Impact of a Mindfulness-Based Intervention on Pain and Psychological Factors in Women With Chronic Painful Temporomandibular Disorders.

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-08-06 DOI:10.1111/joor.70028

Melissa de Oliveira Melchior, Laís Valencise Magri, Kranya Victoria Díaz-Serrano, Elton Brás Camargo Júnior, Felipe Fregni, Kevin Arturo Pacheco Barrios, Riccardo Lacchini, Christie Ramos Andrade Leite-Panissi, Edilaine Cristina Silva Gherardi-Donato

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引用次数: 0

Abstract

Background: Psychosocial factors influence the perception of TMD signs and symptoms. Regular mindfulness practice supports their management through emotional and cognitive self-regulation, modulating the TMD-related pain experience.

Objective: To analyse the influence of a mindfulness-based intervention on pain, cognitions, behaviour and emotions reported by women with TMD-related chronic pain.

Methods: Eighty-four women, aged between 18 and 61 years, with chronic TMD (diagnosed according to the Diagnostic Criteria for Temporomandibular Disorders, DC/TMD), were randomised into an intervention group (IG) or a control group (CG). The intervention group underwent an 8-week mindfulness practice programme, consisting of weekly 2-h sessions and one immersion session lasting 4 h. The entire programme consisted of nine meetings. The control group did not receive any intervention during the same period. All participants underwent clinical pain assessments and completed self-administered questionnaires before and after the intervention period. These questionnaires addressed cognitive, behavioural and emotional variables. Evaluators were blinded to the group allocations of the participants. Simple linear regression was used for the main statistical analyses, with significance established at p < 0.05.

Results: Fifty-three women completed the study (IG = 30; CG = 23). The intervention had a positive influence on the following variables: number of pain points, pain pressure threshold (PPT), stress, catastrophic thoughts and facets of mindfulness, including 'observe', 'distract', 'non-react' and overall mindfulness levels (all analyses at p < 0.05).

Conclusion: This unique trial, in which the mindfulness-based intervention was compared against a control (no treatment), showed that mindfulness can contribute to the sensory, cognitive, behavioural and emotional management of pain-related TMD. The improvement in pain, therefore, was probably influenced by the regulation of psychological aspects related to it.

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正念干预对慢性疼痛性颞下颌疾病女性疼痛和心理因素的影响。

背景：心理社会因素影响TMD症状和体征的认知。定期的正念练习通过情绪和认知的自我调节来支持他们的管理，调节与tmd相关的疼痛体验。目的：分析正念干预对慢性疼痛相关女性患者疼痛、认知、行为和情绪的影响。方法：84例年龄在18 ~ 61岁之间的慢性TMD女性（诊断标准为颞下颌疾病诊断标准，DC/TMD），随机分为干预组（IG）和对照组（CG）。干预组进行了为期8周的正念练习计划，包括每周2小时的练习和一次持续4小时的沉浸式练习。整个方案包括九次会议。对照组在同一时期未接受任何干预。所有参与者在干预前后都进行了临床疼痛评估并完成了自我管理的问卷。这些问卷涉及认知、行为和情感变量。评估人员对参与者的分组分配是不知情的。主要统计分析采用简单线性回归，p为显著性。结果：53名妇女完成了研究(IG = 30；cg = 23)。干预对以下变量有积极影响：痛点数量、痛压阈值（PPT）、压力、灾难性想法和正念的各个方面，包括“观察”、“分散”、“不反应”和整体正念水平（所有分析均在p处）。在这项独特的试验中，正念干预与对照组（无治疗）进行了比较，结果表明，正念有助于疼痛相关TMD的感觉、认知、行为和情绪管理。因此，疼痛的改善可能受到与之相关的心理方面的调节的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.