Kirschneck, Christian and Roemer, Piero and Proff, Peter and Lippold, Carsten (2013) Psychological profile and self-administered relaxation in patients with craniofacial pain: a prospective in-office study. HEAD & FACE MEDICINE, 9: 31. ISSN 1746-160X,
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Introduction: The objective of this study was to evaluate the psychological profile of craniofacial pain sufferers and the impact of patient subtype classification on the short-time effectiveness of a self-administered relaxation training. Methods: One hundred unselected in-office patients (67% females) suffering from chronic facial pain and/or headache with the presumptive diagnose of temporo-mandibular disorder (TMD) completed a questionnaire battery comprising craniofacial pain perception, somatic complaints, irrational beliefs, and pain behavior and were classified into subtypes using cluster analysis. They underwent a self-administered progressive relaxation training and were re-evaluated for pain perception after 3 months. Results: Pain was mild to moderate in the majority of patients. Symptom domains comprised parafunctional activities, temporo-mandibular pain and dysfunction, fronto-temporal headache, head/neck and neck/back pain. Three patient subtypes were identified regarding symptom/dysfunction level: (i) low burden (mild/moderate), (ii) psychosocial dysfunction (moderate/high), (iii) adaptive coping (moderate/mild). Self-rated adherence to the recommended relaxation training was moderate throughout the sample, but self-rated relief was significantly different between clusters. At follow-up, pain intensity was significantly decreased in all patients, whereas pain-related interference was improved only in dysfunctional and adaptive patients. Improvement of symptom domains varied between clusters and was most comprehensive in adaptive patients. Conclusions: In conclusion, craniofacial pain sufferers can be divided in meaningful subtypes based on their pain perception, irrational beliefs, and pain behaviour. A self-administered relaxation training generally yielded positive effects on pain perception, however the benefit may be greater in patients with more marked symptom impact (both dysfunctional and adaptive).
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TEMPOROMANDIBULAR DISORDER PAIN; RANDOMIZED CLINICAL-TRIAL; RESEARCH DIAGNOSTIC-CRITERIA; QUALITY-OF-LIFE; FACIAL-PAIN; MULTIDIMENSIONAL PAIN; GENDER-DIFFERENCES; MYOFASCIAL-PAIN; WIDESPREAD PAIN; OROFACIAL PAIN; Craniofacial pain; Temporo-mandibular dysfunction; Patient classification; Relaxation training; Psychological features |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 31 Mar 2020 08:04 |
| Last Modified: | 31 Mar 2020 08:04 |
| URI: | https://pred.uni-regensburg.de/id/eprint/15838 |
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