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Factors associated with anxiety and depression in facial arthromyalgia

Madland, Geira,b; Feinmann, Charlottea,c; Newman, Stantona,*

doi: 10.1016/S0304-3959(99)00210-9

Facial arthromyalgia (temporomandibular joint pain dysfunction syndrome, TMD) is a chronic pain condition of unknown origin. This paper examines the extent to which the condition is associated with symptoms of anxiety and depression. It also identifies factors which may be predictive of raised levels of these two moods and of the presence of clinical anxiety and clinical depression. Self-report measures of pain beliefs, coping strategies, pain intensity, disability and mood were administered to a sample of 80 facial arthromyalgia patients of differing chronicity. The results showed anxious mood to be associated with several factors including beliefs that pain is itself worsened by negative mood, passive coping in terms of catastrophising about pain, and speech problems. Depressed mood was associated with catastrophising and disability in the form of disturbance in taste and digestion. These factors may be considered as potential targets for therapy, rather than the orthodox objective of pain relief.

aDepartment of Psychiatry and Behavioural Sciences, University College London, London, UK

bDepartment of Oral Medicine, Eastman Dental Institute, London, UK

cBehavioural Sciences and Dentistry, Eastman Dental Institute, London, UK

* Corresponding author. Health Psychology Unit, Department of Psychiatry and Behavioural Sciences, University College London, 2nd Floor, Wolfson Building, 48 Riding House Street, London WlN 8AA, UK. Tel.: +44-(0)171-504-9468; fax: +44-(0)171-323-1459


Received November 24, 1998; received in revised form February 10, 1999; accepted August 11, 1999

© 2000 Lippincott Williams & Wilkins, Inc.
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