Comparative evaluation of cognitive behavioural therapy versus standard treatment in temporomandibular disorders: A systematic review.

Autor: Shivakumar S; Public Health Dentistry, Peoples College of Dental Sciences and Research Centre Peoples University Bhopal, Bhopal, India., Abdul NS; Faculty of Oral Pathology, Department of OMFS and Diagnostic Sciences, Riyadh Elm University Riyadh, Riyadh, Saudi Arabia., Jyoti B; Dental Surgeon and Consultant, Oral Medicine and Radiology Ranchi Institute of Neuropsychiatry and Allied Sciences (RINPAS), Ranchi, India., Kalburgi V; Periodontics, Peoples College of Dental Sciences and Research Centre Peoples University Bhopal, Bhopal, India., Cicciù M; Department of Biomedical and Surgical and Biomedical Sciences, Catania University, Catania, Italy., Minervini G; Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, India.; Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Jazyk: angličtina
Zdroj: Journal of oral rehabilitation [J Oral Rehabil] 2024 Jul 23. Date of Electronic Publication: 2024 Jul 23.
DOI: 10.1111/joor.13792
Abstrakt: Background: Temporomandibular disorders (TMDs) are musculoskeletal and neuromuscular conditions affecting the temporomandibular joint and associated structures. Cognitive-behavioural therapy (CBT) has emerged as a potential intervention for TMDs, but its comparative effectiveness against standard treatments remains unclear. This systematic review aimed to evaluate and compare the efficacy of CBT versus standard treatment interventions in managing TMDs.
Methods: A comprehensive search was conducted across multiple databases using MeSH keywords and Boolean operators. Inclusion criteria encompassed clinical trials comparing CBT/CBT in combination with standard treatment interventions or a control group in individuals with TMDs. The primary outcome measured was pain. Secondary outcomes such as disability, depression and jaw function were also looked into. Two reviewers independently assessed for the eligibility of the articles and conducted data extraction. Quality assessments were performed using RoB 2.0 for randomised clinical trials.
Results: The initial search identified 623 articles, of which a total of eight clinical studies met the inclusion criteria and were included in the systematic review. Seven out of eight studies demonstrated improvements in outcomes related to TMD. Pain was significantly decreased in studies that showed a positive outcome. Jaw function, quality of life and psychological well-being were superior among individuals receiving CBT alone or in combination with conventional modalities, as well as hypnotic therapy coupled with CBT-based interventions. The quality of studies assessed showed all articles to be of good quality as per RoB-2 evaluation.
Conclusion: This systematic review highlights the potential benefits of CBT in managing TMDs, suggesting its effectiveness in improving pain outcomes and enhancing overall well-being. The findings indicate that CBT may be a valuable adjunct or alternative to standard treatment interventions for individuals with TMDs. However, further research with larger sample sizes and standardised outcome measures is warranted to establish definitive conclusions regarding the comparative efficacy of CBT versus standard treatments in TMD management.
(© 2024 The Author(s). Journal of Oral Rehabilitation published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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