Psychosocial profiles of diagnostic subgroups of temporomandibular disorder patients

Daniel R. Reißmann, Mike T. John, Robert W. Wassell, Andreas Hinz

Research output: Contribution to journalArticlepeer-review

59 Scopus citations


The purpose of the study was to examine whether patients' psychosocial profiles differ depending on if the location of pain is in the masticatory muscles, the temporomandibular joint, or both. Eligible participants were 491 consecutive patients examined according to the research diagnostic criteria for temporomandibular disorders (RDC/TMD). Among these a total of 225 adult TMD patients had at least one pain-related TMD diagnosis and were therefore included in this study and completed the multidimensional pain inventory (MPI). Patients diagnosed with myogenous pain only (n = 103), patients with joint pain only (n = 56), and patients with both (n = 66) were compared with respect to depression, somatization, jaw disability, pain intensity and chronicity, and MPI scores and profiles. The MPI profiles were analyzed using a multivariate analysis of variance and Hotelling's T2 test. Although patients with joint pain were significantly more impaired in jaw function, no significant differences in depression, in somatization or in the 11 scales of the MPI were observed. The location of pain in TMD patients is not a major factor for the prediction of psychosocial profiles. Therefore, clinical TMD diagnoses alone form an insufficient basis for tailored behavioural or psychological management.

Original languageEnglish (US)
Pages (from-to)237-244
Number of pages8
JournalEuropean journal of oral sciences
Issue number3
StatePublished - Jun 2008

Bibliographical note

Copyright 2008 Elsevier B.V., All rights reserved.


  • Depression
  • Multidimensional pain inventory
  • Research diagnostic criteria for temporomandibular disorders (RDC/TMD)
  • Somatization
  • Temporomandibular disorders


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