The relationship between somatic and emotional stimuli: a com-parison between adolescents with temporomandibular disorders (TMD) and a control group.

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The relationship between somatic and emotional stimuli: a com-parison between adolescents with temporomandibular disorders (TMD) and a control group.

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Publication Article, peer reviewed scientific
Title The relationship between somatic and emotional stimuli: a com-parison between adolescents with temporomandibular disorders (TMD) and a control group.
Author(s) Wahlund, Kerstin ; List, Thomas ; Ohrbach, Richard
Date 2005
English abstract
The overall purpose of this study was to determine whether adoles-cents with chronic temporomandibular disorder (TMD) pain are more sensitive to all types of somatic and emotional stimuli compared with a matched healthy control group. Sixty adolescents, 8 boys and 52 girls ranging from 12 to 18 years, participated in the study. Thirty of the subjects exhibited TMD, re-porting pain of at least 3 months duration. The age- and gender-matched control group consisted of 30 dental recall patients who re-ported TMD pain less than once a week. All participants completed a 40-item questionnaire comprising ten items each of pleasant and aver-sive qualities crossed with somatic and emotional forms of stimuli. The items, a selection of a broad range of familiar stimuli by a panel of experts, were rated based on intensity of experience (0–10, numeri-cal rating scale). Well-fitting items that formed a valid construct within each of the four domains were selected using Rasch analysis. The results showed that adolescents with TMD pain reported signifi-cantly greater sensitivity (p<0.05) to aversive somatic and pleasant somatic stimuli than the controls. The differences between groups for the aversive emotional and pleasant emotional stimuli were not sig-nificant. These findings suggest that chronic pain states in adolescents are accompanied by amplification of bodily, but not emotional, stim-uli and that cognitive systems are implicated, not only an alteration of the nociceptive systems.
DOI http://dx.doi.org/10.1016/j.ejpain.2004.06.003 (link to publisher's fulltext)
Host/Issue European Journal of Pain;2
Volume 9
ISSN 1090-3801
Pages 219-227
Language eng (iso)
Subject(s) Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/7861 (link to this page)

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