{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T14:00:38Z","timestamp":1782136838038,"version":"3.54.5"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["33002029032P4"],"award-info":[{"award-number":["33002029032P4"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2025\/11104\u20109"],"award-info":[{"award-number":["2025\/11104\u20109"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2024\/23302\u20107"],"award-info":[{"award-number":["2024\/23302\u20107"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2025\/15283\u20105"],"award-info":[{"award-number":["2025\/15283\u20105"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Transgender individuals are disproportionately affected by temporomandibular disorders (TMDs), often compounded by psychosocial stressors and limited access to affirming healthcare. Conventional TMD treatments may fall short in addressing the emotional and behavioral components of chronic orofacial pain, underscoring the need for integrative interventions. This study aimed to explore the implementation and perceived impact of a Mindfulness\u2010Based Orofacial Pain Education Program as a complementary approach for transgender individuals with TMD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A qualitative design was employed, using weekly instructor reports and a post\u2010intervention focus group with transgender participants (ages 24\u201339), each diagnosed with TMD according to the DC\/TMD criteria. Over eight weeks, participants attended weekly 60\u2010min sessions incorporating mindfulness practices, pain education, and self\u2010management strategies. Data sources included 8 weekly instructor audio reports (\n                      <jats:italic>n<\/jats:italic>\n                      = 32 recordings) and one focus group interview (duration: 68\u00a0min). All transcriptions were analyzed using Thematic Network Analysis supported by NVivo software (QSR International).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The Analysis identified a global theme of increased self\u2010awareness and engagement in pain management. Three organizing themes emerged: (1) social support as a catalyst for adherence; (2) mindfulness as a strategy for emotional and sensory regulation; and (3) environmental and motivational barriers to sustained practice. Participants reported qualitative improvements in emotional regulation, sleep quality, and pain perception. Challenges included distraction due to the shared clinic setting and difficulties maintaining routine mindfulness practice, especially among participants reporting lower initial motivation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Mindfulness\u2010Based Orofacial Pain Education Program was perceived as a feasible and beneficial adjunct to standard TMD care, promoting self\u2010efficacy, emotional resilience, and pain self\u2010management in a socially vulnerable population. Despite the small sample, consistent thematic convergence and participant engagement suggest promising applicability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70141","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T10:36:27Z","timestamp":1769596587000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mindfulness\u2010Based Orofacial Pain Education and Management Program: A Qualitative Analysis of Transgender Participants\u2019 Perceptions"],"prefix":"10.1111","volume":"46","author":[{"given":"Melissa de Oliveira","family":"Melchior","sequence":"first","affiliation":[{"name":"Departamento De Odontologia Restauradora Faculdade De Odontologia de Ribeir\u00e3o Preto Universidade De S\u00e3o Paulo  Ribeir\u00e3o Preto S\u00e3o Paulo 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Paulo Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christie Ramos Andrade","family":"Leite\u2010Panissi","sequence":"additional","affiliation":[{"name":"Departamento De Psicologia Faculdade De Filosofia Ci\u00eancias e Letras de Ribeir\u00e3o Preto Universidade De S\u00e3o Paulo  Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edilaine Cristina da Silva","family":"Gherardi\u2010Donato","sequence":"additional","affiliation":[{"name":"Departamento De Enfermagem Psiqui\u00e1trica, Escola de Enfermagem de Ribeir\u00e3o Preto Universidade De S\u00e3o Paulo, PAHO\/WHO Collaborating Centre For Nursing Research Development Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9889-1790","authenticated-orcid":false,"given":"Jardel 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