Cross-cultural differences in patients with TMD pain
||Richard Ohrbach, University of Buffalo, USA; Ambra Michelotti University of Neaples, USA.
||Saudi Public Service
||2008-03-28 -- 2012-12-30
||Faculty of Odontology
Several studies support view that cultural influences affect beliefs, pain expression and treatment seeking, but the clinical manifestations of such influences have not been well documented or confirmed. While the general opinion is that cultural influences must be important, we actually know little about the mechanism and extent to which such influences may modify the expression of chronic temporomandibular disorders (TMD) pain in clinical settings. The significance of this research project is to explore how culture and social mores affect the physical and behavioral expression of pain. More specifically, in a cross-sectional cohort control study to: (1) Examine the extent to which cross-cultural differences in physical findings are related to cross-cultural differences in behavioral, psychological and psychosocial findings as they arise in chronic TMD patients. (2) Provide data to yield a broad view of the kinds of treatments sought for TMD pain. (3) Experimental pain measures will allow cross-cultural comparison of chronic pain expression to acute pain expression in response to laboratory delivered painful stimulation.
The central hypothesis is that pain experience is influenced by culture, which extends to the hypothesis that the expression of pain is more significantly related to the patient’s bio-behavioral status than to physical findings or clinical diagnosis
The overall purpose of this study is to use refined global measures of TMD pain and disability in order to investigate the impact of culture on the expression of physical, psychological and psychosocial aspects of chronic pain