RT - Journal of Oral & Facial Pain and Headache ID - 10.11607/jofph.08397 T1 - A Cognitive-Behavioral Approach To Temporomandibular Dysfunction Treatment Failures: A Controlled Comparison A1 - Mark E. Oakley A1 - Charles P. McCreaty A1 - Glenn T. Clark A1 - Steve Holston A1 - Dorothy Glover A1 - Kathleen Kashima YR - 1994 SP - 397 AB -

The effects of cognitive-behavioral treatment for patients with temporomandibular disorders were studied by comparing active treatment to a wait-list control condition. Patients were predominantly women and had been referred to the study after having poor response to dental/physical medicine care. Patients' conditions were evaluated pretreatment and posttreatment based on self-report measures of pain, distress, and jaw function problems. They were examined by a dentist who assessed pain-free opening, muscle palpation pain, and tenderness of the temporomandibular joints. The 5-week cognitive-behavioral treatment included relaxation training, self-monitoring of stressors, and cognitive coping strategies. Treatment had its greatest impact on improving mood, especially anxiety; however, there were some effects on the patients' experiences of pain.