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Temporomandibular Disorders pp 193–217Cite as

Psychosocial Considerations in TMD

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Abstract

Temporomandibular disorders represent a group of complex painful conditions, whose etiology and persistence are driven by a complex mosaic of influences, including psychological factors. This chapter addresses the importance of psychological contributions to TMD. Evidence is reviewed demonstrating not only that increased psychological symptoms are observed in people with TMD, but also the premorbid psychological functioning predicts future development of TMD. In addition, psychiatric diagnoses that can influence TMD symptoms and responses to treatment are discussed. Finally, the nature and effectiveness of psychological interventions for TMD are reviewed, and issues that impact interpretation of these findings are considered.

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References

  • Aaron LA, Turner JA, Mancl LA, Sawchuk CN, Huggins KH, Truelove EL. Daily pain coping among patients with chronic temporomandibular disorder pain: an electronic diary study. J Orofac Pain. 2006;20:125–37.

    PubMed  Google Scholar 

  • Abrahamsen R, Zachariae R, Svensson P. Effect of hypnosis on oral function and psychological factors in temporomandibular disorders patients. J Oral Rehabil. 2009;36:556–70.

    Article  PubMed  Google Scholar 

  • Aggarwal VR, Lovell K, Peters S, Javidi H, Joughin A, Goldthorpe J. Psychosocial interventions for the management of chronic orofacial pain. Cochrane Database Syst Rev. 2011;11:Cd008456.

    Google Scholar 

  • Aggarwal VR, Macfarlane GJ, Farragher TM, Mcbeth J. Risk factors for onset of chronic oro-facial pain--results of the North Cheshire oro-facial pain prospective population study. Pain. 2010a;149:354–9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Aggarwal VR, Macfarlane GJ, Farragher TM, Mcbeth J. Risk factors for onset of chronic oro-facial pain--results of the North Cheshire oro-facial pain prospective population study. Pain. 2010b;149:354–9.

    Article  PubMed  PubMed Central  Google Scholar 

  • American Psychiatric Association. Diagnostic and statistical manual of mental disorders. American Psychiatric Association: Washington, DC; 2013.

    Book  Google Scholar 

  • Azrin NH, Nunn RG. Habit-reversal: a method of eliminating nervous habits and tics. Behav res Ther. 1973;11:619–28.

    Article  PubMed  Google Scholar 

  • Baer RA. Mindfulness training as a clinical intervention: a conceptual and empirical review. Clin Psychol Sci Pract. 2003;10:125–43.

    Article  Google Scholar 

  • Bawa FL, Mercer SW, Atherton RJ, Clague F, Keen A, Scott NW, Bond CM. Does mindfulness improve outcomes in patients with chronic pain? Systematic review and meta-analysis. Br J Gen Pract. 2015;65:E387–400.

    Article  PubMed  PubMed Central  Google Scholar 

  • Beaton RD, Egan KJ, Nakagawa-Kogan H, Morrison KN. Self-reported symptoms of stress with temporomandibular disorders: comparisons to healthy men and women. J Prosthet Dent. 1991;65:289–93.

    Article  PubMed  Google Scholar 

  • Berg CJ, Snyder CR, Hamilton N. The effectiveness of a hope intervention in coping with cold pressor pain. J Health Psychol. 2008;13:804–9.

    Article  PubMed  Google Scholar 

  • Bertoli E, De Leeuw R, Schmidt JE, Okeson JP, Carlson CR. Prevalence and impact of post-traumatic stress disorder symptoms in patients with masticatory muscle or temporomandibular joint pain: differences and similarities. J Orofac Pain. 2007;21:107–19.

    PubMed  Google Scholar 

  • Boettger MK, Grossmann D, Bar KJ. Thresholds and perception of cold pain, heat pain, and the thermal grill illusion in patients with major depressive disorder. Psychosom Med. 2013;75:281–7.

    Article  PubMed  Google Scholar 

  • Brister H, Turner JA, Aaron LA, Mancl L. Self-efficacy is associated with pain, functioning, and coping in patients with chronic temporomandibular disorder pain. J Orofac Pain. 2006;20:115–24.

    PubMed  Google Scholar 

  • Brooke RI, Stenn PG, Mothersill KJ. The diagnosis and conservative treatment of myofascial pain dysfunction syndrome. Oral Surg Oral med Oral Pathol. 1977;44:844–52.

    Article  PubMed  Google Scholar 

  • Carlson CR, Bertrand P. Self-regulation training manual. University Press: Lexington, KY; 1995.

    Google Scholar 

  • Carlson CR, Bertrand PM, Ehrlich AD, Maxwell AW, Burton RG. Physical self-regulation training for the management of temporomandibular disorders. J Orofac Pain. 2001;15:47–55.

    PubMed  Google Scholar 

  • Carlson CR, Okeson JP, Falace DA, Nitz AJ, Curran SL, Anderson D. Comparison of Psychologic and physiologic functioning between patients with masticatory muscle pain and matched controls. J Orofac Pain. 1993;7:15–22.

    PubMed  Google Scholar 

  • Carlson CR, Reid KI, Curran SL, Studts J, Okeson JP, Falace D, Nitz A, Bertrand PM. Psychological and physiological parameters of masticatory muscle pain. Pain. 1998;76:297–307.

    Article  PubMed  Google Scholar 

  • Carlsson SG, Gale EN. Biofeedback in the treatment of long-term temporomandibular joint pain an outcome study. Biofeedback Self Regul. 1977;2:161–71.

    Article  PubMed  Google Scholar 

  • Chen CY, Palla S, Erni S, Sieber M, Gallo LM. Nonfunctional tooth contact in healthy controls and patients with myogenous facial pain. J Orofac Pain. 2007;21:185–93.

    PubMed  Google Scholar 

  • Chen H, Nackley A, Miller V, Diatchenko L, Maixner W. Multisystem dysregulation in painful temporomandibular disorders. J Pain. 2013;14:983–96.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chow SC. Adaptive clinical trial design. Annu Rev Med. 2014;65:405–15.

    Article  PubMed  Google Scholar 

  • Conrad R, Schilling G, Bausch C, Nadstawek J, Wartenberg HC, Wegener I, Geiser F, Imbierowicz K, Liedtke R. Temperament and character personality profiles and personality disorders in chronic pain patients. Pain. 2007;133:197–209.

    Article  PubMed  Google Scholar 

  • Costello NL, Bragdon EE, Light KC, Sigurdsson A, Bunting S, Grewen K, Maixner W. Temporomandibular disorder and optimism: relationships to ischemic pain sensitivity and interleukin-6. Pain. 2002;100:99–110.

    Article  PubMed  Google Scholar 

  • Craig AD, Bushnell MC. The thermal grill illusion: unmasking the burn of cold pain. Science. 1994;265:252–5.

    Article  PubMed  Google Scholar 

  • Crider A, Glaros AG, Gevirtz RN. Efficacy of biofeedback-based treatments for temporomandibular disorders. Appl Psychophysiol Biofeedback. 2005;30:333–45.

    Article  PubMed  Google Scholar 

  • Dahlstrom L, Carlsson GE, Carlsson SG. Comparison of effects of electromyographic biofeedback and occlusal splint therapy on mandibular dysfunction. Scand J Dent Res. 1982;90:151–6.

    PubMed  Google Scholar 

  • Dahlstrom L, Carlsson SG, Gale EN, Jansson TG. Stress-induced muscular activity in mandibular dysfunction: effects of biofeedback training. J Behav Med. 1985;8:191–200.

    Article  PubMed  Google Scholar 

  • De Leeuw R, Bertoli E, Schmidt JE, Carlson CR. Prevalence of post-traumatic stress disorder symptoms in orofacial pain patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005a;99:558–68.

    Article  PubMed  Google Scholar 

  • De Leeuw R, Schmidt JE, Carlson CR. Traumatic stressors and post-traumatic stress disorder symptoms in headache patients. Headache. 2005b;45:1365–74.

    Article  PubMed  Google Scholar 

  • Derogatis LR. Symptom Checklist-90-R. Minneapolis, MN: National Computer Symptoms; 1994.

    Google Scholar 

  • Dworkin SF. The Oppera study: act one. J Pain. 2011;12:T1–3.

    Article  PubMed  Google Scholar 

  • Dworkin SF, Huggins KH, Wilson L, Mancl L, Turner J, Massoth D, Leresche L, Truelove E. A randomized clinical trial using research diagnostic criteria for temporomandibular disorders-axis II to target clinic cases for a tailored self-care TMD treatment program. J Orofac Pain. 2002a;16:48–63.

    PubMed  Google Scholar 

  • Dworkin SF, Leresche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992;6:301–55.

    PubMed  Google Scholar 

  • Dworkin SF, Turner JA, Mancl L, Wilson L, Massoth D, Huggins KH, Leresche L, Truelove E. A randomized clinical trial of a tailored comprehensive care treatment program for temporomandibular disorders. J Orofac Pain. 2002b;16:259–76.

    PubMed  Google Scholar 

  • Dworkin SF, Turner JA, Wilson L, Massoth D, Whitney C, Huggins KH, Burgess J, Sommers E, Truelove E. Brief group cognitive-behavioral intervention for temporomandibular disorders. Pain. 1994;59:175–87.

    Article  PubMed  Google Scholar 

  • Ehde DM, Dillworth TM, Turner JA. Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research. Am Psychol. 2014;69:153–66.

    Article  PubMed  Google Scholar 

  • Eisenlohr-Moul TA, Crofford LJ, Howard TW, Yepes JF, Carlson CR, De Leeuw R. Parasympathetic reactivity in fibromyalgia and temporomandibular disorder: associations with sleep problems, symptom severity, and functional impairment. J Pain. 2015;16:247–57.

    Article  PubMed  Google Scholar 

  • Elkins G, Jensen MP, Patterson DR. Hypnotherapy for the management of chronic pain. Int J Clin Exp Hypn. 2007;55:275–87.

    Article  PubMed  PubMed Central  Google Scholar 

  • Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–36.

    Article  PubMed  Google Scholar 

  • Erlandson, P. M., Jr. & Poppen, R. 1989. Electromyographic biofeedback and rest position training of masticatory muscles in myofascial pain-dysfunction patients. J Prosthet Dent, 62, 335–338.

    Google Scholar 

  • Ferrando M, Andreu Y, Galdon MJ, Dura E, Poveda R, Bagan JV. Psychological variables and temporomandibular disorders: distress, coping, and personality. Oral SurgOral MedOral PatholOral RadiolEndod. 2004;98:153–60.

    Google Scholar 

  • Ferrando M, Galdon MJ, Dura E, Andreu Y, Jimenez Y, Poveda R. Enhancing the efficacy of treatment for temporomandibular patients with muscular diagnosis through cognitive-behavioral intervention, including hypnosis: a randomized study. Oral Surg Oral med Oral Pathol Oral Radiol. 2012;113:81–9.

    Article  PubMed  Google Scholar 

  • Fillingim RB, Maixner W, Kincaid S, Sigurdsson A, Harris MB. Pain sensitivity in patients with temporomandibular disorders: relationship to clinical and psychosocial factors. Clin J Pain. 1996;12:260–9.

    Article  PubMed  Google Scholar 

  • Fillingim RB, Ohrbach R, Greenspan JD, Knott C, Diatchenko L, Dubner R, Bair E, Baraian C, Mack N, Slade GD, Maixner W. Psychological factors associated with development of TMD: the Oppera prospective cohort study. J Pain. 2013;14:T75–90.

    Article  PubMed  Google Scholar 

  • Fillingim RB, Ohrbach R, Greenspan JD, Knott C, Dubner R, Bair E, Baraian C, Slade GD, Maixner W. Potential psychosocial risk factors for chronic TMD: descriptive data and empirically identified domains from the Oppera case-control study. J Pain. 2011a;12:T46–60.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fillingim RB, Ohrbach R, Greenspan JD, Knott C, Dubner R, Bair E, Baraian C, Slade GD, Maixner W. Potential psychosocial risk factors for chronic TMD: descriptive data and empirically identified domains from the Oppera case-control study. J Pain. 2011b;12:T46–60.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fillingim RB, Slade GD, Diatchenko L, Dubner R, Greenspan JD, Knott C, Ohrbach R, Maixner W. Summary of findings from the Oppera baseline case-control study: implications and future directions. J Pain. 2011c;12:T102–7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fricton JR, Ouyang W, Nixdorf DR, Schiffman EL, Velly AM, Look JO. Critical appraisal of methods used in randomized controlled trials of treatments for temporomandibular disorders. J Orofac Pain. 2010;24:139–51.

    PubMed  PubMed Central  Google Scholar 

  • Fritz JM, George SZ, Delitto A. The role of fear-avoidance beliefs in acute low back pain: relationships with current and future disability and work status. Pain. 2001;94:7–15.

    Article  PubMed  Google Scholar 

  • Funch DP, Gale EN. Biofeedback and relaxation therapy for chronic temporomandibular joint pain: predicting successful outcomes. J Consult Clin Psychol. 1984;52:928–35.

    Article  PubMed  Google Scholar 

  • Gameiro GH, Da Silva Andrade A, Nouer DF, Ferraz De Arruda Veiga MC. How may stressful experiences contribute to the development of temporomandibular disorders? Clin Oral Investig. 2006;10:261–8.

    Article  PubMed  Google Scholar 

  • Gardea MA, Gatchel RJ, Mishra KD. Long-term efficacy of biobehavioral treatment of temporomandibular disorders. J Behav med. 2001;24:341–59.

    Article  PubMed  Google Scholar 

  • Garofalo JP, Gatchel RJ, Wesley AL, Ellis E. Predicting chronicity in acute temporomandibular joint disorders using the research diagnostic criteria. J Am Dent Assoc. 1998;129:438–47.

    Article  PubMed  Google Scholar 

  • Gatchel, R. J., Stowell, A. W., Wildenstein, L., Riggs, R. & Ellis, E., 3rd 2006. Efficacy of an early intervention for patients with acute temporomandibular disorder-related pain: a one-year outcome study. J Am Dent Assoc, 137, 339–347.

    Google Scholar 

  • Gavish A, Halachmi M, Winocur E, Gazit E. Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescent girls. J Oral Rehabil. 2000;27:22–32.

    Article  PubMed  Google Scholar 

  • Gerrits MM, Van Marwijk HW, Van Oppen P, Van Der Horst H, Penninx BW. Longitudinal association between pain, and depression and anxiety over four years. J Psychosom res. 2015;78:64–70.

    Article  PubMed  Google Scholar 

  • Gessel AH, Alderman MM. Management of myofascial pain dysfunction syndrome of the temporomandibular joint by tension control training. Psychosomatics. 1971;12:302–9.

    Article  PubMed  Google Scholar 

  • Giannakopoulos NN, Keller L, Rammelsberg P, Kronmuller KT, Schmitter M. Anxiety and depression in patients with chronic temporomandibular pain and in controls. J Dent. 2010;38:369–76.

    Article  PubMed  Google Scholar 

  • Glaros AG. Awareness of physiological responding under stress and nonstress conditions in temporomandibular disorders. Biofeedback Self Regul. 1996;21:261–72.

    Article  PubMed  Google Scholar 

  • Glaros AG, Baharloo L, Glass EG. Effect of parafunctional clenching and estrogen on temporomandibular disorder pain. Cranio. 1998;16:78–83.

    Article  PubMed  Google Scholar 

  • Glaros AG, Burton E. Parafunctional clenching, pain, and effort in temporomandibular disorders. J Behav med. 2004;27:91–100.

    Article  PubMed  Google Scholar 

  • Glaros AG, Kim-Weroha N, Lausten L, Franklin KL. Comparison of habit reversal and a behaviorally-modified dental treatment for temporomandibular disorders: a pilot investigation. Appl Psychophysiol Biofeedback. 2007;32:149–54.

    Article  PubMed  Google Scholar 

  • Glaros AG, Williams K, Lausten L. The role of parafunctions, emotions and stress in predicting facial pain. J Am Dent Assoc. 2005a;136:451–8.

    Article  PubMed  Google Scholar 

  • Glaros AG, Williams K, Lausten L, Friesen LR. Tooth contact in patients with temporomandibular disorders. Cranio. 2005b;23:188–93.

    Article  PubMed  Google Scholar 

  • Gramling SE, Neblett J, Grayson R, Townsend D. temporomandibular disorder: efficacy of an oral habit reversal treatment program. J Behav Ther Exp Psychiatry. 1996;27:245–55.

    Article  PubMed  Google Scholar 

  • Grossman P, Niemann L, Schmidt S, Walach H. Mindfulness-based stress reduction and health benefits: a meta-analysis. J Psychosom res. 2004;57:35–43.

    Article  PubMed  Google Scholar 

  • Hanssen MM, Peters ML, Vlaeyen JW, Meevissen YM, Vancleef LM. Optimism lowers pain: evidence of the causal status and underlying mechanisms. Pain. 2013;154:53–8.

    Article  PubMed  Google Scholar 

  • Hardt J, Gerbershagen HU, Franke P. The symptom check-list, SCL-90-R: its use and characteristics in chronic pain patients. Eur J Pain. 2000;4:137–48.

    Article  PubMed  Google Scholar 

  • Hijzen TH, Slangen JL, Van Houweligen HC. Subjective, clinical and EMG effects of biofeedback and splint treatment. J Oral Rehabil. 1986;13:529–39.

    Article  PubMed  Google Scholar 

  • Hilgard ER. A neodissociation interpretation of pain reduction in hypnosis. Psychol Rev. 1973;80:396–411.

    Article  PubMed  Google Scholar 

  • Hofmann SG, Asnaani A, Vonk IJ, Sawyer AT, Fang A. The efficacy of cognitive behavioral therapy: a review of meta-analyses. Cognit Ther Res. 2012;36:427–40.

    Article  PubMed  PubMed Central  Google Scholar 

  • Howell AJ, Jacobson RM, Larsen DJ. 2014. Enhanced psychological health among chronic pain clients engaged in hope-focused group counseling. Couns Psychol

    Google Scholar 

  • Jacobson E. Progressive relaxation. Chicago, IL: University Of Chicago Press; 1938.

    Google Scholar 

  • Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. Gen Hosp Psychiatry. 1982;4:33–47.

    Article  PubMed  Google Scholar 

  • Keefe FJ, Dolan E. Pain behavior and pain coping strategies in low back pain and myofascial pain dysfunction syndrome patients. Pain. 1986;24:49–56.

    Article  PubMed  Google Scholar 

  • Kessler RC, Birnbaum H, Demler O, Falloon IRH, Gagnon E, Guyer M, Howes MJ, Kendler KS, Shi L, Walters E, Wu EQ. The prevalence and correlates of non-affective psychosis in the National Comorbidity Survey Replication (NCS-R). Biol Psychiatry. 2005;58:668–76.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kindler S, Samietz S, Houshmand M, Grabe HJ, Bernhardt O, Biffar R, Kocher T, Meyer G, Volzke H, Metelmann HR, Schwahn C. Depressive and anxiety symptoms as risk factors for temporomandibular joint pain: a prospective cohort study in the general population. J Pain. 2012;13:1188–97.

    Article  PubMed  Google Scholar 

  • Klauenberg S, Maier C, Assion HJ, Hoffmann A, Krumova EK, Magerl W, Scherens A, Treede RD, Juckel G. Depression and changed pain perception: hints for a central disinhibition mechanism. Pain. 2008;140:332–43.

    Article  PubMed  Google Scholar 

  • Kotiranta U, Suvinen T, Forssell H. Tailored treatments in temporomandibular disorders: where are we now? A systematic qualitative literature review. J Oral Facial Pain Headache. 2014;28:28–37.

    Article  PubMed  Google Scholar 

  • Leeuw M, Goossens ME, Linton SJ, Crombez G, Boersma K, Vlaeyen JW. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med. 2007;30:77–94.

    Article  PubMed  Google Scholar 

  • Leresche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med. 1997;8:291–305.

    Article  PubMed  Google Scholar 

  • Liao CH, Chang CS, Chang SN, Lane HY, Lyu SY, Morisky DE, Sung FC. The risk of temporomandibular disorder in patients with depression: a population-based cohort study. Community Dent Oral Epidemiol. 2011;39:525–31.

    Article  PubMed  Google Scholar 

  • List T, Axelsson S. Management of TMD: evidence from systematic reviews and meta-analyses. J Oral Rehabil. 2010;37:430–51.

    Article  PubMed  Google Scholar 

  • Litt MD, Shafer D, Napolitano C. Momentary mood and coping processes in TMD pain. Health Psychol. 2004;23:354–62.

    Article  PubMed  Google Scholar 

  • Litt MD, Shafer DM, Ibanez CR, Kreutzer DL, Tawfik-Yonkers Z. Momentary pain and coping in temporomandibular disorder pain: exploring mechanisms of cognitive behavioral treatment for chronic pain. Pain. 2009;145:160–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Litt MD, Shafer DM, Kreutzer DL. Brief cognitive-behavioral treatment for TMD pain: long-term outcomes and moderators of treatment. Pain. 2010;151:110–6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Manfredini D, Winocur E, Ahlberg J, Guarda-Nardini L, Lobbezoo F. Psychosocial impairment in temporomandibular disorders patients. RDC/ TMD Axis II findings from a multicentre study. J Dent. 2010;38:765–72.

    Article  PubMed  Google Scholar 

  • Markiewicz MR, Ohrbach R, Mccall WD. Oral behaviors checklist: reliability of performance in targeted waking-state behaviors. J Orofac Pain. 2006;20:306–16.

    PubMed  Google Scholar 

  • Mcgregor NR, Butt HL, Zerbes M, Klineberg IJ, Dunstan RH, Roberts TK. Assessment of pain (distribution and onset), symptoms, SCL-90-R inventory responses, and the association with infectious events in patients with chronic orofacial pain. J Orofac Pain. 1996;10:339–50.

    PubMed  Google Scholar 

  • Mckinney MW, Londeen TF, Turner SP, Levitt SR. Chronic TM disorder and non-TM disorder pain: a comparison of behavioral and psychological characteristics. Cranio. 1990;8:40–6.

    Article  PubMed  Google Scholar 

  • Medlicott MS, Harris SR. A systematic review of the effectiveness of exercise, manual therapy, electrotherapy, relaxation training, and biofeedback in the management of temporomandibular disorder. Phys Ther. 2006;86:955–73.

    PubMed  Google Scholar 

  • Miltenberger RG, Fuqua RW, Woods DW. Applying behavior analysis to clinical problems: review and analysis of habit reversal. J Appl Behav Anal. 1998;31:447–69.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mishra KD, Gatchel RJ, Gardea MA. The relative efficacy of three cognitive-behavioral treatment approaches to temporomandibular disorders. J Behav Med. 2000;23:293–309.

    Article  PubMed  Google Scholar 

  • Molin C, Schalling D, Edman G. Psychological studies of patients with mandibular pain dysfunction syndrome. 1. Personality traits in patients and controls. Sven Tandlak Tidskr. 1973;66:1–13.

    PubMed  Google Scholar 

  • Moss RA, Wedding D, Sanders SH. The comparative efficacy of relaxation training and masseter EMG feedback in the treatment of TMJ dysfunction. J Oral Rehabil. 1983;10:9–17.

    Article  PubMed  Google Scholar 

  • Norris FH. Behavioral science perspective on resilience. The Community and Regional Resilience Institute (CARRI). Oak Ridge Natl Lab. 2010;10:3–10.

    Google Scholar 

  • Ohrbach R, Bair E, Fillingim RB, Gonzalez Y, Gordon SM, Lim PF, Ribeiro-Dasilva M, Diatchenko L, Dubner R, Greenspan JD, Knott C, Maixner W, Smith SB, Slade GD. Clinical orofacial characteristics associated with risk of first-onset TMD: the OPPERA prospective cohort study. J Pain. 2013;14:T33–50.

    Article  PubMed  Google Scholar 

  • Ohrbach R, Dworkin SF. Five-year outcomes in TMD: relationship of changes in pain to changes in physical and psychological variables. Pain. 1998;74:315–26.

    Article  PubMed  Google Scholar 

  • Okeson JP. Psychologic factors and oral and facial pain. Bell’s oral and facial pain 7th ed. Quintessence Publishing, Hanover Park, IL. 2014; pp. 503–523.

    Google Scholar 

  • Okeson JP, Moody PM, Kemper JT, Haley JV. Evaluation of Occlusal splint therapy and relaxation procedures in patients with temporomandibular disorders. J Am Dent Assoc. 1983;107:420–4.

    Article  PubMed  Google Scholar 

  • Olson RE, Malow RM. Effects of biofeedback and psychotherapy on patients with myofascial pain dysfunction who are nonresponsive to conventional treatments. Rehabil Psychol. 1987;32:195–204.

    Google Scholar 

  • Pankhurst CL. Controversies in the aetiology of temporomandibular disorders. Part 1. Temporomandibular disorders: all in the mind? Prim Dent Care. 1997;4:25–30.

    PubMed  Google Scholar 

  • Parswani MJ, Sharma MP, Iyengar SS. Mindfulness-based stress reduction program in coronary heart disease: A randomized control trial. Int J Yoga. 2013;6:111–7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Peterson AL, Dixon DC, Talcott GW, Kelleher WJ. Habit reversal treatment of temporomandibular disorders: a pilot investigation. J Behav Ther Exp Psychiatry. 1993;24:49–55.

    Article  PubMed  Google Scholar 

  • Randhawa K, Bohay R, Cote P, Van Der Velde G, Sutton D, Wong JJ, Yu H, Southerst D, Varatharajan S, Mior S, Stupar M, Shearer HM, Jacobs C, Taylor-Vaisey A. The effectiveness of noninvasive interventions for temporomandibular disorders: a systematic review by the ontario protocol for traffic injury management (OPTIMa) collaboration. Clin J Pain. 2016;32:260–78.

    Article  PubMed  Google Scholar 

  • Reiter S, Emodi-Perlman A, Goldsmith C, Friedman-Rubin P, Winocur E. Comorbidity between depression and anxiety in patients with temporomandibular disorders according to the research diagnostic criteria for temporomandibular disorders. J Oral Facial Pain Headache. 2015;29:135–43.

    Article  PubMed  Google Scholar 

  • Richardson EJ, Ness TJ, Doleys DM, Banos JH, Cianfrini L, Richards JS. Depressive symptoms and pain evaluations among persons with chronic pain: catastrophizing, but not pain acceptance, shows significant effects. Pain. 2009;147:147–52.

    Article  PubMed  Google Scholar 

  • Roldan-Barraza C, Janko S, Villanueva J, Araya I, Lauer HC. A systematic review and meta-analysis of usual treatment versus psychosocial interventions in the treatment of myofascial temporomandibular disorder pain. J Oral Facial Pain Headache. 2014;28:205–22.

    Article  PubMed  Google Scholar 

  • Roth RS, Geisser ME, Theisen-Goodvich M, Dixon PJ. Cognitive complaints are associated with depression, fatigue, female sex, and pain catastrophizing in patients with chronic pain. Arch Phys med Rehabil. 2005;86:1147–54.

    Article  PubMed  Google Scholar 

  • Rudy TE, Turk DC, Kubinski JA, Zaki HS. Differential treatment responses of TMD patients as a function of psychological characteristics. Pain. 1995;61:103–12.

    Article  PubMed  Google Scholar 

  • Sato M, Iizuka T, Watanabe A, Iwase N, Otsuka H, Terada N, Fujisawa M. Electromyogram biofeedback training for daytime clenching and its effect on sleep bruxism. J Oral Rehabil. 2015;42:83–9.

    Article  PubMed  Google Scholar 

  • Sauer SE, Burris JL, Carlson CR. New directions in the management of chronic pain: self-regulation theory as a model for integrative clinical psychology practice. Clin Psychol rev. 2010;30:805–14.

    Article  PubMed  Google Scholar 

  • Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, List T, Svensson P, Gonzalez Y, Lobbezoo F, Michelotti A, Brooks SL, Ceusters W, Drangsholt M, Ettlin D, Gaul C, Goldberg LJ, Haythornthwaite JA, Hollender L, Jensen R, John MT, De Laat A, De Leeuw R, Maixner W, Van Der Meulen M, Murray GM, Nixdorf DR, Palla S, Petersson A, Pionchon P, Smith B, Visscher CM, Zakrzewska J, Dworkin SF. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the international RDC/TMD consortium network* and orofacial pain special interest groupdagger. J Oral Facial Pain Headache. 2014;28:6–27.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schmidt JE, Carlson CR. A controlled comparison of emotional reactivity and physiological response in masticatory muscle pain patients. J Orofac Pain. 2009;23:230–42.

    PubMed  Google Scholar 

  • Shedden Mora MC, Weber D, Neff A, Rief W. Biofeedback-based cognitive-behavioral treatment compared with occlusal splint for temporomandibular disorder: a randomized controlled trial. Clin J Pain. 2013;29:1057–65.

    Article  PubMed  Google Scholar 

  • Sherman JJ, Carlson CR, Wilson JF, Okeson JP, Mccubbin JA. Post-traumatic stress disorder among patients with orofacial pain. J Orofac Pain. 2005;19:309–17.

    PubMed  Google Scholar 

  • Simon EP, Lewis DM. Medical hypnosis for temporomandibular disorders: treatment efficacy and medical utilization outcome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90:54–63.

    Article  PubMed  Google Scholar 

  • Slade GD, Diatchenko L, Bhalang K, Sigurdsson A, Fillingim RB, Belfer I, Max MB, Goldman D, Maixner W. Influence of psychological factors on risk of temporomandibular disorders. J Dent res. 2007;86:1120–5.

    Article  PubMed  Google Scholar 

  • Song Y, Lu H, Chen H, Geng G, Wang J. Mindfulness intervention in the management of chronic pain and psychological comorbidity: a meta-analysis. Int J Nurs Sci. 2014;1:215–23.

    Google Scholar 

  • Spielberger CD, Gorusch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the state-trait anxiety inventory (Form Y1). Palo Alto, CA: Consulting Psychologists Press; 1983.

    Google Scholar 

  • Stam HJ, Mcgrath PA, Brooke RI. The effects of a cognitive-behavioral treatment program on temporo-mandibular pain and dysfunction syndrome. Psychosom med. 1984;46:534–45.

    Article  PubMed  Google Scholar 

  • Stenn PG, Mothersill KJ, Brooke RI. Biofeedback and a cognitive behavioral approach to treatment of myofascial pain dysfunction syndrome. Behav Ther. 1979;10:29–36.

    Article  Google Scholar 

  • Strigo IA, Simmons AN, Matthews SC, Craig AD, Paulus MP. Increased affective bias revealed using experimental graded heat stimuli in young depressed adults: evidence of “emotional allodynia”. Psychosom Med. 2008;70:338–44.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sturgeon JA, Zautra AJ. Resilience: a new paradigm for adaptation to chronic pain. Curr Pain Headache Rep. 2010;14:105–12.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sturgeon JA, Zautra AJ. Psychological resilience, pain catastrophizing, and positive emotions: perspectives on comprehensive modeling of individual pain adaptation. Curr Pain Headache Rep. 2013;17:317.

    Article  PubMed  Google Scholar 

  • Sullivan MJ, Thorn B, Haythornthwaite JA, Keefe F, Martin M, Bradley LA, Lefebvre JC. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain. 2001;17:52–64.

    Article  PubMed  Google Scholar 

  • Suvinen TI, Reade PC, Kemppainen P, Kononen M, Dworkin SF. Review of aetiological concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Eur JPain. 2005;9:613–33.

    Google Scholar 

  • Svensson P, Arendt-Nielsen L. Effects of 5 days of repeated submaximal clenching on masticatory muscle pain and tenderness: an experimental study. J Orofac Pain. 1996;10:330–8.

    PubMed  Google Scholar 

  • Thorne BE. Cognitive therapy for chronic pain: a step-by-step guide. New York, NY: Guilford Press; 2004.

    Google Scholar 

  • Townsen D, Nicholson RA, Buenaver L, Bush F, Gramling S. Use of a habit reversal treatment for temporomandibular pain in a minimal therapist contact format. J Behav Ther Exp Psychiatry. 2001;32:221–39.

    Article  PubMed  Google Scholar 

  • Tragesser SL, Bruns D, Disorbio JM. Borderline personality disorder features and pain: the mediating role of negative affect in a pain patient sample. Clin J Pain. 2010;26:348–53.

    Article  PubMed  Google Scholar 

  • Turk DC, Zaki HS, Rudy TE. Effects of intraoral appliance and biofeedback/stress management alone and in combination in treating pain and depression in patients with temporomandibular disorders. J Prosthet Dent. 1993;70:158–64.

    Article  PubMed  Google Scholar 

  • Turner JA, Brister H, Huggins K, Mancl L, Aaron LA, Truelove EL. Catastrophizing is associated with clinical examination findings, activity interference, and health care use among patients with temporomandibular disorders. J Orofac Pain. 2005a;19:291–300.

    PubMed  Google Scholar 

  • Turner JA, Holtzman S, Mancl L. Mediators, moderators, and predictors of therapeutic change in cognitive-behavioral therapy for chronic pain. Pain. 2007;127:276–86.

    Article  PubMed  Google Scholar 

  • Turner JA, Mancl L, Aaron LA. Brief cognitive-behavioral therapy for temporomandibular disorder pain: effects on daily electronic outcome and process measures. Pain. 2005b;117:377–87.

    Article  PubMed  Google Scholar 

  • Turner JA, Mancl L, Aaron LA. Short-and long-term efficacy of brief cognitive-behavioral therapy for patients with chronic temporomandibular disorder pain: a randomized, controlled trial. Pain. 2006;121:181–94.

    Article  PubMed  Google Scholar 

  • Turner JA, Whitney C, Dworkin SF, Massoth D, Wilson L. Do changes in patient beliefs and coping strategies predict temporomandibular disorder treatment outcomes? Clin J Pain. 1995;11:177–88.

    Article  PubMed  Google Scholar 

  • Van Der Meulen MJ, Lobbezoo F, Aartman IH, Naeije M. Self-reported oral parafunctions and pain intensity in temporomandibular disorder patients. J Orofac Pain. 2006;20:31–5.

    PubMed  Google Scholar 

  • Van Grootel RJ, Van Der Glas HW, Buchner R, De Leeuw JR, Passchier J. Patterns of pain variation related to myogenous temporomandibular disorders. Clin J Pain. 2005;21:154–65.

    Article  PubMed  Google Scholar 

  • Vassend O, Krogstad BS, Dahl BL. Negative affectivity, somatic complaints, and symptoms of temporomandibular disorders. J Psychosom Res. 1995;39:889–99.

    Article  PubMed  Google Scholar 

  • Velly AM, Look JO, Carlson C, Lenton PA, Kang W, Holcroft CA, Fricton JR. The effect of catastrophizing and depression on chronic pain--a prospective cohort study of temporomandibular muscle and joint pain disorders. Pain. 2011;152:2377–83.

    Article  PubMed  Google Scholar 

  • Vendrig AA. The Minnesota multiphasic personality inventory and chronic pain: a conceptual analysis of a long-standing but complicated relationship. Clin Psychol Rev. 2000;20:533–59.

    Article  PubMed  Google Scholar 

  • Vlaeyen J, Morley S, Linton SJ, Boersma K, De Jong J. Pain-related fear: exposure based treatment for chronic pain. IASP Press, Washington, DC 2012.

    Google Scholar 

  • Vranceanu AM, Shaefer JR, Saadi AF, Slawsby E, Sarin J, Scult M, Benson H, Denninger JW. The relaxation response resiliency enhancement program in the management of chronic refractory temporomandibular joint disorder: results from a pilot study. J Musculoskelet Pain. 2013;21:224–30.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weisberg JN, Keefe FJ. Personality disorders in the chronic pain population - basic concepts, empirical findings, and clinical implications. Pain Forum. 1997;6:1–9.

    Article  Google Scholar 

  • Whitney CW, Von Korff M. Regression to the mean in treated versus untreated chronic pain. Pain. 1992;50:281–5.

    Article  PubMed  Google Scholar 

  • Winocur E, Gavish A, Emodi-Perlman A, Halachmi M, Eli I. Hypnorelaxation as treatment for myofascial pain disorder: a comparative study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93:429–34.

    Article  PubMed  Google Scholar 

  • Woods DW, Miltenberger RG. Habit reversal: a review of applications and variations. J Behav Ther Exp Psychiatry. 1995;26:123–31.

    Article  PubMed  Google Scholar 

  • Yatani H, Studts J, Cordova M, Carlson CR, Okeson JP. Comparison of sleep quality and clinical and Psychologic characteristics in patients with temporomandibular disorders. J Orofac Pain. 2002;16:221–8.

    PubMed  Google Scholar 

  • Zhang Y, Montoya L, Ebrahim S, Busse JW, Couban R, Mccabe RE, Bieling P, Carrasco-Labra A, Guyatt GH. Hypnosis/relaxation therapy for temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials. J Oral Facial Pain Headache. 2015;29:115–25.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. College of Dentistry and Pain Research & Intervention Center of Excellence, University of Florida, Gainesville, FL, USA

    Emily J. Bartley PhD & Roger B. Fillingim PhD

  2. Department of Psychology, Naval Post-Graduate Dental School, Navy Medicine Professional Development Center Walter Reed National Military Medical Center, Bethesda, MD, USA

    John E. Schmidt Jr PhD

  3. Department of Psychology, University of Kentucky, Lexington, KY, USA

    Charles R. Carlson PhD

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  1. Emily J. Bartley PhD
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  2. John E. Schmidt Jr PhD
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  3. Charles R. Carlson PhD
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  4. Roger B. Fillingim PhD
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Correspondence to Roger B. Fillingim PhD .

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  1. School of Dentistry, Louisiana State University Health Science Center, New Orleans, Louisiana, USA

    Henry A. Gremillion

  2. School of Dentistry, Louisiana State University Health Center, New Orleans, Louisiana, USA

    Gary D. Klasser

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Bartley, E.J., Schmidt, J.E., Carlson, C.R., Fillingim, R.B. (2018). Psychosocial Considerations in TMD. In: Gremillion, H., Klasser, G. (eds) Temporomandibular Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-57247-5_10

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