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Quintessence Publishing: Journals: JOP
Journal of Orofacial Pain

Edited by Barry J. Sessle, BDS, MDS, BSc, PhD, FRSC

Official Journal of the American Academy of Orofacial Pain,
and the European, Australian, Asian, and Ibero-Latin Academies of Craniomandibular Disorders

ISSN 1064-6655

Publication:
Winter 1997
Volume 11 , Issue 1

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Sexual and Physical Abuse History in Subjects With Temporomandibular Disorders: Relationship to Clinical Variables, Pain Sensitivity, and Psychologic Factors

Fillingim/Maixner/Sigurdsson/Kincaid

Pages: 48-57
PMID: 10332310

Recent evidence suggests that a past history of physical and/or sexual abuse is more frequently reported among chronic pain populations; however, the prevalence of reported abuse has not been examined in patients with chronic orofacial pain caused by temporomandibular disorders (TMD). This study compares reported physical/sexual abuse among female TMD subjects recruited from the general population with that of age-matched female control subjects. The association of reported abuse with clinical pain, experimental pain responses, and psychologic variables was examined in the TMD group. Results indicated that a slightly but not statistically greater percentage of TMD subjects (44.8%) reported a history of sexual or physical abuse compared to control subjects (33.3%). Reported abuse among TMD subjects was not re lated to clinical pain or psychologic variables. Regarding experimental pain responses, TMD subjects reporting a history of abuse exhibited longer ischemic pain tolerances compared to those not reporting abuse; however, the groups did not differ on other experimental pain measures. Results indicate that the reported prevalence of physical/sexual abuse is similar among tMD subjects compared to other chronic pain populations; however, the relationship of abuse to clinical and psychosocial variables remains unclear.

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