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Related Experiment Videos

Temporo-mandibular joint dysfunction: pain and illness behaviour.

B Speculand1, A N Goss, A Hughes

  • 1University of Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY Great Britain Department of Oral Pathology and Oral Surgery, University of Adelaide, Adelaide, S.A. 5001 Australia Department of Community Health, University of Bristol, Bristol Great Britain Department of Psychiatry, University of Adelaide, Adelaide, S.A. 5001 Australia.

Pain
|October 1, 1983
PubMed
Summary

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The illness behavior questionnaire effectively identifies temporomandibular joint (TMJ) dysfunction patients needing psychological support over surgical options. This screening tool aids in predicting treatment resistance in TMJ disorder patients.

Area of Science:

  • Psychology
  • Dentistry
  • Medical Diagnostics

Background:

  • Temporomandibular joint (TMJ) dysfunction affects numerous patients, with varying responses to treatment.
  • Previous research established the illness behavior questionnaire (IBQ) for differentiating pain types.
  • Identifying patients resistant to conservative therapy is crucial for effective TMJ disorder management.

Purpose of the Study:

  • To prospectively assess illness behavior in TMJ dysfunction patients.
  • To determine if illness behavior predicts resistance to conservative TMJ treatments.
  • To evaluate the IBQ's utility in screening for psychological needs in TMJ patients.

Main Methods:

  • Prospective investigation of 100 TMJ dysfunction patients and 100 asymptomatic controls.

Related Experiment Videos

  • Utilized the illness behavior questionnaire (IBQ) to measure psychological factors.
  • Compared illness behavior patterns between TMJ patients, controls, and a pain clinic population.

    • Main Results:

    • TMJ patients exhibited significantly higher disease conviction, anxiety, and depression compared to controls.
    • TMJ patients were less likely to deny life problems than controls.
    • Patients resistant to conservative therapy (13%) predominantly showed abnormal illness behavior.

    Conclusions:

    • The IBQ can screen TMJ dysfunction patients for psychological treatment needs.
    • Abnormal illness behavior is linked to poor response to conservative TMJ therapy.
    • The IBQ helps differentiate patients requiring psychological intervention from those needing surgical consideration.