{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T01:50:24Z","timestamp":1791510624054,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"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":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is growing evidence for the observation that stress has an impact on developing and maintaining temporomandibular disorder (TMD) pain. There are various self\u2010report questionnaires available for the assessment of stress. However, completing questionnaires with several items can be time\u2010consuming for both the patient and the clinician. Therefore, the use of a single\u2010item stress measure could be beneficial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the validity of a single\u2010item stress measure in adults by comparing it to an existing, more comprehensive stress measure, as well as to other psychosocial constructs, specifically depression, anxiety and somatic symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>822 patients who were referred to a specialty clinic for orofacial pain and dysfunction participated in this study. All patients completed a set of diagnostic questionnaires, assessing, among others, TMD symptoms, stress (PSS\u20104 and single\u2010item stress measure), depression (PHQ\u20109), anxiety (GAD\u20107) and somatic symptoms (PHQ\u201015). Correlational analyses were used to assess the associations between the single\u2010item stress measure and each of the total scores of the PSS\u20104, PHQ\u20109, GAD\u20107 and PHQ\u201015.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Moderate correlations were found between the scores on the single\u2010item stress measure and the scores on PSS\u20104 (0.507), PHQ\u20109 (0.493) and GAD\u20107 (0.619). The PHQ\u201015 was weakly correlated with the single\u2010item stress measure (0.350).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The single\u2010item stress measure is positively associated with the PSS\u20104 and each of the psychosocial constructs. This suggests that the single\u2010item stress measure could be used as a valid substitute for the PSS\u20104, i.e., a comprehensive stress measure commonly used in specialty clinics for orofacial pain and dysfunction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70343","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T01:14:27Z","timestamp":1791508467000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Validity of a Single\u2010Item Stress Measure in\n                    <scp>TMD<\/scp>\n                    \u2010Pain Patients"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8954-0720","authenticated-orcid":false,"given":"Rosanne V.","family":"Lobbezoo","sequence":"first","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4939-0321","authenticated-orcid":false,"given":"Michail","family":"Koutris","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  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, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"143","volume-title":"Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management\/American Academy of Orofacial Pain","author":"De Leeuw R.","year":"2018"},{"issue":"7","key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1177\/0333102416686302","article-title":"Temporomandibular Disorders: Old Ideas and New Concepts","volume":"37","author":"List T.","year":"2017","journal-title":"Cephalalgia"},{"issue":"10","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.1177\/0022034516653743","article-title":"Painful Temporomandibular Disorder","volume":"95","author":"Slade G. 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