Effects of Physical and Sexual Abuse in Facial Pain: Direct or Mediated?

Riley, Joseph L.; Kvaal, Steven A.; Gremillion, Henry A.

doi:10.1080/08869634.1998.11746066

Cited by 26 publications

(20 citation statements)

References 22 publications

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“…35, 37, 59 Increased somatic symptom report has been frequently seen in chronic pain population. 6, 12, 16, 21, 42, 51 The frequent co-existence and correlation between pain and other somatic symptoms may indicate a shared pathophysiology such that enhanced sensitivity is not limited to pain, but also exists in other sensory modalities due to converging neuronal networks in the central nervous system, 21 particularly in the somatosensory system. From this perspective, PILL values or elevated somatic complaints can be considered, at least in part, as a marker of peripheral and/or central sensory sensitization, in addition to a psychological construct.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Temporomandibular Disorders, Widespread Palpation Tenderness, and Multiple Pain Conditions: A Case-Control Study

Chen

Slade

Lim

et al. 2012

The Journal of Pain

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The multiple bodily pain conditions in temporomandibular disorders (TMD) have been associated with generalized alterations in pain processing. The purpose of this study was to examine the relationship between the presence of widespread body palpation tenderness (WPT) and the likelihood of multiple comorbid pain conditions in TMD patients and controls. This case-control study was conducted in 76 TMD subjects with WPT, 83 TMD subjects without WPT, and 181 non-TMD matched control subjects. The study population was also characterized for clinical pain, experimental pain sensitivity, and related psychological phenotypes. Results showed that (1) TMD subjects reported an average of 1.7 comorbid pain conditions compared to 0.3 reported by the control subjects (p<0.001); (2) Compared to control subjects, the odds ratio (OR) for multiple comorbid pain conditions is higher for TMD subjects with WPT [OR 8.4 (95% CI 3.1–22.8) for TMD with WPT versus OR 3.3 (95% CI 1.3–8.4) for TMD without WPT]; (3) TMD subjects with WPT presented with reduced pressure pain thresholds (PPTs) in both cranial and extra-cranial regions compared to TMD subjects without WPT; and (4) TMD subjects with WPT reported increased somatic symptoms. These findings suggest that pain assessment outside of the orofacial region may prove valuable for the classification, diagnosis, and management of TMD patients.

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Section: Discussionmentioning

confidence: 99%

Relationship Between Temporomandibular Disorders, Widespread Palpation Tenderness, and Multiple Pain Conditions: A Case-Control Study

Chen

Slade

Lim

et al. 2012

The Journal of Pain

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“…Riley et al [78] suggested that individuals with a history of abuse may demonstrate an increased tendency to monitor, amplify, and overreact to somatic symptoms. Recent studies [78,79] indicate that close to half of female patients with facial pain report a history of physical or sexual abuse, leading one to speculate that these individuals may be extremely hypervigilant.…”

Section: Hypervigilancementioning

confidence: 98%

“…Recent studies [78,79] indicate that close to half of female patients with facial pain report a history of physical or sexual abuse, leading one to speculate that these individuals may be extremely hypervigilant. However, when interpreting data concerning these types of emotional trauma, one must also consider that, although the figures for the TMD group are higher than that generally reported in control participants (ie, 33.3% in [79]), the numbers do not differ significantly.…”

Section: Hypervigilancementioning

confidence: 99%

The role of psychosocial factors in temporomandibular disorders

Rollman

Gillespie

2000

Current Review of Pain

165

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The temporomandibular disorders (TMDs) comprise a constellation of symptoms affecting the joints and muscles involved in jaw movement. Patients complain of orofacial pain, limited jaw opening, and clicking or popping sounds. Although pain is generally the defining characteristic of TMD, patients often report marked degrees of stress and interference in daily life. This article reviews recent studies on epidemiology, sex differences, pediatric TMD, classification systems, comparisons to other chronic pain disorders of uncertain etiology, psychological assessment, depression, central modulation and hypervigilance, sleep disturbances, stress, and the management of TMD by conservative physical interventions and cognitive behavioral therapy. Both the assessment and the management of TMD requires a multidisciplinary perspective with strong emphasis on psychosocial variables.

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“…History-In female-predominant pain disorders, physical abuse and sexual abuse appear to be related to pain and mood disorders [163]. For example, abuse history is associated with increased rates of pelvic pain in women [116].…”

Section: 13mentioning

confidence: 99%

Studying sex and gender differences in pain and analgesia: A consensus report

Greenspan

Craft

LeResche

et al. 2007

Pain

871

633

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In September 2006, members of the Sex, Gender and Pain Special Interest Group of the International Association for the Study of Pain met to discuss the following: (1) what is known about sex and gender differences in pain and analgesia; (2) what are the "best practice" guidelines for pain research with respect to sex and gender; and (3) what are the crucial questions to address in the near future? The resulting consensus presented herein includes input from basic science, clinical and psychosocial pain researchers, as well as from recognized experts in sexual differentiation and reproductive endocrinology. We intend this document to serve as a utilitarian and thought-provoking guide for future research on sex and gender differences in pain and analgesia, both for those currently working in this field as well as those still wondering, "Do I really need to study females?" Keywords Sex differences; Gonadal hormones; Estrogens The case for studying sex and gender differences in pain and analgesiaThe pain field has moved from debating whether sex differences in pain exist to recognizing the importance of these differences. Attention is now directed toward understanding (1) what conditions lead to the expression of sex and gender differences in pain experience and reactivity, (2) what mechanisms underlie these differences, and (3) how these differences can inform clinical management of pain.As noted in a recent review, at least 79% of animal studies published in Pain over the preceding 10 years included male subjects only, with a mere 8% of studies on females only, and another 4% explicitly designed to test for sex differences (the rest did not specify) [142]. Given the substantially greater prevalence of many clinical pain conditions in women vs. men [20,199], and growing evidence for sex differences in sensitivity to experimental pain and to analgesics [21,41,213], we recommend that all pain researchers consider testing their hypotheses in both sexes, or if restricted by practical considerations, only in females. It is invalid to assume that data obtained in male subjects will generalize to females, and the best non-human model of the modal human pain sufferer -a woman -is a female animal. If only males are examined in a given study, it is important that a rationale for exclusion of females be provided and that the potential limitation in generalizability of the findings be addressed in the discussion, particularly when examining a pain phenomenon that occurs with greater prevalence or severity in females. In both preclinical and clinical studies, a comparison of both sexes will further our understanding of individual differences in sensitivity to pain and analgesia, thus improving our ability to treat and prevent pain in all people. General considerationsTwo issues of terminology are important. First, the term "sex" refers to biologically based differences, while the term "gender" refers to socially based phenomena. Although biological sex exerts a major influence on one's gender identity, sex and gender a...

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Effects of Physical and Sexual Abuse in Facial Pain: Direct or Mediated?

Cited by 26 publications

References 22 publications

Relationship Between Temporomandibular Disorders, Widespread Palpation Tenderness, and Multiple Pain Conditions: A Case-Control Study

Relationship Between Temporomandibular Disorders, Widespread Palpation Tenderness, and Multiple Pain Conditions: A Case-Control Study

The role of psychosocial factors in temporomandibular disorders

Studying sex and gender differences in pain and analgesia: A consensus report

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