Cross-cultural differences in types and beliefs about treatment in women with temporomandibular disorder pain

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Cross-cultural differences in types and beliefs about treatment in women with temporomandibular disorder pain

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Publication Article, peer reviewed scientific
Title Cross-cultural differences in types and beliefs about treatment in women with temporomandibular disorder pain
Author Al-Harthy, Mohammad ; List, Thomas ; Ohrbach, Richard ; Michelotti, Ambra
Date 2018
English abstract
ObjectivesWomen with temporomandibular disorder (TMD) pain from three cultures were assessed for type of treatment received and core illness beliefs. MethodsIn a clinical setting, 122 women patients with chronic TMD pain (39 Saudis, 41 Swedes and 42 Italians) were evaluated for patient characteristics, type of practitioner, type of treatment received and beliefs about TMD prior to consultation in TMD specialist centres. Measures included a survey of treatments received and a belief scale regarding contributing, aggravating and treatment-relevant factors related to the pain. All questionnaires were translated from English and culturally adapted. Comparisons among cultural groups were performed using a linear regression model for continuous variables and logistic regression model for dichotomous variables. A P-value<0.05 was considered statistically significant. ResultsThe study found no significant associations between cultures and the type of practitioners consulted previously. Treatments differed among cultures: Swedes most commonly received behavioural therapy, acupuncture and an occlusal appliance; Saudis most commonly received Islamic medicine; and Italians most commonly received an antidepressant. Swedes were significantly more likely than Saudis and Italians to believe that TMD pain treatment should address behavioural factors. ConclusionsAmong Saudi, Italian and Swedish women with chronic TMD pain, culture does not influence the type of practitioner consulted before visiting a TMD specialist or their beliefs about contributing and aggravating factors for their pain. However, treatment types and beliefs concerning mechanisms underlying the pain differed cross-culturally, with local availability or larger cultural beliefs also probably influencing the types of treatments that TMD patients pursue.
DOI https://doi.org/10.1111/joor.12683 (link to publisher's fulltext.)
Publisher Wiley
Host/Issue Journal of Oral Rehabilitation;9
Volume 45
ISSN 0305-182X
Language eng (iso)
Subject care seeking
cross-cultural comparison
pain beliefs
pain management
temporomandibular disorders pain
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/26618 Permalink to this page
Link to publication in DiVA Find this research publication in DiVA.
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