{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T17:10:44Z","timestamp":1789665044444,"version":"4.0.1"},"reference-count":54,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:00:00Z","timestamp":1747180800000},"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":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Behavioural cognitive factors, like kinesiophobia and coping skills like hypervigilance, may contribute to a worse prognosis of TMD symptoms. However, there is a lack of evidence about the prevalence and relationship of hypervigilance and kinesiophobia with TMD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to assess the prevalence and associations of hypervigilance and kinesiophobia in TMD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The sample consisted of 233 participants, divided into the TMD group (133) and a control group (100). The following instruments were used: diagnostic criteria for temporomandibular disorders (DC\/TMD), Pain Vigilance and Awareness Questionnaire (PVAQ), and Tampa Scale for kinesiophobia\/temporomandibular joint dysfunction (TSK\/TMD). Pain pressure threshold (PPT) was measured on the masticatory muscles and the temporomandibular joint. Mandibular movements were assessed with a millimetre ruler. Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      test was used for group comparisons and Spearman's correlation test for association analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The TMD\u2010group showed higher hypervigilance and kinesiophobia values,and lower PPT and mandibular movement (opening and protrusion) values compared with controls (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Also, a positive moderate correlation between hypervigilance and kinesiophobia (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.000001), a significant negative correlation between hypervigilance and PPT (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.00001) and a significant negative correlation between hypervigilance, kinesiophobia and mandibular movements (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) in the TMD\u2010group were found. A positive weak correlation was found just between hypervigilance and kinesiophobia in the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TMD patients present high levels of kinesiophobia and hypervigilance, which in turn are correlated and affect TMD symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13997","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T00:25:43Z","timestamp":1747268743000},"page":"1549-1558","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Prevalence and Interplay of Hypervigilance and Kinesiophobia in\n                    <scp>TMD<\/scp>\n                    Patients: Implications in Clinical Outcomes"],"prefix":"10.1111","volume":"52","author":[{"given":"Pedro Miguel Teixeira Carvas","family":"Cebola","sequence":"first","affiliation":[{"name":"Egas Moniz Center for Interdisciplinary Research (CiiEM) Egas Moniz School of Health &amp; Science  Almada Portugal"},{"name":"Orofacial Pain Unit CUF Tejo Hospital  Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 Schneider","family":"Louren\u00e7o","sequence":"additional","affiliation":[{"name":"Egas Moniz Center for Interdisciplinary Research (CiiEM) Egas Moniz School of Health &amp; Science  Almada Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre Mangabeira","family":"Hoppe","sequence":"additional","affiliation":[{"name":"Egas Moniz Center for Interdisciplinary Research (CiiEM) Egas Moniz School of Health &amp; Science  Almada Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Livia Mour\u00e3o Pereira Costa","family":"Colombo","sequence":"additional","affiliation":[{"name":"Egas Moniz Center for Interdisciplinary Research (CiiEM) Egas Moniz School of Health &amp; Science  Almada Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leilane Samary","family":"de Proen\u00e7a","sequence":"additional","affiliation":[{"name":"Department of Dentistry Ing\u00e1 University Center, Uning\u00e1  Paran\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5046-4661","authenticated-orcid":false,"given":"Paula Manuela Mendes","family":"Moleirinho\u2010Alves","sequence":"additional","affiliation":[{"name":"Egas Moniz Center for Interdisciplinary Research (CiiEM) Egas Moniz School of Health &amp; Science  Almada Portugal"},{"name":"Orofacial Pain Unit CUF Tejo Hospital  Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8199-7863","authenticated-orcid":false,"given":"Nikolaos","family":"Christidis","sequence":"additional","affiliation":[{"name":"Division of Oral Rehabilitation, Department of Dental Medicine Karolinska Institutet  Huddinge Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7180-6448","authenticated-orcid":false,"given":"Rodrigo Lorenzi","family":"Poluha","sequence":"additional","affiliation":[{"name":"Department of Dentistry State University of Maringa  Paran\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giancarlo","family":"De la Torre Canales","sequence":"additional","affiliation":[{"name":"Egas Moniz Center for Interdisciplinary Research (CiiEM) Egas Moniz School of Health &amp; Science  Almada Portugal"},{"name":"Department of Dentistry Ing\u00e1 University Center, Uning\u00e1  Paran\u00e1 Brazil"},{"name":"Division of Oral Rehabilitation, Department of Dental Medicine Karolinska Institutet  Huddinge Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,14]]},"reference":[{"issue":"4","key":"e_1_2_11_2_1","first-page":"301","article-title":"Research Diagnostic Criteria for Temporomandibular Disorders: Review, Criteria, Examinations and Specifications, Critique","volume":"6","author":"Dworkin S. 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