ORIGINAL PAPER
In quest of the longest-lasting and most annoying pain for patients and for dentists. Quantitative and qualitative characteristics of temporomandibular myofascial pain dysfunction syndrome – a questionnaire study
 
More details
Hide details
Submission date: 2017-07-11
Final revision date: 2018-01-31
Acceptance date: 2018-02-01
Online publication date: 2018-05-22
Publication date: 2018-05-22
 
Health Psychology Report 2018;6(3):222–242
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Dysfunctions in the face, due to the psychological importance of the structures in the face and head, have long been a subject of interest for researchers exploring issues concerning health-related quality of life. The surprising results of previous clinical trials for myofascial pain dysfunction syndrome of the temporomandibular joints encouraged the present authors to plan a study focused on obtaining systematic knowledge of the issue.

Participants and procedure:
The study included 26 patients of the Masticatory System Disorders Laboratory of the Dental Prosthetic Clinic at the Jagiellonian University Medical College diagnosed with the painful form of muscle-related functional masticatory organ disorders. The study was part of a larger research project. The data to be analysed for this article was obtained in the course of a single questionnaire survey conducted prior to the start of the treatment process.

Results:
The results showed the quantitative characteristics of pain experiences in the clinical group, observed in the context of the circadian dynamics, psychophysical factors, and the location of pain, as well as their quality characteristics. The analyses showed negative covariances of the quality of life perceived by patients and the length of periods without pain, pain intensifying factors, and emotional image of pain. The strongest pain experienced by the patients negatively correlated with the quality of life related to the sphere of physical pain and mental distress, whereas the weakest pain correlated with the quality of life related to the social sphere. The lower quality of life occurred together with the frontal, zygomatic, mental, parotideomasseteric, and occipital region.

Conclusions:
It is necessary to further analyse the issue on a larger sample in order to explain and clarify the obtained results.

 
REFERENCES (85)
1.
Alajbeg, I. Z., Gikić, M., & Valentić-Peruzović, M. (2014). Changes in pain intensity and oral health related quality of life in patients with temporomandibular disorders during stabilization splint therapy – a pilot study. Acta Clinica Croatia, 53, 7–16.
 
2.
Alves, A. C., Alchieri, J. C., & Barbosa, G. A. S. (2013). Bruxism. Maticatory implications and anxiety. Acta Odontologica Latinoamericana, 26, 15–22.
 
3.
Asch, S. E. (1946). Forming impressions of personality. Journal of Abnormal and Social Psychology, 41, 258–290.
 
4.
Bal, S., & Celiker, R. (2009). Health-Related Quality of Life in Patients with Myofascial Pain Syndrome: A Controlled Clinical Study. Journal of Musculoskeletal Pain, 17: 173–177.
 
5.
Baron, S. (2004). Wpływ zaburzeń zwarcia ekscentrycznego na wybrane elementy układu stomatognatycznego. Magazyn Stomatologiczny, 5, 62–66.
 
6.
Buljan, D. (2009). Psychological and psychiatric factors of chronic pain. Medical Science, 501, 129–140.
 
7.
Canadian Dental Association (2001). Oral health complications. What is oral health? (Approved by Resolution 2001.02, Canadian Dental Association Board of Governors, March 2001). Retrieved from: http://www.cda-adc.ca/en/oral_....
 
8.
Capraro, M., Dalla Valle, M., Podswiadek, M., De Sandre, P., Sgnaolin, E., & Ferrari, R. (2012). The role of illness perception and emotions on quality of life in fibromyalgia compared with other chronic pain conditions. Reumatismo, 64, 142–150.
 
9.
Cohen, M. J., Song, Z. K., Schandler, S. L., Ho, W. H., & Vulpe, M. (1996). Sensory detection and pain thresholds in spinal cord injury patients with and without dysesthetic pain, and in chronic low back pain patients. Somatosensory & Motor Research, 13, 29–37.
 
10.
Dao, T. P., Lund, I. P., & Lavigne, I. P. (1994). Comparison of pain and quality of life in bruxers and patients with myofascial pain of the masticatory muscles. Journal of Orofacial Pain, 8, 350–356.
 
11.
Dolan, T. A. (2013). Professional education to meet the oral health needs of older adults and persons with disabilities. Special Care in Dentistry, 33, 190–197.
 
12.
Dworkin, S. F., & LeResche, L. (1993). Temporomandibular disorder pain: epidemiologic data. APS Bulletin, 3, 12–13.
 
13.
Dworkin, R. H., & Massoth, D. (1994). Temporomandibular disorders and chronic pain: disease or illness. Journal of Prosthetic Dentistry, 72, 29–38.
 
14.
Eliasz, A. (2004). Transakcyjny model temperamentu: analiza właściwości temperamentu z perspektywy nomotetycznego i idiograficznego badania osobowości. In: Z. Chlewiński & A. Sękowski (Eds.), Psychologia w perspektywie XXI wieku. Lublin: Towarzystwo Naukowe KUL.
 
15.
Engel, G. (1959). Psychogenic pain and the pain prone patient. American Journal of Medicine, 76, 899–918.
 
16.
Fillingim, R. B., Ohrbach, R., Greenspan, J. D., Knott, C., Diatchenko, L., Dubner, R., ...Maixner, W. (2013). Psychological factors associated with development of TMD: The OPERA perspective cohort study. The Journal of Pain, 14, T75–T90.
 
17.
Flor, H., & Turk, D. C. (2006). Cognitive and learning aspects. In: S. B. McMahon & M. Koltzenburg (Eds.), Wall and Melzack handbook of pain (pp. 241–258). Philadelphia: Elsevier.
 
18.
Freud, S. (2011). Wstęp do psychoanalizy. Warszawa: Hachette.
 
19.
Fricton, J. R., Kroening, R., Haley, D., & Siegert, R. (1985). Myofascial pain syndrome of the head and neck: a review of clinical characteristics of 164 patients. Oral Surgery, Oral Medicine, Oral Pathology, 60, 615–623.
 
20.
Gamsa, A. (1990). Is emotional disturbance a precipitator or a consequence of chronic pain? Pain, 42, 105–111.
 
21.
Glaros, A. G., Williams, K., & Lauste, L. (2005). The role of parafunctions, emotions and stress in predicting facial pain. Journal of the American Dental Association, 136, 451–458.
 
22.
Golchai, J., Khani, S. H., Heidarzadeh, A., Eshkevari, S. S., Alizade, N., & Eftekhari, H. (2010). Comparison of anxiety and depression in patients with acne vulgaris and healthy individuals. Indian Journal of Dermatology, 55, 352–354.
 
23.
International Association for the Study of Pain (1994). Classification of chronic pain: descriptors of chronic pain syndromes and definitions of pain terms. 2 ed. Seatle: IASP Press.
 
24.
Inglehart, M. R, & Bagramian, R. A. (2002). Oral health-related quality of life: an introduction. In: Inglehart, M. R. & Bagramian, R. A. (Eds.), Oral health related quality of life (pp. 1–6). Chicago: Quintessence.
 
25.
Kahneman, D., Slovic, P., & Tversky, A. (Eds.). (1982). Judgment under uncertainty: Heuristics and biases. New York: Cambridge University Press.
 
26.
Kałwak, W. (2011). Metody jakościowe w badaniu bólu – doniesienie z badań. Rocznik Kognitywistyczny, 5, 73–81.
 
27.
Kino, K., Sugisaki, M., Haketa, T., Amemori, Y., Ishikawa, T., Shibuya, T., ...Miyaoka, H. (2005). The comparison between pains, difficulties in function, and associating factors of patients in subtypes of temporomandibular disorders. Journal of Oral Rehabilitation, 32, 315–325.
 
28.
Künsbeck, H. W., Korber, J., & Freyberger H. Quality of life in patients with inflammatory bowel disease (1990). Psychotherapy and Psychosomatics, 54: 110–116.
 
29.
Kwan, B. M., Dimidjian, S., & Rivzi, S. L. (2010). Treatment preference, engagement and clinical improvement in pharmacology versus psychotherapy for depression. Behaviour Research and Therapy, 48, 799–804.
 
30.
Laskin, D. M. (1969). Etiology and the pain-dysfunction syndrome. Journal of the American Dental Association, 79, 147–153.
 
31.
Lautenbacher, S., & Fillingim, R. B. (2004). Pathophysiology of Pain Perception. New York: Kluwer Academic/Plenum.
 
32.
Locker, D. (1988). Measuring oral health: A conceptual framework. Community Dental Health, 5: 3–18.
 
33.
Locker, D., & Slade, G. D. (1993). Oral health and the quality of life among older adults: the oral health impact profile. Journal of Canadian Dental Association, 59, 837–844.
 
34.
Łazowski, J. (1989). Psychologiczne aspekty patogenezy bólu. Przegląd Lekarski, 46, 415–419.
 
35.
Makowiec-Dąbrowska, T., Koszada-Włodarczyk, W., Bartkiewicz, A., Gadzicka, E., Siedlecka, J. (2009). Can heaviness of the work for woman be the same as men? Medycyna Pracy, 60, 469–482.
 
36.
Maslow, A. (2013). A Theory of Human Motivation. Floyd: Wilder Publications.
 
37.
Melzack, R., & Casey, K. L. (1968). Sensory motivational and central controlled determinants of pain: A new conceptual model. In: K. Shalod (Ed.), The skin senses (pp. 423–443). Springfield, IL: Charles C. Thomas.
 
38.
Mongini, F., & Italiano, M. (2001). TMJ disorders and myogenic facial pain: a discriminative analysis using the McGill pain questionnaire. Pain, 91, 323–330.
 
39.
Mutlu, N., Herken, H., Güray, E., Öz, F., & Kalayci, A. (2002). Temporomandibular Joint Disorder Syndrome in Dental School Students with Psychometric Analysis. Turkish Journal of Medical Sciences, 32, 345–350.
 
40.
Naliboff, B. D., & Cohen, M. J. (1989). Psychophysical laboratory methods applied to clinical pain patients. In: C. R. Chapman & J. D. Loeser (Eds.), Issues in Pain Measurement. Advances in Pain Research and Therapy. Vol. 12. (pp. 356–386). New York: Raven Press.
 
41.
Nunberg, H. (1968). Principles of psychoanalysis, Their Application to the Neurosis. 1st ed. (pp. 53–113). New York: International Universities Press.
 
42.
Okeson, J. P. (2014). Bell’s Oral and Facial Pain. 7th ed. Chicago: Quintessence Publishing Co, Inc.
 
43.
Oliveira, A. S. (2005). Evaluation of quality of life and pain in Temporomandibular Disorders (TMD). Brazilian Journal of Oral Sciences, 12, 646–650.
 
44.
Oliveira, A. S., Bermudez, C. C., Souza, R. A., Souza, C. M. F, Castro, C. E. S, Bérzin, F. (2003a). Avaliação multidimensional da dor em portadores de desordem temporomandibular utilizando uma versão brasileira do questionário McGill de dor. Revista Brasileira de Fisioterapia, 7, 151–158.
 
45.
Oliveira, A. S., Bermudez, C. C., Souza, R. A., Souza, C. M. F, Dias, E. M., Castro, C. E. S., Bérzin, F. (2003b). Pain impact on life of patients with temporomandibular disorder. Journal of Applied Oral Science, 11, 138–143.
 
46.
Omeje, O., & Chinenye, N. (2011). The Influence of Locus Control on Adherence to Treatment Regimen among Hypertensive Patients. Patient Preference and Adherence, 5, 141–148.
 
47.
Oosterhof, N. N., & Todorov, A. (2008). The functional basis of face evaluation. Proceedings of the National Academy of Sciences of the United States of America, 105, 11087–11092.
 
48.
Ortenburger, D. (2008). Czynniki psychologiczne w bólu przewlekłym. Częstochowa: Wydawnictwo im. Stanisława Podobińskiego Akademii im. Jana Długosza w Częstochowie.
 
49.
Öztürk, A., Dveci, E., Bağcioğlu, E., Atalay, F., & Serdar, Z. (2013). Anxiety, depression, social phobia, and quality of life in Turkish patients with acne and their relationships with the severity of acne. Turkish Journal of Medical Sciences, 43, 660–666.
 
50.
Patel, K. A., & Schlundt, D. G. (2001). Impact of moods and social context on eating behavior. Appetite, 36, 111–118.
 
51.
Peters, M. L., Schmidt, A. J. M., Van den Hout, M. A., Koopmans, R., & Sluijter, M. E. (1992). Chronic back pain, acute postoperative pain and the activation of diffuse noxious inhibitory controls (DNIC). Pain, 50, 177–187.
 
52.
Pihut, M., Gierowski, J. K., Ceranowicz, P., & Ferendiuk, E. (2015). Psychoemotional Background of Temporomandibular Joint Dysfunction and Possible Drug Therapy. Letters in Drug Design & Discovery, 12, 766–770.
 
53.
Pihut, M., Szewczyk, M., Wiśniewska, G., & Gala A. (2012). Ocena przydatności kwestionariusza McGilla-Melzacka w diagnostyce doznań bólowych u pacjentów z zaburzeniami czynnościowymi układu stomatognatycznego – doniesienia wstępne. Protetyka Stomatologiczna, 2, 70–75.
 
54.
Prusiński, A. (1996). Kliniczne postacie bólu. In: T. Domżał (Ed.), Ból – podstawowy objaw w medycynie (pp. 78–149). Warszawa: Wydawnictwo Lekarskie PZWL.
 
55.
Reisine, S. T., & Weber, J. (1989). The effects of temporomandibular joint disorders on patients’ quality of life. Community Dental Health, 6, 257–270.
 
56.
Resende, C. M., de Medeiros, A. C., Coelho, L. T., Alchieri, J. C., Roncalli, A. G., & Seabra Barbosa, G. A. (2013). Quality of life and general health in patients with temporomandibular disorders. Brazilian Oral Research, 27, 116–121.
 
57.
Richter, P., & Hebgen, E. (2010). Punkty spustowe i łańcuchy mięśniowo-powięziowe w osteopatii i terapii manualnej. Łódź: Galaktyka.
 
58.
Rugh, J. D., Woods, B. J., & Dahlstrom, L. (1993). Temporomanidubular disorders: assessment of psychological factors. Advances in Dental Research, 7, 127–136.
 
59.
Schipper, H., Clinch, J. J., & Olweny, C. L. M. (1996). Quality of life studies: definitions and conceptual issues. In: W. B. Spilker (Ed.), Quality of Life and Pharmacoeconomics in Clinical Trials (pp. 11–23). Lippincott-Raven Publishers: Philadelphia.
 
60.
Schwartz, L. (1959). Disorders of the temporomandibular joint. Philadelphia: W.B. Saunders.
 
61.
Schwartz, M. B., & Brownell, K. D. (2004). Obesity and body image. Body Image, 1, 43–56.
 
62.
Shahraki, N., Yassaei, S., & Goldani, M. (2012). Abnormal oral habits: A review. Journal of Dentistry and Oral Hygiene, 4, 12–15.
 
63.
Simons, D. G., Travell, J. G., & Simons, L. S. (1999). Head and neck pain. In: J. G. Travell & D. G. Simons (Eds.), Myofascial Pain and Dysfunction: The Trigger Point Manual. 2nd ed. (pp. 237–483). Baltimore: Williams and Wilkins.
 
64.
Sischo, L., & Broder, H. L. (2011). Oral Health-related Quality of Life: What, Why, How, and Future Implications. Journal of Dental Research, 90, 1264–1270.
 
65.
Slade, G. D., & Spencer, A. J. (1994). Development and evaluation of the Oral Health Impact Profile. Community Dental Health, 11, 3–11.
 
66.
Slade, G. D., Spencer, A. J., Locker, D., Hunt, R. J., Strauss, R. P., & Beck, J. D. (1996). Variations in the social impact of oral conditions among older adults in South Australia, Ontario, and North Carolina. Journal of Dental Research, 75, 1439–1450.
 
67.
Styczyński, T. (2001). Problemy terapeutyczne związane z przewlekłym bólem i zaburzeniami napięcia mięśniowego u chorych na dyskopatię lędźwiowego odcinka kręgosłupa. Reumatologia, 39, 390–394.
 
68.
Suchocka, L. (2008). Psychologia bólu. Warszawa: Wydawnictwo Difin.
 
69.
Svensson, P., & Graven-Nielsen, T. (2001). Craniofacial muscle pain: review of mechanisms and clinical manifestations. Journal of Orofacial Pain, 15, 117–145.
 
70.
Szatanik, K. (1985). Kwestionariusz bólowy – założenia, budowa kwestionariusza, wyniki przeprowadzonych badań. V Konferencja Sekcji Badania i Leczenia Bólu Polskiego Towarzystwa Anestezjologii i Intensywnej Terapii. Poznań – Błażejewko.
 
71.
Thaller, V., Vrkljan, M., Hotujac, L., & Thakore, J. (1999). The potential role of hypocortisolism in the pathophysiology of PTSD and psoriasis. Collegium Antropologicum, 23, 611–619.
 
72.
Tobiasz-Adamczyk, B. (1996). Jakość życia w naukach społecznych i medycynie. Sztuka leczenia, 2, 33–40.
 
73.
Tobiasz-Adamczyk, B. (2000). Wybrane elementy socjologii zdrowia i choroby. Kraków: Wydawnictwo Uniwersytetu Jagiellońskiego.
 
74.
Tobiasz-Adamczyk, B. (2006). Geneza zdrowia, koncepcji i ewolucja pojęcia jakości życia. In: K. Kawecka-Jaszcz, M. Klocek & B. Tobiasz-Adamczyk (Eds.), Jakość życia w chorobach układu sercowo-naczyniowego. Metody pomiaru i znaczenie kliniczne (pp. 9–42). Poznań: Termedia.
 
75.
Travell, J. G., & Simons, D. G. (1983). Myofascial Pain and Dysfunction: The Trigger Point Manual. Baltimore, MD: Williams & Wilkins.
 
76.
Van Grootel, R. J., Van der Glas, H. W., Buchner, R., de Leeuw, J. R., Passchier, J. (2005). Patterns of pain variation related to myogenous temporomandibular disorders. Clinical Journal of Pain, 21, 154–165.
 
77.
Vernon, R. J. W., Sutherland, C. A. M., Young, A. W., & Hartley, T. (2014). Modeling first impressions from highly variable facial images. Proceedings of the National Academy of Sciences of the United States of America, 111, E3353–E3361.
 
78.
Vickers, E. R., & Boocock, H. (2005). Chronic orofacial pain is associated with psychological morbidity and negative personality changes: a comparison to the general population. Australian Dental Journal, 50, 21–30.
 
79.
Von Korff, M. (1999). Pain management in primary care: An individualized stepped-care approach. In: R. J. Gatchel & D. C. Turk (Eds.), Psychosocial factors in pain (pp. 360–373). New York: Guilford Press.
 
80.
Voss, R. (1964). Behandlung von beschwerden des kiefergelenkes mit aufbissplatten. Deutsche Zahnärztliche Zeitschrift, 19, 545–549.
 
81.
Wright, E. F. (2000). Referred craniofacial pain patterns in patients with temporomandibular disorder. Journal of the American Dental Association, 31, 1307–1315.
 
82.
Watanabe, Y., Ishikawa, T., Kino, K., Yamaguchi S., Kobayashi A., Sawada M., ...Amagasa T. (2005). Relationship between oral sensory thresholds and depressive moods. Journal of Medical and Dental Sciences, l52, 73–80.
 
83.
WHOQOL Group (1995). The World Health Organisation quality of life assessment (WHOQOL): Position paper from the world health organisation. Social Science & Medicine, 41, 1403–1409.
 
84.
Ziółkowska, B. (2009). Dlaczego (nie)jemy? Psychologiczne uwarunkowania stosunku do pokarmu. In: B. Ziółkowska (Ed.), Opętanie (nie)jedzeniem (pp. 177–186). Warszawa: Wydawnictwo Naukowe Scholar.
 
85.
Ziółkowska, B., & Mroczkowska, D. (2012). Dlaczego jemy? Uwarunkowania stosunku do jedzenia w cyklu życia na podstawie analizy wyników wstępnego sondażu. Teraźniejszość – człowiek – edukacja, 4, 1–14.
 
eISSN:2353-5571
ISSN:2353-4184