{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T06:40:45Z","timestamp":1793947245675,"version":"4.8.0"},"reference-count":52,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T00:00:00Z","timestamp":1724284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The heterogeneity of persons with temporomandibular disorders (TMD) and the lack of effective treatments have called for a biopsychosocial model and the development of a more personalised treatment approach. Emphasis on phenotypes might be a beneficial approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Identifying phenotypes among persons with TMD using potential prognostic factors, including personal characteristics and responses to clinical tests. Additionally, examining the distribution of TMD diagnoses within the identified phenotypes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study including 208 persons (85% females) seeking physiotherapy for problems in the temporomandibular area. All participants were examined clinically and answered questionnaires electronically. The phenotypes were identified using latent class analysis based on seven potential prognostic factors selected within pain, function and psychological domains. Table analysis was used to explore the distribution of TMD diagnoses within the identified phenotypes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most participants fit into one of three identified phenotypes. Phenotype 1 (32%) was characterised by functional disability, low psychosocial scores and low risk for developing chronicity and future work disability; Phenotype 2 (29%) by parafunctional habits, low psychosocial score and seeking treatment to reduce pain; and Phenotype 3 (39%) by high levels of mental distress, fear avoidance and a large risk of future work disability. Intra\u2010articular disorders dominated Phenotype 1, myalgia and TMD\u2010related headache Phenotype 2, while Phenotype 3 included all the different TMD diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The knowledge about the three identified phenotypes might be useful for clinicians treating persons with TMD and for the development of preventive strategies and more personalised treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13837","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T00:02:09Z","timestamp":1724371329000},"page":"2435-2444","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Identifying phenotypes in persons with temporomandibular disorders using latent class analyses"],"prefix":"10.1111","volume":"51","author":[{"given":"Elisabeth Heggem","family":"Julsvoll","sequence":"first","affiliation":[{"name":"Department of Interdisciplinary Health Sciences, Institute of Health and Society University of Oslo  Oslo Norway"},{"name":"Hans &amp; Olaf Outpatient Physiotherapy Clinic  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitte Lawaetz","family":"Myhrvold","sequence":"additional","affiliation":[{"name":"Department of Interdisciplinary Health Sciences, Institute of Health and Society University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Knut","family":"Waagan","sequence":"additional","affiliation":[{"name":"IT Department University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina K\u00f8pke","family":"V\u00f8llestad","sequence":"additional","affiliation":[{"name":"Department of Interdisciplinary Health Sciences, Institute of Health and Society University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0275-2965","authenticated-orcid":false,"given":"Hilde Stendal","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Interdisciplinary Health Sciences, Institute of Health and Society University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0802472"},{"key":"e_1_2_10_3_1","first-page":"25","volume-title":"Current Concepts on Temporomandibular Disorders","author":"Manfredini D","year":"2010"},{"key":"e_1_2_10_4_1","first-page":"255","volume-title":"Temporomandibular Disorders. 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(Translated from Ohrbach R. (Ed). Diagnostic criteria for temporomandibular disorders: assessment instruments. Version 15 May 2016. 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