{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T17:21:25Z","timestamp":1783531285121,"version":"3.55.0"},"reference-count":55,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,5,5]],"date-time":"2024-05-05T00:00:00Z","timestamp":1714867200000},"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":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to conceptualise Temporomandibular disorder (TMD) symptom burden and severity and explored their interrelationships with somatic symptoms and psychological distress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants were recruited from a local polytechnic. The quintessential five TMD symptoms (5Ts) of the Diagnostic Criteria for TMDs (DC\/TMD) were appraised and extended to evaluate the duration, frequency, intensity and interference of discrete TMD symptoms. Global TMD severity (GS) was computed by totaling the points for all TMD symptoms and dimensions. TMD (TS) and somatic symptom (SS) burden were assessed based on the Somatic Symptoms Scale\u20108, while psychological distress was measured with the Depression, Anxiety and Stress Scales\u201021. Statistical analyses were performed using Kruskal\u2013Wallis\/Dunn tests and Spearman's correlation (<jats:italic>\u03b1<\/jats:italic>\u2009=\u2009.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>Of the 366 eligible participants (mean age 19.1\u2009\u00b1\u20092.3\u2009years), 51.4% were 5Ts\u2010negative and 48.6% were 5Ts\u2010positive. Among the 5Ts\u2010positive individuals, 25.3%\/64.0% were \u2018bothered a little\u2019 whereas 4.5%\/10.7% were \u2018bothered a lot\u2019 by TMD pain\/headache. Correspondingly, 32.6%\/12.4%\/5.1% were \u2018bothered a little\u2019 while 2.8%\/2.8%\/1.1% were \u2018bothered a lot\u2019 by TMJ sounds\/closed\/open locking.<\/jats:p><jats:p>TS burden was moderate\u2010to\u2010strongly correlated to aggregate symptom duration, frequency, intensity, interference, GS and SS burden (<jats:italic>r<\/jats:italic><jats:sub><jats:italic>s<\/jats:italic><\/jats:sub>\u2009=\u2009.50\u2013.88). While TS burden and GS were weakly associated with psychological distress (<jats:italic>r<\/jats:italic><jats:sub><jats:italic>s<\/jats:italic><\/jats:sub>\u2009=\u2009.18\u2013.36), SS burden was moderately related to depression, anxiety and stress (<jats:italic>r<\/jats:italic><jats:sub><jats:italic>s<\/jats:italic><\/jats:sub>\u2009=\u2009.47\u2013.53).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>TS burden can serve as a proxy for global TMD severity and may be more meaningful than the mere presence of TMD symptoms in clinical and research settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joor.13719","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T01:04:27Z","timestamp":1714957467000},"page":"1486-1498","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Conceptualising <scp>TMD<\/scp> symptom burden in youths: Symptom duration, frequency, intensity and interference"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0361-6209","authenticated-orcid":false,"given":"Adrian Ujin","family":"Yap","sequence":"first","affiliation":[{"name":"Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry National University Health System  Singapore Singapore"},{"name":"National Dental Centre Singapore and Duke\u2010NUS Medical School, Singapore Health Services National Dental Research Institute Singapore  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4226-0954","authenticated-orcid":false,"given":"Sharon Hui Xuan","family":"Tan","sequence":"additional","affiliation":[{"name":"Saw Swee Hock School of Public Health National University of Singapore  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,5]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Temporomandibular Disorders: Priorities for Research and Care","author":"National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services","year":"2020"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2011.04.021"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.19080\/ADOH.2019.10.555787"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2334\/josnusd.56.221"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12661"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2021.11.009"},{"issue":"5","key":"e_1_2_11_9_1","first-page":"336","article-title":"Assessing symptoms, disease severity, and quality of life in the clinical context: a theoretical framework","volume":"10","author":"Finlayson TL","year":"2004","journal-title":"Am J Manag Care"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1989.tb00011.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2013.09.010"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2011.02009.x"},{"issue":"9","key":"e_1_2_11_13_1","first-page":"64","article-title":"When is it justified to treat symptoms? 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