Importance of Pain Drawing Profiles and Their Association With Pain Intensity/Interference and Clinical TMD Diagnoses Among Tertiary Care TMD Pain Patients
Iljin, Arvid; Näpänkangas, Ritva; Sipilä, Kirsi; Tolvanen, Mimmi; Teerijoki-Oksa, Tuija; Vuollo, VIlle; Suvinen, Tuija (2025-02-24)
Avaa tiedosto
Sisältö avataan julkiseksi: 24.02.2026
Wiley-Blackwell
24.02.2025
Iljin, A., Näpänkangas, R., Sipilä, K., Tolvanen, M., Teerijoki-Oksa, T., Vuollo, V. and Suvinen, T. (2025), Importance of Pain Drawing Profiles and Their Association With Pain Intensity/Interference and Clinical TMD Diagnoses Among Tertiary Care TMD Pain Patients. J Oral Rehabil, 52: 904-913. https://doi.org/10.1111/joor.13952
https://rightsstatements.org/vocab/InC/1.0/
© 2025 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Iljin, A., Näpänkangas, R., Sipilä, K., Tolvanen, M., Teerijoki-Oksa, T., Vuollo, V. and Suvinen, T. (2025), Importance of Pain Drawing Profiles and Their Association With Pain Intensity/Interference and Clinical TMD Diagnoses Among Tertiary Care TMD Pain Patients. J Oral Rehabil, 52: 904-913, which has been published in final form at https://doi.org/10.1111/joor.13952. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
https://rightsstatements.org/vocab/InC/1.0/
© 2025 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Iljin, A., Näpänkangas, R., Sipilä, K., Tolvanen, M., Teerijoki-Oksa, T., Vuollo, V. and Suvinen, T. (2025), Importance of Pain Drawing Profiles and Their Association With Pain Intensity/Interference and Clinical TMD Diagnoses Among Tertiary Care TMD Pain Patients. J Oral Rehabil, 52: 904-913, which has been published in final form at https://doi.org/10.1111/joor.13952. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
https://rightsstatements.org/vocab/InC/1.0/
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202502261850
https://urn.fi/URN:NBN:fi:oulu-202502261850
Tiivistelmä
Abstract
Background:
Body pain widespreadness may be related to biopsychosocial impact in TMD (temporomandibular disorders) pain patients.
Objectives:
The aim was to assess, by using pain drawings (PDs), the whole-body pain locations/widespreadness and their association with pain-related intensity/interference and clinical Axis I diagnoses among Finnish tertiary care TMD pain patients using the DC/TMD-FIN (Diagnostic Criteria for TMD-FIN).
Methods:
Based on PDs, 197 TMD pain patients were divided into PD profile subgroups: PD-1 (local head/face pain), PD-2 (regional head and neck/shoulder pain) and PD-3 (widespread pain). Using the Graded Chronic Pain Scale 2.0 (GCPS 2.0) assessing pain-related intensity/interference, the patients were classified into TMD subtypes (1 = uncompromised, 2 = moderately, 3 = severely compromised). Based on quantitative analysis of PDs, PD score was calculated, considering the pain widespreadness. Differences between PD profile subgroups in TMD subtypes, PD scores and Axis I diagnoses were evaluated with Independent Samples Kruskal–Wallis and chi-squared tests and pairwise comparisons with Mann–Whitney U test with Bonferroni correction. PD score sum was explored by linear regression with age, sex, Axis I diagnoses and TMD subtype as independent variables.
Results:
Patients were evenly distributed by PD profiles. Patients with widespread PD-3 profiles were significantly more often classified into TMD subtype 3, had higher PD scores and more pain-related Axis I diagnoses as compared to local PD-1 and regional PD-2.
Conclusion:
Among TMD pain patients widespread pain associates with biopsychosocial impact. PD is an important adjunct tool in biopsychosocial Axis II assessment of TMD pain patients for treatment planning and personalised care.
Background:
Body pain widespreadness may be related to biopsychosocial impact in TMD (temporomandibular disorders) pain patients.
Objectives:
The aim was to assess, by using pain drawings (PDs), the whole-body pain locations/widespreadness and their association with pain-related intensity/interference and clinical Axis I diagnoses among Finnish tertiary care TMD pain patients using the DC/TMD-FIN (Diagnostic Criteria for TMD-FIN).
Methods:
Based on PDs, 197 TMD pain patients were divided into PD profile subgroups: PD-1 (local head/face pain), PD-2 (regional head and neck/shoulder pain) and PD-3 (widespread pain). Using the Graded Chronic Pain Scale 2.0 (GCPS 2.0) assessing pain-related intensity/interference, the patients were classified into TMD subtypes (1 = uncompromised, 2 = moderately, 3 = severely compromised). Based on quantitative analysis of PDs, PD score was calculated, considering the pain widespreadness. Differences between PD profile subgroups in TMD subtypes, PD scores and Axis I diagnoses were evaluated with Independent Samples Kruskal–Wallis and chi-squared tests and pairwise comparisons with Mann–Whitney U test with Bonferroni correction. PD score sum was explored by linear regression with age, sex, Axis I diagnoses and TMD subtype as independent variables.
Results:
Patients were evenly distributed by PD profiles. Patients with widespread PD-3 profiles were significantly more often classified into TMD subtype 3, had higher PD scores and more pain-related Axis I diagnoses as compared to local PD-1 and regional PD-2.
Conclusion:
Among TMD pain patients widespread pain associates with biopsychosocial impact. PD is an important adjunct tool in biopsychosocial Axis II assessment of TMD pain patients for treatment planning and personalised care.
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