{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T09:16:12Z","timestamp":1778318172407,"version":"3.51.4"},"reference-count":67,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000},"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":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Due to the unclear etiology of recurrent aphthous stomatitis (RAS), a painful and distressing condition with a high prevalence, the researchers have hypothesized a connection between sleep quality and RAS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The cross\u2010sectional study enrolled 10,138 Fasa Cohort Study participants aged 35\u201370\u2009years. Various sleep quality factors were calculated and categorized based on the Pittsburgh Sleep Questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 9030 subjects finally included with RAS prevalence of 20.2%, adjusted logistic regression showed significant odds ratios (ORs) in subjects who sleep &lt;\u20095\u2009h (OR\u2009=\u20091.44, 95%CI 1.25, 1.66), have sleep latencies of more than 60\u2009min (OR\u2009=\u20091.37, 95%CI 1.11, 1.69), have sleep efficiencies of 65%\u201375% (OR\u2009=\u20091.55, 95%CI 1.21, 1.98), or regularly go to bed after 11\u2009p.m. (OR\u2009=\u20091.23, 95%CI 1.11, 1.37). Subgroup analyses indicated no significant associations between RAS and various sleep factors in individuals who worked night shifts, and stronger associations were observed in men than women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study found a significant positive association between RAS and sleep quality factors such as shorter duration, lower efficiency, longer latency, later bedtime, and regular sleeping pill use. Establishing early and sufficient sleep and addressing sleep onset disturbances by adhering to sleep hygiene principles should be prioritized in individuals with RAS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/odi.15189","type":"journal-article","created":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T01:43:07Z","timestamp":1731030187000},"page":"1215-1227","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Recurrent Aphthous Stomatitis and Sleep Quality Factors: A Comprehensive Analysis"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2128-0924","authenticated-orcid":false,"given":"Sina","family":"Bazmi","sequence":"first","affiliation":[{"name":"Student Research Committee Fasa University of Medical Sciences  Fasa Iran"},{"name":"USERN Office Fasa University of Medical Sciences  Fasa Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahra","family":"Mohammadi","sequence":"additional","affiliation":[{"name":"Student Research Committee Fasa University of Medical Sciences  Fasa Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7634-3948","authenticated-orcid":false,"given":"Reza","family":"Tabrizi","sequence":"additional","affiliation":[{"name":"Noncommunicable Diseases Research Center Fasa University of Medical Sciences  Fasa Iran"},{"name":"Health Policy Research Center, Institute of Health Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Kazemi","sequence":"additional","affiliation":[{"name":"Noncommunicable Diseases Research Center Fasa University of Medical Sciences  Fasa Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.1054"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2013.12.002"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-313X.2008.00801.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1620\/tjem.214.291"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.13381"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2008.05.024"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.2147\/jmdh.S229396"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/10253890.2015.1087503"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.4317\/jced.51401"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1992.01820080059010"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2869.2004.00415.x"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0006-3223(95)94635-A"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.5935\/1984\u20100063.20220034"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3109\/07420528.2013.846350"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2016.02.020"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.130.3.355"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1013942107"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/2907812"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/01616412.2022.2132728"},{"issue":"2","key":"e_1_2_11_21_1","first-page":"R59","article-title":"Introduction to the Hypothalamic\u2010Pituitary\u2010Adrenal Axis: Healthy and Dysregulated Stress Responses, Developmental Stress and Neurodegeneration","volume":"16","author":"Dunlavey C. J.","year":"2018","journal-title":"Journal of Undergraduate Neuroscience Education"},{"issue":"3","key":"e_1_2_11_22_1","first-page":"26","article-title":"Recurrent Aphthous Stomatitis: A Review","volume":"10","author":"Edgar N. R.","year":"2017","journal-title":"Journal of Clinical and Aesthetic Dermatology"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.18110"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3760-z"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2011.11.003"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glr230"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1807-59322009000700007"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010024\u201004049\u20104"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2011.12.005"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.23.2.89"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2011.04.001"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.4103\/jomfp.jomfp_401_20"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-03326-y"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ebd.6400919"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsycho.2006.08.008"},{"key":"e_1_2_11_36_1","first-page":"273","article-title":"Stress in Academia Manifested as Aphthous Ulcers","volume":"4","author":"Kumar A.","year":"2014","journal-title":"International Journal of Basic and Applied Medical Sciences"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2012.0179"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12500"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2014.10.014"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.14998"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-007-0102-7"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2017.04.013"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0714.1996.tb00278.x"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2007.07.007"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.15448\/1980-6523.2015.4.14541"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0034219"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-12-1377"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.4103\/1735-3327.318945"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.4103\/2230\u20108210.131768"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-0020.2000.290514.x"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.04.001"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2009-0943"},{"issue":"11","key":"e_1_2_11_53_1","first-page":"791","article-title":"Assets as a Socioeconomic Status Index: Categorical Principal Components Analysis vs. Latent Class Analysis","volume":"19","author":"Sartipi M.","year":"2016","journal-title":"Archives of Iranian Medicine"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PSY.0000035721.12441.17"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp054630"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2016.07.005"},{"issue":"2","key":"e_1_2_11_57_1","first-page":"95","article-title":"Recurrent Aphthous Stomatitis","volume":"31","author":"Ship J. A.","year":"2000","journal-title":"Quintessence International"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.2147\/NSS.S18891"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1053\/smrv.2001.0159"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.7586\/jkbns.2017.19.3.206"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.13955"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/826249"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.4103\/jomfp.JOMFP_282_18"},{"issue":"4","key":"e_1_2_11_64_1","first-page":"266","article-title":"Association of Aphthous Ulcers With Selfreported Symptoms of Depression in a Sample of Smartphone Users","volume":"25","author":"Webb J. R.","year":"2013","journal-title":"Annals of Clinical Psychiatry"},{"key":"e_1_2_11_65_1","doi-asserted-by":"publisher","DOI":"10.1111\/cen.12316"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e318042589e"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cyto.2022.155864"},{"key":"e_1_2_11_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2020.11.026"}],"container-title":["Oral Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/odi.15189","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:35:48Z","timestamp":1745541348000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/odi.15189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,7]]},"references-count":67,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/odi.15189"],"URL":"https:\/\/doi.org\/10.1111\/odi.15189","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/ODI.15189\/v3\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.15189\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.15189\/v3\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.15189\/v3\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.15189\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.15189\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.15189\/v3\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.15189\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.15189\/v2\/decision1","asserted-by":"object"}]},"ISSN":["1354-523X","1601-0825"],"issn-type":[{"value":"1354-523X","type":"print"},{"value":"1601-0825","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,7]]},"assertion":[{"value":"2024-03-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}