{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T19:50:59Z","timestamp":1784663459361,"version":"3.55.0"},"reference-count":49,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T00:00:00Z","timestamp":1592352000000},"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":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This cross\u2010sectional, observational study assessed the inter\u2010relationships between painful TMDs, somatic and psychological symptoms in Asian youths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Study subjects were recruited from a local Polytechnic. Pain\u2010related TMDs were established with the TMD pain screener (TPS), while somatic and psychological symptoms were assessed with the Patient Health Questionnaire\u201015 (PHQ\u201015) and Depression, Anxiety and Stress Scales\u201021 (DASS\u201021). Demographic information, TPS, PHQ\u201015 and DASS\u201021 responses were gathered with the CDRSS system and analysed using the binomial\u2010exact test, Mann\u2010Whitney U test, Spearman's rho correlation and logistic regression analysis (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data from a total of 400 participants were collected and examined. The \u201cno TMDs\u201d (NT) group comprised of 366 subjects (180 males; 186 females) with a mean age of 18.72\u00a0\u00b1\u00a01.49\u00a0years, while the \u201cwith TMDs\u201d (WT) group consisted of 34 subjects (11 males; 23 females) aged 19.26\u00a0\u00b1\u00a01.89\u00a0years. Significant differences in median PHQ\u201015 and DASS\u201021 scores were observed between the NT and WT groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0\u2264\u00a0.007). The WT group was observed to have moderate somatic symptoms, moderate depression, moderate\u2010to\u2010severe anxiety and mild stress. For subjects with pain\u2010related TMDs, correlation between somatic and psychological symptoms was moderate\u2010to\u2010strong (\n                      <jats:italic>\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u00a0=\u00a0.55\u2010.69). Stepwise logistic regression indicated that somatisation and anxiety were possible risk factors for painful TMDs with odds ratios of 1.08 and 1.07, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The prevalence of pain\u2010related TMDs was 8.5%. Subjects with painful TMDs had significantly higher levels of somatic and psychological distress. In addition, somatic symptoms were strongly correlated with anxiety and stress but less so with depression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13033","type":"journal-article","created":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T05:00:07Z","timestamp":1591678807000},"page":"1077-1083","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Inter\u2010relationships between pain\u2010related temporomandibular disorders, somatic and psychological symptoms in Asian youths"],"prefix":"10.1111","volume":"47","author":[{"given":"Adrian Ujin","family":"Yap","sequence":"first","affiliation":[{"name":"Department of Dentistry Ng Teng Fong General Hospital National University Health System Singapore Singapore"},{"name":"Faculty of Dentistry National University of Singapore Singapore Singapore"},{"name":"Duke\u2010NUS Medical School Singapore Singapore"},{"name":"National Dental Research Institute 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