Table 3.
Standardized parameter estimates from 3 models starting with the full model and then performing exploratory model alterations to obtain the best-fitting model. Model 1 includes all variables included in the measurement model. Model 2 dropped the experimental pain sensitivity latent variable. In Model 3, to improve model fit, correlation among variable pairs were permitted between the following pairs: Interference and Restriction, chewing and opening limitation, negative affect and somatic symptoms, and Characteristic pain intensity variables measuring average and worst pain.
| Model 1* | Model 2+ | Model 3ǂ | |
|---|---|---|---|
| N | 1088 | 1085 | 1085 |
| Characteristic pain intensity | |||
| Current | 0.719 | 0.718 | 0.771 |
| Average | 0.866 | 0.866 | 0.791 |
| Worst | 0.775 | 0.774 | 0.683 |
| Interference | |||
| Daily | 0.883 | 0.883 | 0.882 |
| Social | 0.907 | 0.907 | 0.907 |
| Work | 0.904 | 0.903 | 0.903 |
| Restriction | |||
| Days kept from activity | 0.757 | 0.758 | 0.756 |
| Days less efficient | 0.875 | 0.873 | 0.874 |
| Jaw limitation | |||
| Chewing limitation | 0.780 | 0.781 | 0.643 |
| Opening limitation | 0.859 | 0.858 | 0.733 |
| Expression limitation | 0.740 | 0.740 | 0.859 |
| Psychological unease | |||
| Somatic symptoms | 0.742 | 0.743 | 0.619 |
| Catastrophizing | 0.684 | 0.684 | 0.764 |
| Negative affect | 0.571 | 0.571 | 0.421 |
| Experimental pain sensitivity | |||
| Thermal tolerance | 0.5357 | ||
| Pressure pain threshold | 0.419 | ||
| Mechanical pain rating | −0.518 | ||
| Mechanical temporal summation | −0.453 | ||
| Structural model | |||
| UNEASE→PRD | 0.484 | 0.519 | 0.579 |
| JAW→PRD | 0.413 | 0.445 | 0.406 |
| EXP→PRD | −0.201 | ||
| Age→PRD | 0.135 | 0.128 | 0.131 |
| Study site→PRD | 0.131 | 0.131 | 0.123 |
| Race→PRD | 0.029 | 0.058 | 0.059 |
| Sex→ PRD | −0.041 | 0.001 | 0.007 |
| Model fit statistics | |||
| Chi2 (df) | 842 (193) | 564 (122) | 408 (119) |
| P value | <0.001 | <0.001 | <0.001 |
| RMSEA (90% CI) | 0.056 (0.052, 0.059) | 0.058 (0.053, 0.063) | 0.047 |
| CFI | 0.912 | 0.935 | 0.958 |
| TLI | 0.898 | 0.922 | 0.948 |
| SRMR | 0.057 | 0.054 | 0.040 |
Model 1: full model including all variables from measurement model ;
Model 2: dropped experimental pain sensitivity variable;
Model 3: permitted correlation between ; UNEASE=Psychological unease; JAW=jaw limitation, EXP= experimental pain sensitivity; PRD=pain-related disability