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|a urn:nbn:de:hbz:6-84309661949
|2 urn
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|a 10.1186/1746-160X-9-31
|2 doi
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|a eng
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|a 610 Medizin und Gesundheit
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|a Kirschneck, Christian Johannes
|0 http://d-nb.info/gnd/1046352989
|4 aut
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|a Universitäts- und Landesbibliothek Münster
|0 http://d-nb.info/gnd/5091030-9
|4 own
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|a Psychological profile and self-administered relaxation in patients with craniofacial pain: a prospective in-office study
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|a [Electronic ed.]
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|c 2013-10-20
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|b Universitäts- und Landesbibliothek Münster
|c 2014-02-25
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|a 10 S.
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|a Finanziert durch den Open-Access-Publikationsfonds 2013/2014 der Deutschen Forschungsgemeinschaft (DFG) und der Westfälischen Wilhelms-Universität Münster (WWU Münster).
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|a free access
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|a Head & Face Medicine 9 (2013) 31
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|a 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).<br>
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|a CC BY 2.0
|u http://creativecommons.org/licenses/by/2.0/
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|a Craniofacial pain
|a Temporo-mandibular dysfunction
|a Patient classification
|a Relaxation training
|a Psychological features
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|2 DRIVER Types
|a Artikel
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|2 DCMI Types
|a Text
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|a Römer, Piero
|0 http://d-nb.info/gnd/134303644
|4 aut
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|a Proff, Peter
|0 http://d-nb.info/gnd/132959429
|4 aut
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|a Lippold, Carsten
|u FB 05: Medizinische Fakultät
|0 http://d-nb.info/gnd/122322517
|4 aut
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|3 Zum Volltext
|q text/html
|u https://nbn-resolving.de/urn:nbn:de:hbz:6-84309661949
|u urn:nbn:de:hbz:6-84309661949
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|3 Zum Volltext
|q application/pdf
|u https://repositorium.uni-muenster.de/document/miami/5be93dac-c2ff-4126-96fe-91c7cbcd9dc6/1746-160X-9-31.pdf
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