Psychological profile and self-administered relaxation in patients with craniofacial pain: a prospective in-office study

Head & Face Medicine

Carsten Lippold²  Peter Proff¹  Piero Römer¹  Christian Kirschneck¹ 

[1] Department of Orthodontics, University Medical Centre of Regensburg, Franz-Josef-Strauß-Allee 11, Regensburg 93053, Germany;Department of Orthodontics, University Medical Centre of Muenster, Waldeyerstraße 30, Münster 48149, Germany

关键词: Psychological features;    Relaxation training;    Patient classification;    Temporo-mandibular dysfunction;    Craniofacial pain;   

Others  :  813677
DOI  :  10.1186/1746-160X-9-31

 received in 2013-08-05, accepted in 2013-10-09,  发布年份 2013

【 摘 要 】

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).

【 授权许可】

   
2013 Kirschneck et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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