Research report: PDF OnlyIs the temporo-mandibular pain and dysfunction syndrome a disorder of the mind?Salter, M.1; Brooke, R. I.2; Merskey, H.*,1; Fichter, G. F.3; Kapusianyk, D. H.3Author Information 1Department of Psychiatry, The University of Western Ontario, London, Ont. N6A 4H1 Canada 2Department of Oral Medicine, The University of Western Ontario, London, Ont. N6A 4H1 Canada 3Visiting Elective Student in Oral Medicine, The University of Western Ontario, London, Ont. N6A 4H1 Canada *Address reprint requests to: H. Merskey, D.M., Proffessor of Psychiatry, The University of Western Ontario, Director of Education and Research, London Psychiatric Hospital, 850 Highbury Avenue, P.O. Box 2532, Terminal ‘A’, London, Ont. N6A 4H1, Canada. Submitted September 23, 1982; accepted March 17, 1983. Pain: October 1983 - Volume 17 - Issue 2 - p 151-166 doi: 10.1016/0304-3959(83)90139-2 Buy Metrics Abstract It was assumed that patients with temporo-mandibular pain and dysfunction syndrome (TMPDS) would represent a population whose pain resulted from their emotional state. It was anticipated in the light of existing reports in the literature that they would score like patients with anxiety neurosis or other psychiatric illness on the General Health Questionnaire (GHQ) and the Crown-Crisp Experiential Index (CCEI: a measure of anxiety and other emotional characteristics). It was also anticipated that patients with facial pain associated with lesions would show evidence of similar emotional disturbance secondary to their pain. It was postulated, however, that the TMPDS patients would be separated from the others by a scale which measured their attitudes to parents and childhood experience, namely, the Parental Bonding Instrument (PBI). The actual comparison of TMPDS patients and patients with facial pain and lesions or pathophysiological disorders showed little evidence of neuroticism in either group; nor were the parental bonding attitudes found to be abnormal. It is questioned whether TMPDS is primarily psychological in origin. © Lippincott-Raven Publishers.