Biopsychosocial factors associated with the subcategories of acute temporomandibular joint disorders

Angela Liegey Dougall, Carmen A. Jimenez, Robbie A. Haggard, Anna W. Stowell, Richard R. Riggs, Robert J. Gatchel

Research output: Contribution to journalArticlepeer-review

31 Scopus citations


Aims: To assess the biopsychosocial factors associated with acute temporomandibular disorders (TMD) based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Methods: Participants were assessed in community-based dental clinics and evaluated by trained clinicians using physical and psychosocial measures. A total of 207 subjects were evaluated. Patients' high-risk versus low-risk status for potentially developing chronic TMD was also determined. Analyses of variance and chisquare analyses were applied to these data. Results: Participants' characteristic pain intensity differed among RDC/TMD Axis I diagnoses. They also significantly varied in their self-reported graded chronic pain, depression, somatization (pain inclusive), somatization (pain excluded), and physical well-being. In addition, participants with differing RDC/TMD Axis I diagnoses varied in self-reported pain during their chewing performance. Finally, there were also significant differences in chewing performance between high-risk versus low-risk (for developing chronic TMD) patients. Conclusion: Participants with multiple diagnoses reported higher pain, as well as other symptoms, relative to participants without a TMD diagnosis. For chewing performance, participants with mutual diagnoses reported more pain compared to other participants. Finally, the risk-status of patients significantly affected chewing performance.

Original languageEnglish
Pages (from-to)7-16
Number of pages10
JournalJournal of Oral and Facial Pain and Headache
Issue number1
StatePublished - 2012


  • Biopsychosocial profiles
  • Clinical utility
  • Diagnostic criteria
  • Temporomandibular disorders
  • Temporomandibular muscle and joint disorders


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