Group cognitive-behavioral intervention for patients with burning mouth syndrome

  • Komiyama Osamu
    Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo Department of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo
  • Nishimura Hitoshi
    Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo
  • Makiyama Yasuhide
    Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo
  • Iida Takashi
    Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo Department of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo
  • Obara Ryoko
    Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo Department of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo
  • Shinoda Masamichi
    Department of Physiology, Nihon University School of Dentistry
  • Kobayashi Masayuki
    Department of Pharmacology, Nihon University School of Dentistry
  • Noma Noboru
    Department of Oral Diagnostic Sciences, Nihon University School of Dentistry
  • Abe Osamu
    Department of Radiology, Nihon University School of Medicine
  • De Laat Antoon
    Department of Oral Health Sciences, KU Leuven and Dentistry, University Hospitals
  • Kawara Misao
    Orofacial and Head Pain Clinic, Nihon University School of Dentistry at Matsudo Department of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo

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Abstract

This study was conducted to assess the psychological characteristics of, and determine the effectiveness of group cognitive-behavioral (CB) treatment for, patients with burning mouth syndrome (BMS). The baseline characteristics of 24 female patients (age 69.7 ± 5.9 years) and an identical number of healthy female control subjects (age 69.2 ± 5.5 years) were compared. The patient group had significantly higher anxiety scores (P < 0.05) at baseline. A brief group CB intervention was delivered in a small-group format. Two sessions were planned 6 months apart. A numeric rating scale (NRS) was used to assess pain intensity. Anxiety was evaluated using a state and trait anxiety inventories. Present pain intensity decreased after both the first and second sessions. The session effect was significant (P = 0.02), but no repeat effect was found (P = 0.19). The state anxiety inventory score also decreased after the second session. The session effect was significant (P < 0.01), as was the repeat effect (P < 0.01). The trait anxiety inventory score decreased after the second session, and the session effect was significant (P = 0.013), but the repeat effect was not (P = 0.93). The results suggest that a brief group CB intervention reduces pain intensity and anxiety in patients with BMS. (J Oral Sci 55, 17-22, 2013)

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