{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T02:27:50Z","timestamp":1783132070075,"version":"3.54.6"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T00:00:00Z","timestamp":1686009600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Oral Diseases"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study investigates the relationship between emotional symptoms and dental caries in adolescents and the role of dietary patterns as mediating variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study used a multistage stratified random sample of schools, in Jiangsu, with a sample of 17,997 adolescents aged 11\u201319. Measures included emotional symptoms, dental caries, toothbrushing frequency, and dietary patterns. Logistic and Poisson regression models were conducted to test mediation hypotheses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The decayed, missing, and filled teeth index (DMFT) was related to depressive symptoms following adjustment for other variables (incidence rate ratios [IRR]\u2009=\u20091.09;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), but not to anxiety symptoms level (IRR\u2009=\u20091.02;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). The link between depressive symptoms and DMFT had a partial mediation impact on toothbrushing frequency (\n                      <jats:italic>a<\/jats:italic>\n                      ,\n                      <jats:italic>b<\/jats:italic>\n                      ,\n                      <jats:italic>c<\/jats:italic>\n                      \u2032 all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Sugary foods, but not fried foods, partially mediated the link between depressive symptoms and caries when toothbrushing frequency was adjusted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There are direct and indirect associations between emotional symptoms and caries; the latter may be due to changes in oral health behaviours that increase the risk of caries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/odi.14634","type":"journal-article","created":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T09:26:33Z","timestamp":1686129993000},"page":"2653-2662","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Emotional symptoms, dietary patterns and dental caries: A cross\u2010sectional study in 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