{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T16:19:17Z","timestamp":1783354757865,"version":"3.54.6"},"reference-count":52,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T00:00:00Z","timestamp":1718928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic painful temporomandibular disorders (TMD), awake bruxism and sleep bruxism are often comorbid with post\u2010traumatic stress disorder (PTSD), but the implications for treatment are unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective(s)<\/jats:title>\n                    <jats:p>To explore the effects of PTSD treatment on these conditions. We hypothesized that chronic painful TMD, pain intensity, pain interference, awake bruxism and sleep bruxism would decrease after evidence\u2010based trauma\u2010focused treatment and that this decrease would be maintained at the 6\u2010month follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Individuals referred for PTSD treatment were assessed for chronic painful TMD (temporomandibular disorder pain screener), pain intensity, pain interference (Graded Chronic Pain Scale 2.0), awake bruxism and sleep bruxism (oral behaviours checklist) pre\u2010, post\u2010treatment and at the 6\u2010month follow\u2010up. Hypotheses were tested using the Friedman test, followed by a post hoc Wilcoxon signed\u2010rank test. Effect sizes (Cohen's\n                      <jats:italic>r<\/jats:italic>\n                      ) are reported. Barely any pain interference was reported, therefore these outcomes were not analysed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In individuals with chronic painful TMD (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200998), pain intensity, awake bruxism and sleep bruxism decreased across the three time points. Post hoc tests showed that chronic painful TMD (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.59), pain intensity (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.28), awake bruxism (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.51) and sleep bruxism (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.35) decreased between pre\u2010 and post\u2010treatment. Between pre\u2010treatment and the 6\u2010month follow\u2010up, chronic painful TMD (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.58), awake bruxism (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.30) and sleep bruxism (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.39) decreased as well.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results provide preliminary support for a trauma\u2010sensitive approach for patients with chronic painful TMD and PTSD and suggest that trauma\u2010focused treatment may be beneficial for chronic painful TMD, awake bruxism and sleep bruxism in patients with PTSD and chronic painful TMD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13785","type":"journal-article","created":{"date-parts":[[2024,6,22]],"date-time":"2024-06-22T00:49:46Z","timestamp":1719017386000},"page":"2019-2028","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The effects of trauma\u2010focused treatment on painful temporomandibular disorders, awake bruxism and sleep bruxism in patients with severe post\u2010traumatic stress disorder"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4816-515X","authenticated-orcid":false,"given":"Wendy","family":"Knibbe","sequence":"first","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ad","family":"de Jongh","sequence":"additional","affiliation":[{"name":"Research Department PSYTREC  Bilthoven The Netherlands"},{"name":"Department of Social Dentistry and Behavioural Sciences, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam The Netherlands"},{"name":"School of Health Sciences Salford University  Manchester UK"},{"name":"Institute of Health and Society University of Worcester  Worcester UK"},{"name":"School of Psychology Queen's University  Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00fcbra","family":"Acar\u2010Ceylan","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Al\u00a0Hamami","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4448-6781","authenticated-orcid":false,"given":"Corine M.","family":"Visscher","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9877-7640","authenticated-orcid":false,"given":"Frank","family":"Lobbezoo","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,21]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Diagnostic and statistical manual of mental disorders","year":"2013"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnw065"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usaa052"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2017.00164"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2004.05.016"},{"issue":"4","key":"e_1_2_10_7_1","first-page":"309","article-title":"Post\u2010traumatic stress disorder among patients with orofacial pain","volume":"19","author":"Sherman JJ","year":"2005","journal-title":"J Orofac Pain"},{"issue":"1","key":"e_1_2_10_8_1","first-page":"41","article-title":"Are post\u2010traumatic stress disorder symptoms and temporomandibular pain associated? 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