{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T21:32:44Z","timestamp":1785447164274,"version":"3.56.0"},"reference-count":43,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T00:00:00Z","timestamp":1772841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T00:00:00Z","timestamp":1772841600000},"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":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Sleep disturbances are common in temporomandibular disorders (TMD), yet insomnia\u2010related complaints are often treated as homogeneous despite frequent co\u2010occurrence with sleep\u2010disordered breathing. This study examined whether sleep\u2013pain relationships differ between insomnia alone and comorbid insomnia and sleep\u2010disordered breathing (COMISA) in patients with chronic TMD\u2010related orofacial pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this cross\u2010sectional study, 50 adults with chronic TMD pain were classified as having insomnia alone (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920) or COMISA (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930) using validated questionnaires and overnight pulse oximetry. Pain intensity (VAS), pain frequency (days\/week), circadian pain patterns, subjective sleep quality (PSQI) and objective nocturnal respiratory and autonomic parameters were assessed. Group comparisons and within\u2010group linear regression analyses were performed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Pain intensity did not differ between groups (7.45\u2009\u00b1\u20091.67 vs. 7.33\u2009\u00b1\u20091.90;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.95). Patients with COMISA reported more frequent pain (3.37\u2009\u00b1\u20091.35 vs. 2.55\u2009\u00b1\u20091.19\u2009days\/week;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04) and more frequent morning pain (93.3% vs. 50.0%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Subjective sleep quality was associated with pain intensity in COMISA (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20090.200,\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.417,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.022) but not in insomnia alone (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.353). In COMISA, lower minimum nocturnal oxygen saturation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.043) and maximum nocturnal heart rate (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.021) were associated with pain intensity; no such associations were observed in insomnia alone.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sleep\u2013pain relationships in chronic TMD vary by sleep phenotype. These findings support the need for further investigation of COMISA in relation to pain, particularly in orofacial pain and TMD populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70185","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T09:44:58Z","timestamp":1772963098000},"page":"1249-1258","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comorbid Insomnia and Sleep\u2010Disordered Breathing in Painful Temporomandibular Disorders: Association With Pain Intensity"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5588-5916","authenticated-orcid":false,"given":"Alberto","family":"Herrero Babiloni","sequence":"first","affiliation":[{"name":"Center for Advanced Research in Sleep Medicine, CIUSSS du Nord de l'\u00eele\u2010de\u2010Montr\u00e9al, H\u00f4pital du Sacr\u00e9\u2010Coeur de Montr\u00e9al  Montr\u00e9al Quebec Canada"},{"name":"Department of Stomatology Centre Hospitalier de L'universit\u00e9 de Montr\u00e9al (CHUM)  Montr\u00e9al Quebec Canada"},{"name":"Department of Psychology University of Montreal  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8821-1624","authenticated-orcid":false,"given":"Patr\u00edcia","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Faculdade S\u00e3o Leopoldo Mandic  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1756-8957","authenticated-orcid":false,"given":"Antonio Sergio","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Faculdade S\u00e3o Leopoldo Mandic  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6076-0878","authenticated-orcid":false,"given":"Miguel","family":"Meira e Cruz","sequence":"additional","affiliation":[{"name":"Sleep Unit, Cardiovascular Center of University of Lisbon (CCUL@RISE), Lisbon School of Medicine  Lisbon Portugal"},{"name":"Centro Europeu do Sono  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ors.12473"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001348"},{"issue":"2","key":"e_1_2_10_5_1","first-page":"1","article-title":"Orofacial Pain\/Headache Interlaced to Insomnia, Sleep Apnea and Periodic Limb Movement During Sleep\/Restless Leg Syndrome: A Critical and Comprehensive Review With Insights Into Social Determinants","volume":"39","author":"Herrero Babiloni A.","year":"2025","journal-title":"Journal of Oral & Facial Pain and 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