to evaluate a brief cognitive-behavioral (CB) treatment for chronic
temporomandibular disorder (TMD) pain. TMD clinic patients (N=158) were
assigned randomly to four biweekly sessions of either CB pain management
training (PMT) or an education/attention control condition [self-care
management] and were asked to complete electronic interviews three times
daily for the 8-week treatment.
Diary data from 126 participants were analyzed. Analyses indicated
no statistically significant difference between the study groups in
rate of within-subject change over time on the daily outcome measures,
but consistently greater within-subject improvement in the PMT group
on the daily process measures. Significantly greater proportions of
PMT than of the self-care management patients showed clinically important
improvement from Weeks 1 to 8 in daily activity interference and jaw
use limitations. The brief CB treatment was effective in decreasing
catastrophizing and increasing perceived control over pain, and in improving
activity interference and jaw use limitations for a subgroup of patients.
Turner JA, Mancl L, Aaron LA. Pain. 2005 Sep 6.
PMID 16153777
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=16153777&query_hl=12
Credit: PubMed, developed by the National Center for Biotechnology Information
(NCBI) at the National
Library of Medicine (NLM).
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