{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T04:57:50Z","timestamp":1784869070802,"version":"3.55.0"},"reference-count":33,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"abstract":"<jats:p>ABSTRACT Objective To investigate associations of temporomandibular disorders (TMDs), bruxism, anxiety and sleep quality among military firefighters with frequent episodic tension-type headache (FETTH). Methods The sample comprised two groups (80 individuals): controls (mean age 35.2 years) and study group (mean age 38.5 years). Headache was diagnosed in accordance with the ICHD-III. The Research Diagnostic Criteria for TMDs were used to classify the TMDs; bruxism was diagnosed in accordance with the International Classification of Sleep Disorders; anxiety was classified using the Beck Anxiety Inventory; and sleep quality was assessed using the Pittsburgh Sleep Quality Index. In the statistical models, we used a significance level of 95%. Results Associations were found between participants with FETTH and TMDs (p &lt; 0.001) and anxiety (p = 0.002).Poor quality of sleep (p = 0.687) and bruxism (p = 0.670) were not risk factors. Conclusion The study found that TMDs and anxiety among firefighters were associated with FETTH.<\/jats:p>","DOI":"10.1590\/0004-282x20180043","type":"journal-article","created":{"date-parts":[[2018,7,7]],"date-time":"2018-07-07T19:50:55Z","timestamp":1530993055000},"page":"387-392","source":"Crossref","is-referenced-by-count":20,"title":["Painful temporomandibular disorder, sleep bruxism, anxiety symptoms and subjective sleep quality among military firefighters with frequent episodic tension-type headache. A controlled study."],"prefix":"10.1590","volume":"76","author":[{"given":"Bianca de Ara\u00fajo","family":"Wagner","sequence":"first","affiliation":[{"name":"Universidade Federal Fluminense, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro Ferreira","family":"Moreira Filho","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2018,6]]},"reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/s00420-014-0968-z","article-title":"Sleep disturbances predict long-term changes in low back pain among Finnish firefighters: 13-year follow-up study","volume":"88","author":"Lusa S","year":"2015","journal-title":"Int Arch Occup Environ Health"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1590\/0104-1169.0563.2641","article-title":"Pain, health perception and sleep: impact on the quality of life of firefighters\/rescue professionals","volume":"23","author":"Marconato R S","year":"2015","journal-title":"Rev Lat Am Enfermagem"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1097\/JOM.0000000000000139","article-title":"Musculoskeletal pain and depressive symptoms as predictors of trajectories in work ability among Finnish firefighters at 13-year follow-up","volume":"56","author":"Punakallio A","year":"2014","journal-title":"J Occup Environ Med"},{"issue":"6","key":"ref4","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1111\/j.1468-2982.2004.00698.x","article-title":"Psychological and sleep quality differences between chronic daily headache and temporomandibular disorders patients","volume":"24","author":"Vazquez- Delgado E","year":"2004","journal-title":"Cephalalgia"},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"135","DOI":"10.11607\/ofph.1297","article-title":"Comorbidity between depression and anxiety in patients with temporomandibular disorders according to the research diagnostic criteria for temporomandibular disorders","volume":"29","author":"Reiter S","year":"2015","journal-title":"J Oral Facial Pain Headache"},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","DOI":"10.1186\/s10194-016-0649-2","article-title":"Headache, depression and anxiety: associations in the Eurolight project","volume":"17","author":"Lampl C","year":"2016","journal-title":"J Headache Pain"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.sleep.2016.06.031","article-title":"Sleep quality in temporomandibular disorder cases","volume":"25","author":"Rener-Sitar K","year":"2016","journal-title":"Sleep Med"},{"issue":"3","key":"ref8","doi-asserted-by":"crossref","first-page":"233","DOI":"10.5664\/jcsm.4534","article-title":"Common sleep disorders increase risk of motor vehicle crashes and adverse health outcomes in firefighters","volume":"11","author":"Barger LK","year":"2015","journal-title":"J Clin Sleep Med"},{"issue":"9","key":"ref9","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1177\/0333102413485658","article-title":"The International Classification of Headache Disorders, 3rd edition (beta version)","volume":"33","year":"2013","journal-title":"Cephalalgia"},{"issue":"1","key":"ref10","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.cden.2006.09.005","article-title":"Temporomandibular disorders and headache","volume":"51","author":"Graff-Radford SB","year":"2007","journal-title":"Dent Clin North Am"},{"issue":"9","key":"ref11","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1111\/joor.12410","article-title":"Headaches and myofascial temporomandibular disorders: overlapping entities, separate managements?","volume":"43","author":"Conti PC","year":"2016","journal-title":"J Oral Rehabil"},{"issue":"11","key":"ref12","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1590\/0004-282X20150145","article-title":"Temporomandibular disorder is more prevalent among patients with primary headaches in a tertiary outpatient clinic","volume":"73","author":"Tomaz-Morais JF","year":"2015","journal-title":"Arq Neuropsiquiatr"},{"issue":"8","key":"ref13","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1111\/j.1468-2982.2008.01597.x","article-title":"Are headache and temporomandibular disorders related? 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