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Psychosomatic Medicine 62:69-75 (2000)
© 2000 American Psychosomatic Society

ORIGINAL ARTICLES

Coping Profile Differences in the Biopsychosocial Functioning of Patients With Temporomandibular Disorder

Jake Epker, PhD and Robert J. Gatchel, PhD

From the Department of Psychiatry (J.E., R.J.G.), Division of Psychology, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas.

Address reprint requests to: Robert J. Gatchel, PhD, Department of Psychiatry, Division of Psychology, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd., Dallas, TX 75235-9044.

OBJECTIVE: The objective of this study was to evaluate whether biopsychosocial functioning differences exist between samples of patients with temporomandibular disorder (TMD) who differ in coping profiles as assessed by the Multidimensional Pain Inventory.

METHODS: A total of 322 patients who presented with TMD were administered a comprehensive biopsychosocial assessment battery, and the acute or chronic status of their disorder was determined. A follow-up evaluation was conducted 6 months later to determine the status of their pain.

RESULTS: TMD patients with dysfunctional and interpersonally distressed coping profiles demonstrated more acute and chronic psychosocial difficulties than patients with adaptive coper profiles. The data also suggest that having a dysfunctional/distressed coping profile on the Multidimensional Pain Inventory has some predictive value in determining the likelihood of developing chronicity in the absence of treatment.

CONCLUSIONS: The presence of a dysfunctional/distressed coping profile in patients with TMD is likely to provide clinicians with important information about the biopsychosocial functioning of those patients, which, in turn, will help to determine the most effective treatment modalities to use with TMD patients.

Key Words: temporomandibular disorders • biopsychosocial functioning • Multidimensional Pain Inventory • copingprofiles • adaptive coper • dysfunctional/distressed coper

Abbreviations: BDI = Beck Depression Inventory; CPI = characteristicpain intensity; DSM-IV = Diagnostic and Statistical Manualof Mental Disorders, fourth edition; GCPS = graded chronicpain scale; MMPI-2 = Minnesota Multiphasic PersonalityInventory-2; MPI = Multidimensional Pain Inventory; RDC= Research Diagnostic Criteria; SCID = StructuredClinical Interview for DSM-IV diagnosis; TMD =temporomandibular disorder.




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