Evidence map›Paper›PMID 40767135›Full record

Trial reportJournal of oral rehabilitation2025

Impact of a Mindfulness-Based Intervention on Pain and Psychological Factors in Women With Chronic Painful Temporomandibular Disorders.

Melissa de Oliveira Melchior, Laís Valencise Magri, Kranya Victoria Díaz-Serrano, Elton Brás Camargo Júnior, Felipe Fregni, Kevin Pacheco-Barrios, Riccardo Lacchini, Christie Ramos Andrade Leite-Panissi, Edilaine Cristina Silva Gherardi-Donato

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of oral rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Melissa de Oliveira MelchiorRibeirão Preto College of Nursing, Center of Mindfulness and Integrative Therapies - CEMITI, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-4943-1242
Laís Valencise MagriRibeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-8050-4396
Kranya Victoria Díaz-SerranoRibeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-9497-0005
Elton Brás Camargo JúniorRio Verde University, Rio Verde, Brazil.ORCID https://orcid.org/0000-0001-5148-1703
Felipe FregniSpaulding Modulation Center, Spaulding Rehabilitation Hospital, Boston, Massachusetts, USA.
Kevin Pacheco-BarriosSpaulding Modulation Center, Spaulding Rehabilitation Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-7166-2816
Riccardo LacchiniRibeirão Preto College of Nursing, Center of Mindfulness and Integrative Therapies - CEMITI, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-3738-2036
Christie Ramos Andrade Leite-PanissiPhilosophy, Science and Letters of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-1762-2730
Edilaine Cristina Silva Gherardi-DonatoRibeirão Preto College of Nursing, Center of Mindfulness and Integrative Therapies - CEMITI, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-7475-6650

Funding

CAPES-PROEX FinanceCode001FAPESP - Fundação de Amparo à Pesquisa do Estado de São Paulo 2022/05658-3
6 · The paper itself

Abstract

backgroundPsychosocial factors influence the perception of TMD signs and symptoms. Regular mindfulness practice supports their management through emotional and cognitive self-regulation, modulating the TMD-related pain experience.

objectiveTo analyse the influence of a mindfulness-based intervention on pain, cognitions, behaviour and emotions reported by women with TMD-related chronic pain.

methodsEighty-four women, aged between 18 and 61 years, with chronic TMD (diagnosed according to the Diagnostic Criteria for Temporomandibular Disorders, DC/TMD), were randomised into an intervention group (IG) or a control group (CG). The intervention group underwent an 8-week mindfulness practice programme, consisting of weekly 2-h sessions and one immersion session lasting 4 h. The entire programme consisted of nine meetings. The control group did not receive any intervention during the same period. All participants underwent clinical pain assessments and completed self-administered questionnaires before and after the intervention period. These questionnaires addressed cognitive, behavioural and emotional variables. Evaluators were blinded to the group allocations of the participants. Simple linear regression was used for the main statistical analyses, with significance established at p < 0.05.

resultsFifty-three women completed the study (IG = 30; CG = 23). The intervention had a positive influence on the following variables: number of pain points, pain pressure threshold (PPT), stress, catastrophic thoughts and facets of mindfulness, including 'observe', 'distract', 'non-react' and overall mindfulness levels (all analyses at p < 0.05).

conclusionThis unique trial, in which the mindfulness-based intervention was compared against a control (no treatment), showed that mindfulness can contribute to the sensory, cognitive, behavioural and emotional management of pain-related TMD. The improvement in pain, therefore, was probably influenced by the regulation of psychological aspects related to it.

Indexed as

Chronic PainFacial PainMindfulnessPain ManagementTemporomandibular Joint DisordersAdolescentAdultFemaleHumansMiddle AgedPain MeasurementTreatment OutcomeYoung Adultbiopsychosocial modelchronic painfacial painmindfulnesspain experiencepain‐related TMD

Identifiers

PMID40767135
PMCPMC12624188

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.