{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T17:20:03Z","timestamp":1788974403374,"version":"build-2803163510"},"reference-count":47,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"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":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Risk factors for temporomandibular disorder (TMD) pain remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to identify risk factors for TMD pain using a biopsychosocial model and to investigate interactions between potential risk factors\u2014oral behaviours (OBs), psychological factors and sleep quality\u2014and their direct and indirect effects on TMD pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a cross\u2010sectional study of 488 patients with TMDs (422 women; 30.8\u2009\u00b1\u20099.4\u2009years). Pain was assessed using the Numerical Rating Scale. Demographic, behavioural, psychological and biomedical data were collected through clinical examination, face\u2010to\u2010face interviews and questionnaires. Multiple linear regression analysis was used to identify factors associated with TMD pain. Mediation and moderation analysis were used to evaluate interactions between variables. Significant mediation (\u20180\u2019 not included in the 95% confidence interval (CI)) and moderation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.05) effects on TMD pain were identified.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Marital status, diagnosis subgroup, previous medication use, depression and sleep quality were significant risk factors for TMD pain (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.05). Significant mediation effects were observed as follows: depression and sleep quality mediated the association between OBs and pain; sleep quality mediated the association between somatization, depression, anxiety and pain; and depression mediated the association between sleep quality and pain (all 95% CI did not contain \u20180\u2019).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>(1) Marital status, diagnosis subgroup, previous medication use, depression and sleep quality were associated with TMD pain. (2) OBs can exacerbate pain by promoting depression and reducing sleep quality. Psychological factors and sleep quality can interact to exacerbate pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13682","type":"journal-article","created":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T02:12:44Z","timestamp":1710555164000},"page":"1113-1122","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Analysis of risk factors and interactions for pain in temporomandibular disorder: A cross\u2010sectional study"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8720-2075","authenticated-orcid":false,"given":"Yang","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine The Ninth People's Hospital Affiliated to Medical College of Shanghai Jiaotong University  Shanghai 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