{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T22:27:58Z","timestamp":1789424878227,"version":"build-2803163510"},"reference-count":62,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study investigates the association between depressive symptoms and the incidence of edentulous jaw in middle\u2010aged and older Chinese adults from a nationally representative cohort, emphasising the longitudinal effects of mental health on oral health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 13\u2009217 participants aged \u2265\u200945\u2009years were analysed using the China Health and Retirement Longitudinal Study (CHARLS) over a seven\u2010year follow\u2010up period. Depressive symptoms were assessed using the 10\u2010item CES\u2010D short form and categorised into quartiles. Cox proportional hazards models were used to estimate hazard ratios (HRs), adjusting for sociodemographic factors, health behaviours, and comorbidities. Changes in depressive symptom scores over time were also analysed to explore their influence on edentulous jaw risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Higher depressive symptom scores were significantly associated with an increased risk of edentulous jaw. Compared to the lowest quartile, participants in the third and fourth quartiles had a 21% (HR, 1.21; 95% CI, 1.06\u20131.39) and 17% (HR, 1.17; 95% CI, 1.01\u20131.34) higher risk, respectively. Specific symptoms like \u201ceverything was an effort\u201d and \u201ctrouble concentrating\u201d independently increased the risk by 5% and 7%, respectively. Participants whose depressive symptoms improved (score reduction &gt;\u20093 points) had a 24% reduced risk (OR, 0.76; 95% CI, 0.59\u20130.97), while worsening symptoms (score increase &gt;\u20095 points) elevated the risk by 26% (OR, 1.26; 95% CI, 1.02\u20131.55).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Depressive symptoms, especially effort and concentration difficulties, increase edentulous jaw risk, highlighting the importance of integrating mental and dental care to prevent tooth loss in aging populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70083","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T18:39:22Z","timestamp":1761763162000},"page":"379-391","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association of Depressive Symptoms With Incidence of Edentulous Jaw in Middle\u2010Aged and Older Chinese Adults"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7793-1434","authenticated-orcid":false,"given":"Zhongying","family":"Liu","sequence":"first","affiliation":[{"name":"School of Public Health, Chengdu University of Traditional Chinese Medicine  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengfan","family":"Yan","sequence":"additional","affiliation":[{"name":"School of Public Health, Chengdu University of Traditional Chinese Medicine  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhao","family":"Liu","sequence":"additional","affiliation":[{"name":"Yantai Stomatological Hospital Affiliated to Binzhou Medical University  Yantai China"},{"name":"School of Stomatology, Binzhou Medical University  Yantai China"},{"name":"Yantai Engineering Research Center for Digital Technology of Stomatology  Yantai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pengfei","family":"Zhao","sequence":"additional","affiliation":[{"name":"Division of Periodontology and Implant Dentistry The University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhouyang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Oromaxillofacial Head and Neck Oncology Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine  Shanghai China"},{"name":"College of Stomatology, Shanghai JiaoTong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunlong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Dental Materials Peking University School and Hospital of Stomatology &amp; National Center for Stomatology &amp; National Clinical Research Center for Oral Diseases &amp; National Engineering Research Center of Oral Biomaterials and Digital Medical Devices &amp; Beijing Key Laboratory of Digital Stomatology &amp; NHC Key Laboratory of Digital Stomatology &amp; NMPA Key Laboratory for Dental Materials, Central Laboratory, Peking University School and Hospital of Stomatology  Beijing..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Menglong","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520908533"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2023.11.032"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2020.103331"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)33016-8"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.46234\/ccdcw2021.208"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00395-3"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)02410-2"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)01012-1"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.4525"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/froh.2021.732882"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-025-06317-1"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.14032"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034516628506"},{"issue":"1","key":"e_1_2_10_15_1","first-page":"16","article-title":"The Relationship Between Tooth Loss and Psychological Factors","volume":"32","author":"Roohafza H.","year":"2015","journal-title":"Community Dental Health"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12452"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12510"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12179"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2011.00637.x"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12381"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-016-0209-9"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.79.11.1486"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.16591"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31948-2"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-013-9471-0"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys203"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2018.116"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-025-03961-y"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(18)30622-6"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610213001701"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.820777"},{"issue":"1","key":"e_1_2_10_33_1","article-title":"Assessing the Validity of a Self\u2010Reported Clinical Diagnosis of Schizophrenia","volume":"10","author":"Woolway G. 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