Brief Treatment for Temporomandibular Pain

NCT00067366 | Completed

• 1 other identifier: NIDCR-14607
• Study Type: interventional
• Target: 116
• Locations: 1 country
• Sites: 1

Brief Summary

Temporomandibular Disorder (TMD) is a widespread chronic pain condition. Successful psychosocial treatments for TMD have been developed, but the mechanisms by which these treatments achieve their effects are not well known. The goal of this project is to evaluate the possible mechanisms responsible for treatment gains in TMD treatment.

Conditions

Temporomandibular Joint Syndrome; Myofascial Pain Dysfunction Syndrome; Orofacial Pain

Outcome Measures

Primary Outcomes (3)

• Pain

  Multidimensional pain ratings collected in person every 3 months

  Every 3 months out to 12 months

• Pain-related interference with functioning

  Multidimensional function ratings collected in person every 3 months

  every 3 months out to 12 months

• Depressive symptoms

  CES-D depressive symtpoms scale administered in perosn every 3 months.

  Every 3 months out to 12 months

Study Arms (2)

Coping Skills Training

EXPERIMENTAL

manualized coping skills training delivered along with conservative care

Behavioral: Cognitive-Behavioral treatment

Standard Care

ACTIVE COMPARATOR

Attention and life counseling added to Standard conservative care

Behavioral: Attention and lifestyle counseling

Interventions

Cognitive-Behavioral treatment BEHAVIORAL

Cognitive-Behavioral skills training for chronic pain

Coping Skills Training

Attention and lifestyle counseling BEHAVIORAL

Attention and lifestyle counseling added to Standard Care

Standard Care

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Complaining of chronic TM-related pain for at least 3 months
• Positive Axis I diagnosis on the Research Diagnostic Criteria (RDC) for temporomandibular disorders (positive on at least one Group), and may have no contraindications to TMD treatment
• Fluency in English

You may not qualify if:

• No previous surgery for treatment of TMD pain
• No history of rheumatoid disease
• No extensive anatomical destruction or deterioration of the TM joint
• Not diagnosed as having pain of neuropathic or odontogenic origin
• Not carrying a diagnosis of psychosis
• No current treatment for depression
• Not taking narcotic pain medication
• Not pregnant

Sponsors & Collaborators

• UConn Health: lead

Study Sites (1)

University of Connecticut Health Center

Farmington, Connecticut, 06030, United States

Location

MeSH Terms

Conditions

Temporomandibular Joint Dysfunction Syndrome; Fibromyalgia; Facial Pain

Condition Hierarchy (Ancestors)

Temporomandibular Joint Disorders; Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Myofascial Pain Syndromes; Stomatognathic Diseases; Rheumatic Diseases; Neuromuscular Diseases; Nervous System Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Mark D Litt, Ph.D.

  UConn Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: August 15, 2003
• First Posted: August 19, 2003
• Study Start: October 1, 2003
• Primary Completion: October 1, 2008
• Study Completion: September 1, 2011
• Last Updated: August 1, 2017

Record last verified: 2017-07

Locations

US (1)