{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:02:43Z","timestamp":1790229763031,"version":"4.1.0"},"reference-count":49,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"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"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Previous studies have linked sex, stress, anxiety and depression to temporomandibular disorders (TMD) and orofacial pain, yet their independent associations with pain remain poorly defined.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To explore associations of TMD pain with sex, life stress, anxiety, depression and oral mucosal pain and identify independent psychosocial correlates.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This cross\u2010sectional study enrolled 179 participants. Data on demographics, TMD\u2010related pain, oral mucosal pain, 6\u2010month stressful life events, Self\u2010Rating Anxiety Scale (SAS) and Self\u2010Rating Depression Scale (SDS) scores were collected. TMD\u2010related pain was defined as pain score >\u20090. Spearman correlation, intergroup comparison, stratified stress analysis and multivariate logistic regression were performed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Overall, 46.9% had TMD\u2010related pain and 31.3% had oral mucosal pain. Females showed a higher prevalence of TMD\u2010related pain. TMD\u2010related pain severity was positively correlated with stress, SAS, SDS and oral mucosal pain. TMD\u2010related pain prevalence increased progressively across stress levels, and each higher stress category was associated with increased odds of TMD\u2010related pain. In the fully adjusted model, female sex and anxiety remained independently associated with TMD\u2010related pain, whereas stress and depression were no longer independently associated.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The associations of sex and psychosocial factors with TMD\u2010related pain observed in this study are consistent with previous evidence. After simultaneous adjustment, anxiety was the only psychological dimension that remained independently associated with TMD\u2010related pain, while stress burden showed a graded association with pain likelihood. These findings are compatible with a biopsychosocial approach to TMD assessment and highlight the potential value of incorporating psychosocial evaluation into routine clinical assessment.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/joor.70313","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:41:25Z","timestamp":1790228485000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sex and Psychosocial Correlates of\n TMD<\/scp>\n \u2010Related Pain: A Cross\u2010Sectional Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3131-6393","authenticated-orcid":false,"given":"Liangqiuyue","family":"Zhong","sequence":"first","affiliation":[{"name":"Department of Stomatology The First Affiliated Hospital of Xi'an Jiaotong University Xi'an Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunshen","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Stomatology The First Affiliated Hospital of Xi'an Jiaotong University Xi'an Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunshan","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Stomatology The First Affiliated Hospital of Xi'an Jiaotong University Xi'an Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Stomatology The First Affiliated Hospital of Xi'an Jiaotong University Xi'an Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Stomatology The First Affiliated Hospital of Xi'an Jiaotong University Xi'an Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8593-3923","authenticated-orcid":false,"given":"Xi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Stomatology The First Affiliated Hospital of Xi'an Jiaotong University Xi'an Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"issue":"1","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"219","DOI":"10.17219\/dmp\/214956","article-title":"Meta\u2010Analysis of the Global Prevalence of Oral and\u00a0Facial Pain","volume":"63","author":"Zieli\u0144ski G.","year":"2026","journal-title":"Dental and Medical Problems"},{"issue":"3","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"695","DOI":"10.17219\/dmp\/214271","article-title":"Global Prevalence of Orofacial Pain Associated With Myofascial, Temporomandibular Joint, Cranial Nerve, and Dentoalveolar Disorders: A Meta\u2010Analysis","volume":"63","author":"Zieli\u0144ski G.","year":"2026","journal-title":"Dental and Medical Problems"},{"issue":"12","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"T20","DOI":"10.1016\/j.jpain.2013.07.014","article-title":"Signs and Symptoms of First\u2010Onset TMD and Sociodemographic Predictors of Its Development: The OPPERA Prospective Cohort Study","volume":"14","author":"Slade G. 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