Journal of Behavioral Medicine

, Volume 23, Issue 3, pp 293–309 | Cite as

The Relative Efficacy of Three Cognitive-Behavioral Treatment Approaches to Temporomandibular Disorders

  • Kiran D. Mishra
  • Robert J. Gatchel
  • Margaret A. Gardea


The purpose of this study was to evaluate the relative efficacy of different biopsychosocial treatment conditions on patients with chronic temporomandibular disorder. Ninety-four patients with chronic temporomandibular disorder were assigned to either a biofeedback treatment group, a cognitive-behavioral skills training (CBST) treatment group, a combined (combination of biofeedback/CBST) treatment group, or a no-treatment control group. Pain scores were analyzed pretreatment and posttreatment to determine group and within-subjects treatment effects. Results demonstrated that, in terms of a self-reported pain score, all three treatment groups had significantly decreased pain scores from pretreatment to posttreatment, while the no-treatment group did not. Moreover, patients in the biofeedback group were the most significantly improved compared to the no-treatment group. Finally, participants in the three treatment groups displayed significant improvement in mood states.

temporomandibular disorder biopsychosocial perspective cognitive-behavioral skills training biofeedback RDC/TMD diagnosis 


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Copyright information

© Plenum Publishing Corporation 2000

Authors and Affiliations

  • Kiran D. Mishra
    • 1
  • Robert J. Gatchel
    • 1
  • Margaret A. Gardea
    • 1
  1. 1.Department of Psychiatry, Division of PsychologyThe University of Texas Southwestern Medical Center at DallasDallas

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