Fear of Movement and Catastrophizing in Participants with Temporomandibular Disorders

Birgitta Häggman-Henrikson; Nora Jawad; Xochitl Mena Acuña; Corine M. Visscher; Eric Schiffman; Thomas List

doi:10.11607/ofph.3060

Fear of Movement and Catastrophizing in Participants with Temporomandibular Disorders

Birgitta Häggman-Henrikson, Nora Jawad, Xochitl Mena Acuña, Corine M. Visscher, Eric Schiffman, Thomas List

TMD and Orofacial Pain

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Aims: To assess differences in catastrophizing and kinesiophobia in relation to areas of pain and somatic symptoms among participants with temporomandibular disorders (TMDs) and controls. Methods: In total, 401 participants (333 women, 68 men, mean age: 45.8 years) in the TMJ Impact Project were examined in accordance with the Diagnostic Criteria for TMD, including clinical examination (Axis I) and psychosocial assessment (Axis II) augmented with imaging of the temporomandibular joint (TMJ). Of these, 218 participants had a painful TMD pain diagnosis, 63 had a nonpainful TMD diagnosis, and 111 had no TMD. Nine participants had missing data. Participants completed the Pain Catastrophizing Scale, Tampa Scale for Kinesiophobia, Areas of Pain ﬁgure, and the Patient Health Questionnaire-15 for assessing somatic symptoms. Results: Compared to controls, participants with TMD pain showed higher levels of catastrophizing (P =.017), kinesiophobia (P <.001), areas of pain (P <.001), and somatic symptoms (P <.001). Participants with nonpainful TMD showed a higher level of kinesiophobia (P <.001) than controls. There was a positive correlation between catastrophizing and kinesiophobia for participants with TMD pain ( = 0.33, P <.001) and nonpainful TMD ( = 0.42, P <.001). Discussion: The results suggest more fear of movement, as well as an association between catastrophizing and fear of movement, in participants with TMD pain and in participants with nonpainful TMD compared to controls. Assessment and management of fear of movement as well as catastrophizing may be useful as part of individualized treatment strategies for patients with TMD.

Original language	English (US)
Pages (from-to)	59-66
Number of pages	8
Journal	Journal of Oral and Facial Pain and Headache
Volume	36
Issue number	1
DOIs	https://doi.org/10.11607/ofph.3060
State	Published - 2022

Bibliographical note

Funding Information:
This study was supported by the National Institute of Dental and Craniofacial Research of the National Institutes of Health (award U01DE019784). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors declare no potential conflicts of interest with respect to the authorship and/or publication of this article. Preliminary results from this paper were presented as an abstract and poster at the virtual International Association for Dental Research meeting on 21 July 2021.

Publisher Copyright:
© 2022, Quintessence Publishing Company, Ltd.

Keywords

Catastrophization
Facial pain
Kinesiophobia
Somatic symptoms
Temporomandibular joint disorders

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title = "Fear of Movement and Catastrophizing in Participants with Temporomandibular Disorders",

abstract = "Aims: To assess differences in catastrophizing and kinesiophobia in relation to areas of pain and somatic symptoms among participants with temporomandibular disorders (TMDs) and controls. Methods: In total, 401 participants (333 women, 68 men, mean age: 45.8 years) in the TMJ Impact Project were examined in accordance with the Diagnostic Criteria for TMD, including clinical examination (Axis I) and psychosocial assessment (Axis II) augmented with imaging of the temporomandibular joint (TMJ). Of these, 218 participants had a painful TMD pain diagnosis, 63 had a nonpainful TMD diagnosis, and 111 had no TMD. Nine participants had missing data. Participants completed the Pain Catastrophizing Scale, Tampa Scale for Kinesiophobia, Areas of Pain ﬁgure, and the Patient Health Questionnaire-15 for assessing somatic symptoms. Results: Compared to controls, participants with TMD pain showed higher levels of catastrophizing (P =.017), kinesiophobia (P <.001), areas of pain (P <.001), and somatic symptoms (P <.001). Participants with nonpainful TMD showed a higher level of kinesiophobia (P <.001) than controls. There was a positive correlation between catastrophizing and kinesiophobia for participants with TMD pain ( = 0.33, P <.001) and nonpainful TMD ( = 0.42, P <.001). Discussion: The results suggest more fear of movement, as well as an association between catastrophizing and fear of movement, in participants with TMD pain and in participants with nonpainful TMD compared to controls. Assessment and management of fear of movement as well as catastrophizing may be useful as part of individualized treatment strategies for patients with TMD.",

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note = "Funding Information: This study was supported by the National Institute of Dental and Craniofacial Research of the National Institutes of Health (award U01DE019784). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors declare no potential conflicts of interest with respect to the authorship and/or publication of this article. Preliminary results from this paper were presented as an abstract and poster at the virtual International Association for Dental Research meeting on 21 July 2021. Publisher Copyright: {\textcopyright} 2022, Quintessence Publishing Company, Ltd.",

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AU - Acuña, Xochitl Mena

AU - Visscher, Corine M.

AU - Schiffman, Eric

AU - List, Thomas

N1 - Funding Information: This study was supported by the National Institute of Dental and Craniofacial Research of the National Institutes of Health (award U01DE019784). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors declare no potential conflicts of interest with respect to the authorship and/or publication of this article. Preliminary results from this paper were presented as an abstract and poster at the virtual International Association for Dental Research meeting on 21 July 2021. Publisher Copyright: © 2022, Quintessence Publishing Company, Ltd.

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N2 - Aims: To assess differences in catastrophizing and kinesiophobia in relation to areas of pain and somatic symptoms among participants with temporomandibular disorders (TMDs) and controls. Methods: In total, 401 participants (333 women, 68 men, mean age: 45.8 years) in the TMJ Impact Project were examined in accordance with the Diagnostic Criteria for TMD, including clinical examination (Axis I) and psychosocial assessment (Axis II) augmented with imaging of the temporomandibular joint (TMJ). Of these, 218 participants had a painful TMD pain diagnosis, 63 had a nonpainful TMD diagnosis, and 111 had no TMD. Nine participants had missing data. Participants completed the Pain Catastrophizing Scale, Tampa Scale for Kinesiophobia, Areas of Pain ﬁgure, and the Patient Health Questionnaire-15 for assessing somatic symptoms. Results: Compared to controls, participants with TMD pain showed higher levels of catastrophizing (P =.017), kinesiophobia (P <.001), areas of pain (P <.001), and somatic symptoms (P <.001). Participants with nonpainful TMD showed a higher level of kinesiophobia (P <.001) than controls. There was a positive correlation between catastrophizing and kinesiophobia for participants with TMD pain ( = 0.33, P <.001) and nonpainful TMD ( = 0.42, P <.001). Discussion: The results suggest more fear of movement, as well as an association between catastrophizing and fear of movement, in participants with TMD pain and in participants with nonpainful TMD compared to controls. Assessment and management of fear of movement as well as catastrophizing may be useful as part of individualized treatment strategies for patients with TMD.

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Fear of Movement and Catastrophizing in Participants with Temporomandibular Disorders

Abstract

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