The relative efficacy of three cognitive-behavioral treatment approaches to temporomandibular disorders

Kiran D. Mishra, Robert Joseph Gatchel, Margaret A. Gardea

Research output: Contribution to journalArticle

59 Scopus citations

Abstract

The purpose of this study was to evaluate the relative efficacy of different biopsychosocial treatment conditions on patients with chronic temporomandibular disorder. Ninety-four patients with chronic temporomandibular disorder were assigned to either a biofeedback treatment group, a cognitive-behavioral skills training (CBST) treatment group, a combined (combination of biofeedback/CBST) treatment group, or a no-treatment control group. Pain scores were analyzed pretreatment and posttreatment to determine group and within-subjects treatment effects. Results demonstrated that, in terms of a self-reported pain score, all three treatment groups had significantly decreased pain scores from pretreatment to posttreatment, while the no-treatment group did not. Moreover, patients in the biofeedback group were the most significantly improved compared to the no-treatment group. Finally, participants in the three treatment groups displayed significant improvement in mood states.

Original languageEnglish
Pages (from-to)293-309
Number of pages17
JournalJournal of Behavioral Medicine
Volume23
Issue number3
DOIs
StatePublished - 30 Jun 2000

Keywords

  • Biofeedback
  • Biopsychosocial perspective
  • Cognitive- behavioral skills training
  • RDC/TMD diagnosis
  • Temporomandibular disorder

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