{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T22:47:50Z","timestamp":1791413270944,"version":"4.3.3"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,11,8]],"date-time":"2020-11-08T00:00:00Z","timestamp":1604793600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100009592","name":"Beijing Municipal Science and Technology Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009592","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The peak prevalence of temporomandibular disorders (TMDs) may occur in middle age. This study determined the proportion of matured adults seeking TMD treatment and compared their diagnostic, psychological and oral health\u2013related quality\u2010of\u2010life (OHRQoL) profiles to younger patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Adult subjects were recruited from a tertiary TMD centre and assigned to three age groups, namely 18\u201044\u00a0years (young adults [YA]), 45\u201064 (middle\u2010aged adults [MA]) and \u226565 (old adults [OA]). TMD diagnoses were established with the Diagnostic Criteria for TMDs and categorised as pain\u2010related (PT), intra\u2010articular (IT) and combined (CT) TMDs. Psychological states and OHRQoL were assessed with the Depression, Anxiety, and Stress Scale\u201021 (DASS\u201021) and Oral Health Impact Profile\u2010TMDs (OHIP\u2010TMDs). Demographic, DASS\u201021, and OHIP\u2010TMDs data were analysed using chi\u2010square test, one\u2010way ANOVA and Pearson's correlation (\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                      Middle\u2010aged (19.7%; 136\/692) and old (4.0%; 28\/692) adults comprised about a quarter of the TMD patients. Although gender distribution was comparable, significant differences in TMD categories were observed (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001). Pain\u2010related TMDs were more prevalent in the MA\/OA groups while intra\u2010articular TMDs were more frequent in the YA group. No significant difference in DASS\u201021 and total OHIP scores was noted among three groups. However, the MA and OA groups had significantly lower OHRQoL in the physical pain domain. Correlations between DASS\u201021 and OHIP\u2010TMDs scores varied with age and ranged from\n                      <jats:italic>\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u00a0=\u00a00.47\u20100.92.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Matured patients constituted a quarter of TMD cohort and presented higher frequencies of painful TMDs. They have similar psychological profiles to younger patients but experienced lower OHRQoL in physical pain domain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13121","type":"journal-article","created":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T17:03:32Z","timestamp":1603904612000},"page":"361-368","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":67,"title":["Age\u2010related differences in diagnostic categories, psychological states and oral health\u2013related quality of life of adult temporomandibular disorder patients"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0361-6209","authenticated-orcid":false,"given":"Adrian","family":"Ujin Yap","sequence":"first","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"Department of Dentistry Ng Teng Fong General Hospital National University Health System Singapore"},{"name":"Faculty of Dentistry National University of Singapore Singapore"},{"name":"Duke\u2010NUS Medical School Singapore"},{"name":"National Dental Research Institute Singapore National Dental Centre Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7663-1480","authenticated-orcid":false,"given":"Ye","family":"Cao","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"}]},{"given":"Min\u2010Juan","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\/0000-0002-3429-4436","authenticated-orcid":false,"given":"Jie","family":"Lei","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":[[2020,11,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2016.06.002"},{"issue":"6","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":"10.1111\/joor.12759"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2011.04.021"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034516653743"},{"issue":"1","key":"e_1_2_9_7_1","first-page":"21","article-title":"Prevalence of temporomandibular disorder subtypes, psychologic distress, and psychosocial dysfunction in Asian patients","volume":"17","author":"Yap AU","year":"2003","journal-title":"J Orofac Pain"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2008.01854.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.755"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2015.04.001"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2011.08.001"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1590\/2317-1782\/20162016114"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15354"},{"issue":"4","key":"e_1_2_9_14_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_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034516653922"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2010.01.006"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1179\/crn.2012.015"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2013.09.010"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2011.08.007"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12692"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.1301"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12685"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4679(199209)48:5<633::AID-JCLP2270480509>3.0.CO;2-H"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610211002602"},{"issue":"2","key":"e_1_2_9_26_1","first-page":"e188","article-title":"Functional, physical and psychosocial impact of Temporomandibular Disorders in adolescents and young adults","volume":"25","author":"Yap AU","year":"2020","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016350903431118"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034511399918"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-1-40"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2011.02233.x"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12171"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.20243"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000207"},{"key":"e_1_2_9_34_1","volume-title":"Manual for the Depression Anxiety & Stress Scales (2nd Edition)","author":"Lovibond SH","year":"1995"},{"issue":"1","key":"e_1_2_9_35_1","first-page":"3","article-title":"Measuring oral health: A conceptual framework","volume":"5","author":"Locker D","year":"1988","journal-title":"Community Dent Health"},{"key":"e_1_2_9_36_1","volume-title":"Statistics without maths for psychology","author":"Dancey CP","year":"2017"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2016.01.007"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/10615800701309279"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/00207594.2012.755535"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12751"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12661"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2018.06.001"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.2334\/josnusd.57.355"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-5-86"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2015.07.017"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2016.12.017"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1011"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-020-01131-4"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1080\/00325481.2019.1663705"},{"issue":"6","key":"e_1_2_9_50_1","first-page":"487","article-title":"Outcomes of therapeutic TMD interventions on oral health related quality of life: A qualitative systematic review","volume":"49","author":"Song YL","year":"2018","journal-title":"Quintessence Int"},{"issue":"9","key":"e_1_2_9_51_1","first-page":"773","article-title":"Oral changes in older patients: a clinician's guide","volume":"38","author":"De Rossi SS","year":"2007","journal-title":"Quintessence Int"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1396.041"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060520902615"},{"issue":"1","key":"e_1_2_9_54_1","first-page":"46","article-title":"Oral health\u2010related quality of life in patients with temporomandibular disorders","volume":"21","author":"John MT","year":"2007","journal-title":"J Orofac Pain"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.13121","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/joor.13121","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.13121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T21:37:18Z","timestamp":1693604238000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.13121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,8]]},"references-count":53,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1111\/joor.13121"],"URL":"https:\/\/doi.org\/10.1111\/joor.13121","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JOOR.13121\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13121\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13121\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13121\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13121\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13121\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13121\/v1\/review2","asserted-by":"object"}]},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,8]]},"assertion":[{"value":"2020-07-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}