Group cognitive-behavioral intervention for patients with burning mouth syndrome

Osamu Komiyama; Hitoshi Nishimura; Yasuhide Makiyama; Takashi Iida; Ryoko Obara; Masamichi Shinoda; Masayuki Kobayashi; Noboru Noma; Osamu Abe; Antoon De Laat; Misao Kawara

doi:10.2334/josnusd.55.17

Original

Group cognitive-behavioral intervention for patients with burning mouth syndrome

Osamu Komiyama, Hitoshi Nishimura, Yasuhide Makiyama, Takashi Iida, Ryoko Obara, Masamichi Shinoda, Masayuki Kobayashi, Noboru Noma, Osamu Abe, Antoon De Laat, Misao Kawara

Author information

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

Keywords: burning mouth syndrome, glossodynia, cognitive behavioral intervention, orofacial pain, anxiety

JOURNAL FREE ACCESS

2013 Volume 55 Issue 1 Pages 17-22

DOI https://doi.org/10.2334/josnusd.55.17

Details

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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