Table 7.
Recommended Axis II Assessment Protocol
Domain | Instrument | No. of items | Screening | Comprehensive |
---|---|---|---|---|
Pain intensity | Graded Chronic Pain Scale (GCPS) | 3 | ✓ | ✓ |
Pain locations | Pain drawing | 1 | ✓ | ✓ |
Physical function | Graded Chronic Pain Scale (GCPS) | 4 | ✓ | ✓ |
Limitation | Jaw Functional Limitation Scale-short form (JFLS) | 8 | ✓ | |
Jaw Functional Limitation Scale-long form (JFLS) | 20 | ✓ | ||
Distress | Patient Health Questionnaire-4 (PHQ-4) | 4** | ✓ | |
Depression | Patient Health Questionnaire-9* (PHQ-9) | 9** | ✓ | |
Anxiety | Generalized Anxiety Disorder-7 (GAD-7) | 7** | ✓ | |
Physical symptoms | Patient Health Questionnaire-15* (PHQ-15) | 15 | ✓ | |
Parafunction | Oral Behaviors Checklist (OBC) | 21 | ✓ | ✓ |
The RDC/TMD depression and non-specific physical symptoms instruments could be substituted for the PHQ-9 and PHQ-15, respectively, if continuity with legacy data is important.
Each of the PHQ-4, PHQ-9, and GAD-7 include one additional item beyond the number listed above; the additional item is a global reflective question regarding functional interference due to any of the endorsed symptoms on that instrument.