Even mild catastrophic thinking is related to pain intensity in individuals with painful temporomandibular disorders

Aims Temporomandibular disorders (TMD) are often associated with psychological comorbidities. One such comorbidity is pain catastrophising, that is, exaggeration of negative consequences of a painful event. The aim was to investigate catastrophising in individuals with painful TMD compared to contro...

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Veröffentlicht in:Journal of oral rehabilitation 2021-11, Vol.48 (11), p.1193-1200
Hauptverfasser: Häggman‐Henrikson, Birgitta, Visscher, Corine, Wänman, Anders, Ljótsson, Brjánn, Peck, Christopher, Lövgren, Anna
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container_end_page 1200
container_issue 11
container_start_page 1193
container_title Journal of oral rehabilitation
container_volume 48
creator Häggman‐Henrikson, Birgitta
Visscher, Corine
Wänman, Anders
Ljótsson, Brjánn
Peck, Christopher
Lövgren, Anna
description Aims Temporomandibular disorders (TMD) are often associated with psychological comorbidities. One such comorbidity is pain catastrophising, that is, exaggeration of negative consequences of a painful event. The aim was to investigate catastrophising in individuals with painful TMD compared to controls and the association between catastrophising and pain intensity, number of pain sites and functional limitations. Methods A community‐based sample of 110 individuals (83 women; 20–69 yrs) with painful TMDs (myalgia/arthralgia as per Diagnostic Criteria for TMD) and 190 age‐ and gender‐matched controls (119 women; 20–69 yrs) from the Public Dental services in Västerbotten, Sweden, participated. Associations between catastrophising and functional jaw limitations, respectively, and painful TMD were evaluated with ordinal regression adjusted for the effect of gender and age. Associations (Spearman's correlation) of the Pain catastrophising Scale (PCS) with Jaw Functional Limitation Scale (JFLS‐20), pain site number (whole‐body pain map), and characteristic pain intensity (CPI) and intergroup comparisons (Mann‐Whitney U test) of these variables were also calculated. Results Levels of catastrophising were associated with TMD pain (OR 1.6, 95%CI 1.1–2.6). Among individuals with painful TMD, catastrophising was correlated to pain intensity (r=0.458, p
doi_str_mv 10.1111/joor.13251
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One such comorbidity is pain catastrophising, that is, exaggeration of negative consequences of a painful event. The aim was to investigate catastrophising in individuals with painful TMD compared to controls and the association between catastrophising and pain intensity, number of pain sites and functional limitations. Methods A community‐based sample of 110 individuals (83 women; 20–69 yrs) with painful TMDs (myalgia/arthralgia as per Diagnostic Criteria for TMD) and 190 age‐ and gender‐matched controls (119 women; 20–69 yrs) from the Public Dental services in Västerbotten, Sweden, participated. Associations between catastrophising and functional jaw limitations, respectively, and painful TMD were evaluated with ordinal regression adjusted for the effect of gender and age. Associations (Spearman's correlation) of the Pain catastrophising Scale (PCS) with Jaw Functional Limitation Scale (JFLS‐20), pain site number (whole‐body pain map), and characteristic pain intensity (CPI) and intergroup comparisons (Mann‐Whitney U test) of these variables were also calculated. Results Levels of catastrophising were associated with TMD pain (OR 1.6, 95%CI 1.1–2.6). Among individuals with painful TMD, catastrophising was correlated to pain intensity (r=0.458, p&lt;0.01) and functional limitations (r=0.294–0.321, p≤0.002), but not to number of pain sites. Conclusion Compared to controls, community‐based individuals with painful TMD demonstrated higher levels of pain catastrophising, and this catastrophising was associated with increased pain intensity and jaw dysfunction. The relatively low scores of pain catastrophising suggest that even mild catastrophic thinking is associated with pain perception and jaw function, and should be considered in patient management.</description><identifier>ISSN: 0305-182X</identifier><identifier>ISSN: 1365-2842</identifier><identifier>EISSN: 1365-2842</identifier><identifier>DOI: 10.1111/joor.13251</identifier><language>eng</language><publisher>Chichester: Wiley Subscription Services, Inc</publisher><subject>Arthralgia ; catastrophisation ; Catastrophization ; comorbidity ; Dentistry ; Gender ; Jaw ; Medicin och hälsovetenskap ; Myalgia ; odontologi ; Odontology ; oro-facial pain ; orofacial pain ; Pain ; pain catastrophising ; pain catastrophizing ; Pain perception ; temporomandibular disorders</subject><ispartof>Journal of oral rehabilitation, 2021-11, Vol.48 (11), p.1193-1200</ispartof><rights>2021 The Authors. Journal of Oral Rehabilitation published by John Wiley &amp; Sons Ltd.</rights><rights>2021. 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One such comorbidity is pain catastrophising, that is, exaggeration of negative consequences of a painful event. The aim was to investigate catastrophising in individuals with painful TMD compared to controls and the association between catastrophising and pain intensity, number of pain sites and functional limitations. Methods A community‐based sample of 110 individuals (83 women; 20–69 yrs) with painful TMDs (myalgia/arthralgia as per Diagnostic Criteria for TMD) and 190 age‐ and gender‐matched controls (119 women; 20–69 yrs) from the Public Dental services in Västerbotten, Sweden, participated. Associations between catastrophising and functional jaw limitations, respectively, and painful TMD were evaluated with ordinal regression adjusted for the effect of gender and age. Associations (Spearman's correlation) of the Pain catastrophising Scale (PCS) with Jaw Functional Limitation Scale (JFLS‐20), pain site number (whole‐body pain map), and characteristic pain intensity (CPI) and intergroup comparisons (Mann‐Whitney U test) of these variables were also calculated. Results Levels of catastrophising were associated with TMD pain (OR 1.6, 95%CI 1.1–2.6). Among individuals with painful TMD, catastrophising was correlated to pain intensity (r=0.458, p&lt;0.01) and functional limitations (r=0.294–0.321, p≤0.002), but not to number of pain sites. Conclusion Compared to controls, community‐based individuals with painful TMD demonstrated higher levels of pain catastrophising, and this catastrophising was associated with increased pain intensity and jaw dysfunction. The relatively low scores of pain catastrophising suggest that even mild catastrophic thinking is associated with pain perception and jaw function, and should be considered in patient management.</description><subject>Arthralgia</subject><subject>catastrophisation</subject><subject>Catastrophization</subject><subject>comorbidity</subject><subject>Dentistry</subject><subject>Gender</subject><subject>Jaw</subject><subject>Medicin och hälsovetenskap</subject><subject>Myalgia</subject><subject>odontologi</subject><subject>Odontology</subject><subject>oro-facial pain</subject><subject>orofacial pain</subject><subject>Pain</subject><subject>pain catastrophising</subject><subject>pain catastrophizing</subject><subject>Pain perception</subject><subject>temporomandibular disorders</subject><issn>0305-182X</issn><issn>1365-2842</issn><issn>1365-2842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>D8T</sourceid><recordid>eNqF0l9rFDEQAPBFFDyrL36CgC8ibs3fTfax1NoqhQNR8S3kNpNerrubNcn2uG9v7q4qCNa8JBN-MxnCVNVLgk9JWe82IcRTwqggj6oFYY2oqeL0cbXADIuaKPr9afUspQ3GWDEhF1W-uIMRDb63qDPZpBzDtPYdyms_3vrxBvmEIvQmg0U5oMn4Efkxw5h83qFDYP2dt7PpE9r6vD4QN_cowzCFGAZTwGruTUTWpxAtxPS8euKKhxf3-0n19cPFl_Or-np5-fH87LruBGOkZsIyuuLYUtZ0yjgHvCkBYJDQMOWwM0JZoCvLOQhMCAPuqKGklY63yrGTqj7WTVuY5pWeoh9M3OlgvL6_ui0n0Fy0rG2Lb__ppxjsn6RfiYRLoSQnzYNvvfffznSIN3oeZk2UlJIV__b_fjDzvjdMCn995KWPHzOkrAefOuh7M0KYk6aika1SqhGFvvqLbsIcx_LRRckWc9YwXtSbo-piSCmC-90BwXo_S3o_S_owSwWTI976HnYPSP1pufx8zPkJb6HQaQ</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Häggman‐Henrikson, Birgitta</creator><creator>Visscher, Corine</creator><creator>Wänman, Anders</creator><creator>Ljótsson, Brjánn</creator><creator>Peck, Christopher</creator><creator>Lövgren, Anna</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><scope>ADHXS</scope><scope>D93</scope><orcidid>https://orcid.org/0000-0002-4448-6781</orcidid><orcidid>https://orcid.org/0000-0003-2920-6654</orcidid><orcidid>https://orcid.org/0000-0001-6088-3739</orcidid><orcidid>https://orcid.org/0000-0002-8346-5289</orcidid></search><sort><creationdate>202111</creationdate><title>Even mild catastrophic thinking is related to pain intensity in individuals with painful temporomandibular disorders</title><author>Häggman‐Henrikson, Birgitta ; 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One such comorbidity is pain catastrophising, that is, exaggeration of negative consequences of a painful event. The aim was to investigate catastrophising in individuals with painful TMD compared to controls and the association between catastrophising and pain intensity, number of pain sites and functional limitations. Methods A community‐based sample of 110 individuals (83 women; 20–69 yrs) with painful TMDs (myalgia/arthralgia as per Diagnostic Criteria for TMD) and 190 age‐ and gender‐matched controls (119 women; 20–69 yrs) from the Public Dental services in Västerbotten, Sweden, participated. Associations between catastrophising and functional jaw limitations, respectively, and painful TMD were evaluated with ordinal regression adjusted for the effect of gender and age. Associations (Spearman's correlation) of the Pain catastrophising Scale (PCS) with Jaw Functional Limitation Scale (JFLS‐20), pain site number (whole‐body pain map), and characteristic pain intensity (CPI) and intergroup comparisons (Mann‐Whitney U test) of these variables were also calculated. Results Levels of catastrophising were associated with TMD pain (OR 1.6, 95%CI 1.1–2.6). Among individuals with painful TMD, catastrophising was correlated to pain intensity (r=0.458, p&lt;0.01) and functional limitations (r=0.294–0.321, p≤0.002), but not to number of pain sites. Conclusion Compared to controls, community‐based individuals with painful TMD demonstrated higher levels of pain catastrophising, and this catastrophising was associated with increased pain intensity and jaw dysfunction. 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source Wiley Journals; SWEPUB Freely available online
subjects Arthralgia
catastrophisation
Catastrophization
comorbidity
Dentistry
Gender
Jaw
Medicin och hälsovetenskap
Myalgia
odontologi
Odontology
oro-facial pain
orofacial pain
Pain
pain catastrophising
pain catastrophizing
Pain perception
temporomandibular disorders
title Even mild catastrophic thinking is related to pain intensity in individuals with painful temporomandibular disorders
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