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Twenty\u2010seven females with chronic <jats:styled-content style=\"fixed-case\">OP<\/jats:styled-content> (a diagnosis of myofascial pain according to the Research Diagnostic Criteria for Temporomandibular Disorders with at least 6\u00a0months duration), 24 females with acute <jats:styled-content style=\"fixed-case\">OP<\/jats:styled-content> (&lt;10\u00a0days duration) and 27 pain\u2010free females participated. Morning saliva was collected from all participants for analyses of the cortisol level. The pain intensity was assessed on a 0\u201310 numeric rating scale. The participants were evaluated by the Symptom Checklist 90\u2010revised for levels of depression and somatisation, and the Perceived Stress Scale. The cortisol levels among the three patient groups were similar with no significant group differences. The median (interquartile range) current pain level did not differ between chronic and acute <jats:styled-content style=\"fixed-case\">OP<\/jats:styled-content> and was, respectively, 5 (4) and 5 (3). Patients with chronic <jats:styled-content style=\"fixed-case\">OP<\/jats:styled-content> showed significantly higher scores for depression, somatisation and perceived stress compared with patients with acute <jats:styled-content style=\"fixed-case\">OP<\/jats:styled-content> (Ps\u00a0&lt;\u00a00\u00b7001), but there were no significant differences between acute <jats:styled-content style=\"fixed-case\">OP<\/jats:styled-content> and controls. To conclude, there were no differences in cortisol level between groups, despite significant higher levels of depression, somatisation and perceived stress in patients with chronic <jats:styled-content style=\"fixed-case\">OP<\/jats:styled-content>. This shows that psychological distress has a more important role in chronic than in acute <jats:styled-content style=\"fixed-case\">OP<\/jats:styled-content>. However, the relation between pain, adreno\u2010cortical activity and psychological distress is complex and warrants further investigation.<\/jats:p>","DOI":"10.1111\/joor.12118","type":"journal-article","created":{"date-parts":[[2013,12,7]],"date-time":"2013-12-07T06:46:45Z","timestamp":1386398805000},"page":"122-132","source":"Crossref","is-referenced-by-count":28,"title":["Salivary cortisol and psychological factors in women with chronic and acute oro\u2010facial pain"],"prefix":"10.1111","volume":"41","author":[{"given":"H.","family":"Jasim","sequence":"first","affiliation":[{"name":"Section of Orofacial Pain and Jaw Function Department of Dental Medicine Karolinska Institutet Huddinge Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Louca","sequence":"additional","affiliation":[{"name":"Section of Orofacial Pain and Jaw Function Department of Dental Medicine Karolinska Institutet Huddinge Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Christidis","sequence":"additional","affiliation":[{"name":"Section of Orofacial Pain and Jaw Function Department of Dental Medicine Karolinska Institutet Huddinge Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Ernberg","sequence":"additional","affiliation":[{"name":"Section of Orofacial Pain and Jaw Function Department of Dental Medicine Karolinska Institutet Huddinge Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,7]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Classification of chronic pain: Description of chronic pain syndromes and definitions of pain terms","author":"Bogduk 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