Effects of cognitive behavioral therapy on orofacial pain conditions

Noma, Noboru; Watanabe, Yūki; Shimada, Akiko; Usuda, Sho; Iida, Takashi; Shimada, Atsushi; Tanaka, Yuto; Oono, Yuka; Sasaki, Keiichi

doi:10.2334/josnusd.20-0437

Cited by 22 publications

(12 citation statements)

References 22 publications

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“…In recent 2 years, a large number of clinical studies had taken CBT as a management measure of different kinds of pain, including mixed unlocated chronic pain [ 7 – 18 ], back pain [ 19 , 20 ], low back pain [ 21 – 26 ], chronic pancreatitis [ 27 ], fibromyalgia [ 28 , 29 ], functional abdominal pain [ 30 ], trigeminal neuralgia [ 31 ], haemophilia pain [ 32 ], osteoarthritis pain [ 33 – 35 ], perioperative pain [ 36 – 39 ], orofacial pain [ 40 ], diabetic peripheral neuropathic pain [ 41 ], and provoked vestibulodynia [ 42 ]. Previous studies on structural changes in the brain of patients with chronic pain indicated the presence of neuroplasticity in areas associated with the experience and anticipation of pain [ 43 ].…”

Section: Structural and Functional Changes Of The Brain Due To Cbtmentioning

confidence: 99%

Neuroimaging Mechanism of Cognitive Behavioral Therapy in Pain Management

Bao

Qiao

et al. 2022

Pain Research and Management

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Purpose. To review the recent neuroimaging studies on cognitive-behavioral therapy (CBT) for pain management, with the aim of exploring possible mechanisms of CBT. Recent Findings. Current studies can be divided into four categories, mixed pain, fibromyalgia, migraine, and experimental pain, based on the type of disease included, with the same or different changes of brain regions after CBT intervention. According to structural and functional MRI analyses, changes of brain gray matter volume, activation and deactivation of brain regions, and intrinsic connectivity between brain regions were observed after CBT sessions. The brain regions involved mainly included some areas related to cognitive and emotional regulation. After comparison, the DLPFC, OFC, VLPFC, PCC and amygdala were found to be recurrent in multiple studies and may be key regions for CBT intervention in pain management. In the treatment of mixed chronic pain, CBT may decrease the gray matter volume of DLPFC, reduce ICN connection of OFC within the DAN network, and increase fALFF of the PCC. For FM intervention, CBT may activate the bilateral OFC and VLPFC, while in migraine, only the right OFC, VLPFC, and DLPFC were found to be more activated after CBT. In addition, the differential action of the left and right amygdala has also been shown in the latest study of migraine. In heat-evoked pain, CBT may increase the deactivation of the PCC, the connectivity between the DMN and right VLPFC, while diminishing the deactivation of VLPFC. Summary. After CBT, the brain showed stronger top-down pain control, cognitive reassessment, and altered perception of stimulus signals (chronic pain and repeated acute pain). The DLPFC, OFC, VLPFC, PCC, and amygdala may be the key brain regions in CBT intervention of pain.

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Section: Structural and Functional Changes Of The Brain Due To Cbtmentioning

confidence: 99%

Neuroimaging Mechanism of Cognitive Behavioral Therapy in Pain Management

Bao

Qiao

et al. 2022

Pain Research and Management

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“…Studies examining the relationship between CBTs and somatization in the realm of orofacial pain are currently lacking. A recent narrative review on the effects of CBT on orofacial pain, including TMD pain, found a positive effect on pain management [48]. The effects of standard treatment methods (e.g., splint therapy, anti-inflammatory agents, and soft diet) and CBTs on TMD pain were compared in a well-designed RCT trial [44].…”

Section: How To Approach Patients With High Somatic Awarenessmentioning

confidence: 99%

Deepening the Understanding of Somatization in TMD Pain: A Topical Review

Kim

2022

J Oral Med Pain

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An association between psychological factors and temporomandibular disorders (TMD) has been extensively explored for over 40 years, and a high prevalence of depression and somatization has been consistently reported in patients with TMD. Current evidence suggests that patients' somatic awareness can serve as a primer for TMD incidence and further contribute to the transition to chronic pain. However, the current understanding of somatization from a medical perspective is limited. The best way to address patients with TMD pain who have somatization is also unclear. Therefore, this paper aims to provide an overview of somatization in the context of pain psychology and address its clinical implications in the context of TMD pain.

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“…Cognitive behavioural therapy (CBT) is mainly used for the treatment of depression, but it also has been found some effect on chronic pain relief. In recent years, CBT also has been found effective in the treatment of oral and maxillofacial pain control 158 . One part of CBT is the perception of pain which is manipulated by the influence of the self awareness 159 .…”

Section: Treatmentmentioning

confidence: 99%

Molecular mechanism in trigeminal nerve and treatment methods related to orthodontic pain

Tang

Long

Gao

et al. 2021

J of Oral Rehabilitation

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Background Orthodontic treatment is the main treatment approach for malocclusion. Orthodontic pain is an inevitable undesirable adverse reaction during orthodontic treatment. It is reported orthodontic pain has become one of the most common reason that patients withdraw from orthodontic treatment. Therefore, understanding the underlying mechanism and finding treatment of orthodontic pain are in urgent need. Aims This article aims to sort out the mechanisms and treatments of orthodontic pain, hoping to provide some ideas for future orthodontic pain relief. Materials Tooth movement will cause local inflammation. Certain inflammatory factors and cytokines stimulating the trigeminal nerve and further generating pain perception, as well as drugs and molecular targeted therapy blocking nerve conduction pathways, will be reviewed in this article. Method We review and summaries current studies related to molecular mechanisms and treatment approaches in orthodontic pain control. Results Orthodontics pain related influencing factors and molecular mechanisms has been introduced. Commonly used clinical methods in orthodontic pain control has been evaluated. Discussion With the clarification of more molecular mechanisms, the direction of orthodontic pain treatment will shift to targeted drugs.

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Effects of cognitive behavioral therapy on orofacial pain conditions

Cited by 22 publications

References 22 publications

Neuroimaging Mechanism of Cognitive Behavioral Therapy in Pain Management

Neuroimaging Mechanism of Cognitive Behavioral Therapy in Pain Management

Deepening the Understanding of Somatization in TMD Pain: A Topical Review

Molecular mechanism in trigeminal nerve and treatment methods related to orthodontic pain

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