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Sponsor: UConn Health
Conditions: Temporomandibular Joint Disorders, Orofacial Pain
Interventions: Cognitive-Behavioral Treatment, Individualized Assessment and Treatment Program, Standard Conservative Care
Countries: United States
Temporomandibular/orofacial pain disorders (TMD) are a group of painful conditions with multiple determinants.This proposal has two main goals: 1) to test a highly individualized, adaptive treatment for TMD that has potential to be more effective than other psychosocial treatments; and 2) to discover the mechanisms by which psychosocial treatments work in chronic pain. TMD patients (N=160) will be randomized to receive standard care (STD) + an individualized assessment and treatment program (IATP) or to standard care + conventional cognitive-behavioral treatment (STD+CBT). It is expected that the STD+IATP treatment will yield lower pain, depression and interference scores over time than STD+CBT, and that changes in coping ability will mediate the treatment effects on outcomes.
Sex: ALL
Age: 18 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: 1. Age \> 18 years 2. Jaw pain \> 3 mo; \> 3/10 on pain scale 3. Positive Axis I diagnosis on the Diagnostic Criteria for temporomandibular disorders (DC/TMD), with or without disc displacement 4. Positive on \> 1 of: 1. Any myalgia diagnosis 2. Any myofascial diagnosis 3. Arthralgia 4. TMD-related Headache Exclusion Criteria: 1. Lack of fluency in English 2. Previous invasive surgery for TMD, not including arthrography or arthrocentesis 3. Extensive anatomical destruction or deterioration of the TM joint 4. Diagnosed as having pain of neuropathic or odontogenic origin 5. Carrying a diagnosis of psychosis 6. Taking narcotic pain medication 7. Any comorbid condition necessitating use of an intraoral appliance (e.g., obstructive sleep apnea) 8. Pregnancy (excluded due to prescription of NSAIDs)
- Farmington, Connecticut, United States