{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T17:20:04Z","timestamp":1788974404924,"version":"build-2803163510"},"reference-count":47,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T00:00:00Z","timestamp":1746748800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Post\u2010traumatic stress disorder (PTSD) is a psychosocial factor of interest in the multifactorial aetiology of temporomandibular disorder (TMD) pain, awake bruxism (AB) and sleep bruxism (SB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate direct and indirect associations between post\u2010traumatic stress disorder (PTSD), TMD pain, AB, SB and demographic and psychological variables using network analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study sample included 597 subjects recruited from a specialised centre for the treatment of PTSD. Network analysis was performed using a Mixed Graphical Model and included variables of self\u2010reported TMD pain, self\u2010reported AB, self\u2010reported SB, age, sex, PTSD symptom severity, mood disorders, anxiety disorders and insomnia severity. These variables were visualised in the network model as nodes connected by edges, representing individual associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The network model revealed a triangular positive association between TMD pain, AB and SB. AB also displayed a positive connection with anxiety disorders, while PTSD symptom severity was linked to insomnia, mood disorders and anxiety disorders. Age and sex did not significantly influence the network structure, although a negative association was observed between these variables, indicating younger ages among female subjects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TMD pain, AB and SB were strongly associated with each other in subjects with PTSD. The presence of anxiety disorders emerged as a bridge factor, connecting the triangular positive association between TMD pain, AB and SB with psychological conditions (PTSD severity, insomnia severity, mood disorders).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.14007","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T23:44:03Z","timestamp":1746834243000},"page":"1399-1406","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Network Analysis of Temporomandibular Disorder Pain and Subject\u2010Based Bruxism in Post\u2010Traumatic Stress Disorder Patients"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4519-419X","authenticated-orcid":false,"given":"Joey","family":"Chung","sequence":"first","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4816-515X","authenticated-orcid":false,"given":"Wendy","family":"Knibbe","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3715-1211","authenticated-orcid":false,"given":"Thiprawee","family":"Chattrattrai","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction  Amsterdam the Netherlands"},{"name":"Department of Masticatory Science Faculty of Dentistry, Mahidol University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6031-9708","authenticated-orcid":false,"given":"Ad","family":"de Jongh","sequence":"additional","affiliation":[{"name":"Research Department PSYTREC  Bilthoven the Netherlands"},{"name":"Department of Oral Public Health  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"}]},{"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  Amsterdam the Netherlands"},{"name":"Department of Orofacial Pain and Jaw Function Faculty of Odontology, Malm\u00f6 University  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102419893823"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(88)90066-8"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12011"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12663"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2013.06.009"},{"issue":"2","key":"e_1_2_9_8_1","first-page":"153","article-title":"Role of Psychosocial Factors in the Etiology of Bruxism","volume":"23","author":"Manfredini D.","year":"2009","journal-title":"Journal of Orofacial Pain"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.1905"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.05.033"},{"issue":"11","key":"e_1_2_9_11_1","article-title":"The Association Between Post\u2010Traumatic Stress Disorder and Temporomandibular Disorders: A Systematic Review","volume":"14","author":"Al\u2010Khudhairy M. 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