Psychosocial considerations in TMD

Abstract

Temporomandibular disorders represent a group of complex painful conditions, whose etiology and persistence are driven by a complex mosaic of influences, including psychological factors. This chapter addresses the importance of psychological contributions to TMD. Evidence is reviewed demonstrating not only that increased psychological symptoms are observed in people with TMD, but also the premorbid psychological functioning predicts future development of TMD. In addition, psychiatric diagnoses that can influence TMD symptoms and responses to treatment are discussed. Finally, the nature and effectiveness of psychological interventions for TMD are reviewed, and issues that impact interpretation of these findings are considered.