The purpose of the proposed research is to study the relation of facial pain or, more specifically, the myofascial pain-dysfunction syndrome (MPD) to personal, social, and recent experiential factors that contribute to life stress. MPD is a disorder that has traditionally been treated by dentists. It is, at the same time, a disorder that, in most cases, is without a known etiology. The proposed study will use a prospective case-control design involving MPD clinic patients, MPD patients from a private practice, healthy controls matched to the clinic patients on age and education. Subjects will be followed for one year. Differences between cases and controls are hypothesized with respect to: personal dispositions, specifically, locus of control and sensitization-repression; social supports; recent life events; ways of coping with recent life events. These terms will be incorporated into alternative models of the life stress process which will be tested with dat collected over time. Outcomes to be measured are levels of pain, levels of social disability, demoralization, and treatment seeking.

Agency
National Institute of Health (NIH)
Institute
National Institute of Dental & Craniofacial Research (NIDCR)
Type
Research Project (R01)
Project #
5R01DE005989-06
Application #
3219705
Study Section
(SSS)
Project Start
1982-07-01
Project End
1990-12-31
Budget Start
1988-06-01
Budget End
1990-12-31
Support Year
6
Fiscal Year
1988
Total Cost
Indirect Cost
Name
Columbia University (N.Y.)
Department
Type
Schools of Public Health
DUNS #
064931884
City
New York
State
NY
Country
United States
Zip Code
10027
Raphael, K G; Marbach, J J; Klausner, J (2000) Myofascial face pain. Clinical characteristics of those with regional vs. widespread pain. J Am Dent Assoc 131:161-71
Raphael, K G; Marbach, J J (2000) Comorbid fibromyalgia accounts for reduced fecundity in women with myofascial face pain. Clin J Pain 16:29-36
Raphael, K G; Marbach, J J; Gallagher, R M et al. (1999) Myofascial TMD does not run in families. Pain 80:15-22
Dohrenwend, B P; Raphael, K G; Marbach, J J et al. (1999) Why is depression comorbid with chronic myofascial face pain? A family study test of alternative hypotheses. Pain 83:183-92
Marbach, J J (1999) Medically unexplained chronic orofacial pain. Temporomandibular pain and dysfunction syndrome, orofacial phantom pain, burning mouth syndrome, and trigeminal neuralgia. Med Clin North Am 83:691-710, vi-vii
Marbach, J J; Ballard, G T; Frankel, M R et al. (1997) Patterns of TMJ surgery: evidence of sex differences. J Am Dent Assoc 128:609-14
Raphael, K G; Marbach, J J (1997) When did your pain start?: reliability of self-reported age of onset of facial pain. Clin J Pain 13:352-9
Marbach, J J (1996) Orofacial phantom pain: theory and phenomenology. J Am Dent Assoc 127:221-9
Marbach, J J (1996) Temporomandibular pain and dysfunction syndrome. History, physical examination, and treatment. Rheum Dis Clin North Am 22:477-98
Marbach, J J (1996) Phantom tooth pain: differential diagnosis and treatment. J Mass Dent Soc 44:14-8

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