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

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.
AuthorsK D Mishra, R J Gatchel, M A Gardea
JournalJournal of behavioral medicine (J Behav Med) Vol. 23 Issue 3 Pg. 293-309 (Jun 2000) ISSN: 0160-7715 [Print] United States
PMID10863679 (Publication Type: Clinical Trial, Comparative Study, Controlled Clinical Trial, Journal Article, Research Support, U.S. Gov't, P.H.S.)
Topics
  • Adult
  • Aged
  • Analysis of Variance
  • Biofeedback, Psychology (methods)
  • Chi-Square Distribution
  • Chronic Disease
  • Cognitive Behavioral Therapy (methods)
  • Female
  • Humans
  • Male
  • Middle Aged
  • Temporomandibular Joint Disorders (therapy)
  • Treatment Outcome

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