{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T16:19:19Z","timestamp":1783354759774,"version":"3.54.6"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,12,29]],"date-time":"2024-12-29T00:00:00Z","timestamp":1735430400000},"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":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Temporomandibular disorders (TMD) are a multimodal group of orofacial pain syndromes that rank behind only chronic low back pain in the list of most prevalent musculoskeletal conditions causing pain and disability. Previous studies have recorded high rates of comorbid anxiety, depression, and poor sleep quality among TMD patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Eighty five outpatients recruited from Rhode Island Hospital's Latino and Portuguese Mental Health Programs completed the Research Diagnostic Criteria for Temporomandibular Disorders (RDC\/TMD) and the Pittsburgh Sleep Quality Index questionnaire (PSQI). The latest meta\u2010analysis of TMD prevalence in the general population was used for the reference population (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093159).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The most prevalent psychiatric disorders were depressive disorders (75.3%), anxiety disorders (57.6%), and sleep\u2013wake disorders (47.1%). Fifty patients (58.8%) met criteria for TMD, versus 29.3% in the reference population (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In our sample, the PSQI cut\u2010off for poor sleep was crossed in 96.2% of patients with TMD and 82.9% of those without TMD (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We sought to establish the prevalence of TMD in a significant sample of psychiatric outpatients, considering their psychiatric diagnoses and sleep quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The very high prevalence of TMD among patients with depression, anxiety, and sleep disorders reinforces their association and alerts us to the possibility of TMD constituting a widespread, though largely ignored, comorbidity of psychiatric outpatients that may be impacting their mental health outcomes. Further studies are needed to clarify the value of screening this population for TMD and to establish which cases merit treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13925","type":"journal-article","created":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T01:20:02Z","timestamp":1735521602000},"page":"769-774","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Temporomandibular Disorders in Psychiatric Outpatients: A Hidden Epidemic?"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4896-8435","authenticated-orcid":false,"given":"Poliana","family":"Lima Bastos","sequence":"first","affiliation":[{"name":"Department of Prosthodontics and Oral Rehabilitation Federal University of Cear\u00e1 (UFC) School of Dentistry  Sobral Brazil"},{"name":"Department of Psychiatry and Behavioral Health Brown University Warren Alpert Medical School  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Fontenele","sequence":"additional","affiliation":[{"name":"Saint Elizabeths Hospital  Washington D.C USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8303-1555","authenticated-orcid":false,"given":"Debora","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Saint Elizabeths Hospital  Washington D.C USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tauily Claussen","family":"D'Escragnolle Taunay","sequence":"additional","affiliation":[{"name":"Universidade de Fortaleza  Fortaleza Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8924-5736","authenticated-orcid":false,"given":"Charles","family":"Fagundes","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5802-6807","authenticated-orcid":false,"given":"Guilherme","family":"Salles Ottoboni","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics Fortaleza General Hospital  Fortaleza Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2603-4228","authenticated-orcid":false,"given":"Leonardo","family":"Moura Batista","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Health Brown University Warren Alpert Medical School  Providence Rhode Island USA"},{"name":"Morton Hospital, Brown University Health  Taunton Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,29]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Guidelines for Assessment, Diagnosis, and Management Orofacial Pain Sixth 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