{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:41:16Z","timestamp":1790347276166,"version":"4.1.0"},"reference-count":47,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,4,7]],"date-time":"2021-04-07T00:00:00Z","timestamp":1617753600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study determined the differences in emotional states, sleep and oral health\u2010related quality of life (OHRQoL) between patients with pain\u2010related and intra\u2010articular Temporomandibular disorders (TMDs), and associated emotional symptoms with sleep and OHRQoL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants were recruited from a tertiary TMDs referral centre. The Depression, Anxiety, Stress Scales\u201021 (DASS\u201021), Pittsburgh Sleep Quality Index (PSQI) and Oral Health Impact Profile\u2010TMDs (OHIP\u2010TMDs) were used to assess emotional states, sleep and Oral health\u2010related quality of life (OHRQoL), respectively. TMD\u2010related and sociodemographic data were also gathered. Patients were divided into pain\u2010related (PT), intra\u2010articular (IT) and combined TMDs (CT) groups based on the Diagnostic Criteria for TMDs. Data were analysed using one\u2010way ANOVA, Chi\u2010square test, Pearson's correlation and logistic regression analysis with the significance level set at <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 1079 participants with a mean age of 29.6\u00a0\u00b1\u00a014.2\u00a0years were appraised (93.3% response rate). The severity\/prevalence of emotional distress, impaired sleep and OHRQoL of the PT\/CT groups were higher than the IT group. Moderate\u2010to\u2010strong inter\u2010relationships between emotional, sleep and OHRQoL variables were more explicit for participants with painful TMDs. Logistic regression analysis demonstrated that painful TMDs were associated with higher stress and poorer OHRQoL with odds ratios (ORs) of 1.482 (95% CI 1.039\u20102.114) and 6.502 (95% CI 3.201\u201013.210), respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Painful TMDs are associated with higher levels of emotional distress, sleep and OHRQoL impairments. Routine evaluation of the biopsychosocial distress, especially stress and life quality, is necessary for patients with painful TMDs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12643","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T02:30:23Z","timestamp":1617849023000},"page":"543-549","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":50,"title":["Temporomandibular disorder subtypes, emotional distress, impaired sleep, and oral health\u2010related quality of life in Asian patients"],"prefix":"10.1111","volume":"49","author":[{"given":"Jie","family":"Lei","sequence":"first","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"Department of Oral &amp; Maxillofacial Radiology Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"National Clinical Research Center for Oral Diseases Beijing China"},{"name":"National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China"},{"name":"Beijing Key Laboratory of Digital Stomatology Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian Ujin","family":"Yap","sequence":"additional","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"Department of Dentistry Faculty of Dentistry Ng Teng Fong General Hospital National University Health System Singapore Singapore"},{"name":"National Dental Research Institute Singapore National Dental Centre Singapore and Duke\u2010NUS Medical School Singapore Health Services Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minjuan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"Department of Oral &amp; Maxillofacial Radiology Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"National Clinical Research Center for Oral Diseases Beijing China"},{"name":"National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China"},{"name":"Beijing Key Laboratory of Digital Stomatology Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7049-9888","authenticated-orcid":false,"given":"Kai\u2010Yuan","family":"Fu","sequence":"additional","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"Department of Oral &amp; Maxillofacial Radiology Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"National Clinical Research Center for Oral Diseases Beijing China"},{"name":"National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China"},{"name":"Beijing Key Laboratory of Digital Stomatology Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,7]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"218","article-title":"Prevalence of orofacial pain and treatment seeking in Hong Kong Chinese","volume":"20","author":"McMillan AS","year":"2006","journal-title":"J Orofac Pain"},{"key":"e_1_2_9_3_1","first-page":"378","article-title":"Diagnosis and treatment of temporomandibular disorders","volume":"91","author":"Gauer RL","year":"2015","journal-title":"Am Fam Physician"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2011.08.002"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2013.09.010"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2013.06.009"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.1301"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2016.06.031"},{"key":"e_1_2_9_9_1","first-page":"120","article-title":"Sleep quality in patients with temporomandibular disorder: a systematic reviews","volume":"6","author":"Veiga D","year":"2013","journal-title":"Sleep Sci"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2007.00418.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12692"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12751"},{"key":"e_1_2_9_13_1","first-page":"e188","article-title":"Functional, physical and psychosocial impact of Temporomandibular Disorders in adolescents and young adults","volume":"25","author":"Yap AUJ","year":"2020","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2006.07.006"},{"key":"e_1_2_9_15_1","first-page":"1091","article-title":"Chronic stress leads to anxiety and depression","volume":"5","author":"Khan S","year":"2017","journal-title":"Ann Psychiatry Ment Health"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034511399918"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12171"},{"key":"e_1_2_9_18_1","first-page":"301","article-title":"Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique","volume":"6","author":"Dworkin SF","year":"1992","journal-title":"J Craniomandib Disord"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466505X29657"},{"key":"e_1_2_9_21_1","first-page":"443","article-title":"Psychometric properties of the Chinese versions of DASS\u201021 in Chinese college students","volume":"18","author":"Gong X","year":"2010","journal-title":"Chin J Clin Psychol"},{"key":"e_1_2_9_22_1","volume-title":"Manual for the Depression Anxiety Stress Scales","author":"Lovibond S","year":"1995"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-005-4346-x"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.20243"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2011.02233.x"},{"key":"e_1_2_9_26_1","first-page":"221","article-title":"Comparison of sleep quality and clinical and psychologic characteristics in patients with temporomandibular disorders","volume":"16","author":"Yatani H","year":"2002","journal-title":"J Orofac Pain"},{"key":"e_1_2_9_27_1","volume-title":"Statistics without Maths for Psychology","author":"Dancey CP","year":"2017"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-5215.2007.00217.x"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2012.09.004"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.1297"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1179\/2151090315Y.0000000021"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2010.02.029"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2012.08.019"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2019.1622869"},{"key":"e_1_2_9_35_1","first-page":"E669","article-title":"Influence of clinical and psychological variables upon the oral health\u2010related quality of life in patients with temporomandibular disorders","volume":"22","author":"Blanco\u2010Aguilera A","year":"2017","journal-title":"Med Oral Patol Oral"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2010.06.007"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12266"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2011.06.002"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.1413"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.b.30324"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroscience.2015.01.064"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2011.0326"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.11607\/ijp.4026"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12759"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2011.04.021"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2015.07.017"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2016.12.017"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1011"}],"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.12643","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cdoe.12643","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.12643","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T00:22:21Z","timestamp":1693354941000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdoe.12643"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,7]]},"references-count":47,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1111\/cdoe.12643"],"URL":"https:\/\/doi.org\/10.1111\/cdoe.12643","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"value":"0301-5661","type":"print"},{"value":"1600-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,7]]},"assertion":[{"value":"2021-01-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}