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Title: Biopsychosocial characteristics as predictors of treatment outcome of TMD patients with symptoms of pain
Keywords: biopsychosocial, predictors, treatment, outcome, TMD, pain
Issue Date: 15-May-2009
Citation: KHOO SUAN PHAIK (2009-05-15). Biopsychosocial characteristics as predictors of treatment outcome of TMD patients with symptoms of pain. ScholarBank@NUS Repository.
Abstract: Aim: (I) To compare the biopsychosocial characteristics of TMD patients with (WIPS) and without pain symptoms (WoPS). (II) To construct a predictive model that would enable identification of non-responders to conservative TMD treatment. Methodology: The RDC/TMD was cross-culturally adapted and using multivariate analysis, factors associated WIPS and also factors which were associated with a non-response to TMD treatment outcome were determined. Results: There were differences among TMD patients WIPS and WoPS in their sociodemography (race), physical and self-reported characteristics and psychological status. Factors predictive of non-response to treatment were the female sex, limited excursive-protrusive jaw distances, higher muscle palpation scores, lower depression scores and self-reports of uncomfortable/unusual bite. The predictive model for non-response to TMD treatment had a sensitivity of 80.6%, specificity of 95.7%, negative predictive value of 91.7% and positive predictive value of 89.3%. Conclusion: Biopsychosocial factors can accurately predict non-response to conservative TMD treatment.
Appears in Collections:Ph.D Theses (Open)

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