{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T15:01:02Z","timestamp":1791039662801,"version":"4.1.0"},"reference-count":54,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100006303","name":"Associa\u00e7\u00e3o Fundo de Incentivo \u00e0 Pesquisa","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006303","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the direct and indirect pathways through which sociodemographic, psychological, behavioural, and clinical factors influence sleep bruxism (SB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study was conducted with a sample of 686 adults (mean age of 50.1\u2009years; 380 female and 306 male), from a total of 712 individuals\u00a0from the Sao Paulo Epidemiological Sleep Study (EPISONO) follow performed in 2015. SB was assessed using self\u2010report, overnight polysomnography (PSG\u2010based), and combined methods. Sociodemographic, psychological, behavioural and clinical factors were assessed. Structural Equation Modelling was used to examine the pathways between potential risk factors and SB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From an initial sample of 1042, 712 returned for follow\u2010up and 686 individuals were eligible based on the SB outcomes evaluated and having undergone PSG. The SB self\u2010reported prevalence was 17.1%, 30.5% presented PSG\u2010based SB and 7.4% in combination of methods (self\u2010report+PSG). Sleep bruxism (assessed by all methods) was directly associated with higher levels of insomnia and younger age. Higher socioeconomic status was directly associated with self\u2010reported SB, whereas PSG\u2010based and self\u2010report+PSG SB were associated with increased obstructive sleep apnea and smoking. Regarding indirect effects, elevated anxiety and depressive symptoms indirectly impacted all forms of SB via increased insomnia levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings highlight distinct and overlapping pathways of SB. Insomnia and younger age consistently predicted SB, while psychological factors indirectly impacted SB via insomnia. Demographic, behavioural, and clinical factors showed direct associations that varied according to the assessment method.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70128","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T16:54:22Z","timestamp":1765212862000},"page":"728-736","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sleep Bruxism: Mapping Potential Direct and Indirect Risk Pathways in EPISONO Adult Population\u2010Based Study"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0860-4208","authenticated-orcid":false,"given":"Eduardo","family":"Machado","sequence":"first","affiliation":[{"name":"Department of Psychobiology Universidade Federal de Sao Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7792-8032","authenticated-orcid":false,"given":"Jessica Kl\u00f6ckner","family":"Knorst","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dental Sciences Universidade Federal de Santa Maria  Santa Maria Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milton Maluly","family":"Filho","sequence":"additional","affiliation":[{"name":"Department of Psychobiology Universidade Federal de Sao Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1894-6748","authenticated-orcid":false,"given":"Monica Levy","family":"Andersen","sequence":"additional","affiliation":[{"name":"Department of Psychobiology Universidade Federal de Sao Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Tufik","sequence":"additional","affiliation":[{"name":"Department of Psychobiology Universidade Federal de Sao Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cibele Dal","family":"Fabbro","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine Dentaire Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Center for Advanced Research in Sleep Medicine H\u00f4pital du Sacr\u00e9\u2010Coeur de Montr\u00e9al, CIUSSS\u2010NIM  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Centre de Recherche Institut Universitaire de G\u00e9riatrie de Montr\u00e9al (CRIUGM)  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalva","family":"Poyares","sequence":"additional","affiliation":[{"name":"Department of Psychobiology Universidade Federal de Sao Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12663"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13985"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034513484328"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12801"},{"key":"e_1_2_10_6_1","volume-title":"International Classification of Sleep Disorders: Diagnostic and Coding Manual","author":"American Academy of Sleep Medicine (AASM)","year":"2014"},{"key":"e_1_2_10_7_1","volume-title":"International Classification of Sleep Disorders \u2013 Third Edition (ICSD\u20103)","author":"American Academy of Sleep Medicine (AASM)","year":"2023"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12787"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13144259"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13295"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010025\u201086833\u2010y"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010020\u201064615\u2010y"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2012.01.003"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2013.05.002"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2020.06.016"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2022.03.018"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2021.11.008"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12030910"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.13957"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2024.101994"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jopr.13966"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13388"},{"key":"e_1_2_10_23_1","unstructured":"Instituto Brasileiro de Geografia e Estat\u00edstica (IBGE) \u201cCenso \u201d (2022) https:\/\/www.ibge.gov.br\/estatisticas\/sociais\/saude\/22827\u2010censo\u2010demografico\u20102022.html."},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2008.11.001"},{"key":"e_1_2_10_25_1","volume-title":"Statistical Power Analysis for the Behavioural Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.2172"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102842.1993.tb01609.x"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910708600906"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022\u2010006x.56.6.893"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1389\u20109457(00)00065\u20104"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0892\u20101997(02)00097\u20108"},{"key":"e_1_2_10_33_1","volume-title":"Tradu\u00e7\u00e3o e Adapta\u00e7\u00e3o Cultural do Reflux Sympton Index Para o Portugu\u00eas Brasileiro e Avalia\u00e7\u00e3o de Suas Propriedades Psicom\u00e9tricas. Tese (Doutorado)","author":"Saliture T. B. S.","year":"2015"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15328007SEM0803_5"},{"key":"e_1_2_10_35_1","volume-title":"Principles and Practice of Structural Equation Modeling","author":"Kline R.","year":"2010"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2009.05.002"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910308200408"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archoralbio.2006.11.017"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.slsci.2015.09.002"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.70068"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/469187"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.921"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2019.1619250"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010025\u201009978\u2010w"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0005\u20107967(01)00061\u20104"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1210\/jcem.86.8.7778"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.18232"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12017"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325\u2010019\u201001919\u2010y"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12099"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13271"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010023\u201005089\u2010w"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11247453"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/27.7.1255"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200709\u2010155MG"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.70128","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/joor.70128","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.70128","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T10:37:37Z","timestamp":1773916657000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.70128"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,8]]},"references-count":54,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/joor.70128"],"URL":"https:\/\/doi.org\/10.1111\/joor.70128","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JOOR.70128\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.70128\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.70128\/v1\/review2","asserted-by":"object"}]},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,8]]},"assertion":[{"value":"2025-08-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}