{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T00:15:10Z","timestamp":1793146510709,"version":"4.5.0"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"7","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"abstract":"<jats:p>ABSTRACT  Objective  To assess the presence of bruxism and anxiety among military firefighters with frequent episodic tension-type headache and painful temporomandibular disorders (TMDs).  Methods  The sample consisted of 162 individuals aged 18 to 55 years divided into four groups. Headache was diagnosed in accordance with the International Classification of Headache Disorders-III. The Research Diagnostic Criteria for Temporomandibular Disorders questionnaire was used to classify TMDs and awake bruxism; sleep bruxism was diagnosed in accordance with the International Classification of Sleep Disorders-3; and anxiety was classified using the Beck Anxiety Inventory. In statistical models, a significance level of 95% was used. The chi-square test was used to assess anxiety.  Results  Associations were found among frequent episodic tension-type headache, painful TMDs, awake bruxism and anxiety (p &lt; 0.0005). Sleep bruxism was not a risk factor (p = 0.119) except when associated with awake bruxism (p = 0.011).  Conclusion  Anxiety and awake bruxism were independent risk factors for developing frequent episodic tension-type headache associated with painful TMDs; only awake bruxism was a risk factor for frequent episodic tension-type headache with non-painful TMDs.<\/jats:p>","DOI":"10.1590\/0004-282x20190069","type":"journal-article","created":{"date-parts":[[2019,7,27]],"date-time":"2019-07-27T15:31:01Z","timestamp":1564241461000},"page":"478-484","source":"Crossref","is-referenced-by-count":19,"title":["Association of bruxism and anxiety symptoms among military firefighters with frequent episodic tension type headache and temporomandibular disorders"],"prefix":"10.1590","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3133-7143","authenticated-orcid":false,"given":"Bianca de Ara\u00fajo","family":"WAGNER","sequence":"first","affiliation":[{"name":"Universidade Federal Fluminense,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2449-428X","authenticated-orcid":false,"given":"Pedro Ferreira","family":"MOREIRA FILHO","sequence":"additional","affiliation":[{"name":"Corpo de Bombeiros Militar do Estado do Rio de Janeiro,  Brasil; Universidade Federal Fluminense,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2844-0924","authenticated-orcid":false,"given":"Vagner Gon\u00e7alves","family":"BERNARDO","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense,  Brasil; Instituto Nacional do C\u00e2ncer,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2019,7]]},"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 RS","year":"2015","journal-title":"Rev Lat Am Enfermagem"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1080\/10803548.2016.1219149","article-title":"Nationwide firefighter survey: the prevalence of lower back pain and its related psychological factors among Korean firefighters","volume":"23","author":"Kim MG","year":"2017","journal-title":"Int J Occup Saf Ergon"},{"issue":"9","key":"ref4","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"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1111\/head.12511","article-title":"The prevalence and impact of headache in Brazil","volume":"55","author":"Queiroz LP","year":"2015","journal-title":"Headache"},{"issue":"2","key":"ref6","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1590\/0004-282X20130221","article-title":"Temporo-mandibular disorders are an important comorbidity of migraine and may be clinically difficult to distinguish them from tension-type headache","volume":"72","author":"Silva Juniorr AA","year":"2014","journal-title":"Arq Neuropsiquiatr"},{"issue":"1","key":"ref7","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"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1111\/j.1440-1819.2012.02405.x","article-title":"Generalized anxiety disorder, subthreshold anxiety and anxiety symptoms in primary headache","volume":"67","author":"Lucchetti G","year":"2013","journal-title":"Psychiatry Clin Neurosci"},{"issue":"6","key":"ref9","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":"4","key":"ref10","doi-asserted-by":"crossref","first-page":"322","DOI":"10.11607\/ofph.1277","article-title":"Temporomandibular disorder pain is related to the general disposition to be anxious","volume":"28","author":"Reissmann DR","year":"2014","journal-title":"J Oral Facial Pain Headache"},{"issue":"2","key":"ref11","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":"3","key":"ref12","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.jpor.2010.11.003","article-title":"Clenching occurring during the day is influenced by psychological factors","volume":"55","author":"Endo H","year":"2011","journal-title":"J Prosthodont Res"},{"key":"ref13","series-title":"Orofacial pain: guidelines for assessment, diagnosis, and management","author":"Leeuw R","year":"2008","edition":"4th"},{"issue":"1","key":"ref14","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1111\/joor.12011","article-title":"Bruxism defined and graded: an international consensus","volume":"40","author":"Lobbezoo F","year":"2013","journal-title":"J Oral Rehabil"},{"issue":"11","key":"ref15","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1111\/joor.12436","article-title":"Genetic polymorphisms in the serotonergic system are associated with circadian manifestations of bruxism","volume":"43","author":"5th Oporto GH","year":"2016","journal-title":"J Oral Rehabil"},{"issue":"4","key":"ref16","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1007\/s00056-015-0293-5","article-title":"Association of temporomandibular disorder pain with awake and sleep bruxism in adults","volume":"76","author":"Sierwald I","year":"2015","journal-title":"J Orofac Orthop"},{"issue":"7","key":"ref17","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1111\/j.1365-2842.2008.01881.x","article-title":"Bruxism physiology and pathology: an overview for clinicians","volume":"35","author":"Lavigne GJ","year":"2008","journal-title":"J Oral Rehabil"},{"issue":"1","key":"ref18","first-page":"14","article-title":"Temporomandibular disorders, sleep bruxism, and primary headaches are mutually associated","volume":"27","author":"Fernandes G","year":"2013","journal-title":"J Orofac Pain"},{"issue":"1","key":"ref19","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1080\/00016357.2016.1247465","article-title":"Sleep and awake bruxism in adults and its relationship with temporomandibular disorders: A systematic review from 2003 to 2014","volume":"75","author":"Jim\u00e9nez-Silva A","year":"2017","journal-title":"Acta Odontol Scand"},{"issue":"4","key":"ref20","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1007\/s00784-016-1870-8","article-title":"Frequency of daytime tooth clenching episodes in individuals affected by masticatory muscle pain and pain-free controls during standardized ability tasks","volume":"21","author":"Cioffi I","year":"2017","journal-title":"Clin Oral Investig"},{"issue":"6","key":"ref21","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1111\/j.1468-2982.2007.01325.x","article-title":"Headache and temporomandibular disorders: evidence for diagnostic and behavioural overlap","volume":"27","author":"Glaros AG","year":"2007","journal-title":"Cephalalgia"},{"issue":"1","key":"ref22","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":"4","key":"ref23","first-page":"301","article-title":"Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique","volume":"6","author":"Dworkin SF","year":"1992","journal-title":"J Craniomandib Disord"},{"issue":"47","key":"ref24","first-page":"384","article-title":"Crit\u00e9rios de diagn\u00f3stico para pesquisa das disfun\u00e7\u00f5es temporomandibulares (RDC\/TMD): tradu\u00e7\u00e3o oficial para a l\u00edngua portuguesa","volume":"8","author":"Pereira J\u00fanior FJ","year":"2004","journal-title":"J Bras Clin Odontol Integ"},{"issue":"1","key":"ref25","first-page":"63","article-title":"The research diagnostic for temporomandibular disorders. V: methods used to establish and validate revised Axis I diagnostic algorithms","volume":"24","author":"Schiffman EL","year":"2010","journal-title":"J Orofac Pain"},{"key":"ref26","series-title":"International classification of sleep disorders","year":"2014","edition":"3rd"},{"issue":"1","key":"ref27","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.prosdent.2016.01.035","article-title":"Agreement of the international classification of sleep disorders criteria with polysomnography for sleep bruxism diagnosis: a preliminary study","volume":"117","author":"Stuginski-Barbosa J","year":"2017","journal-title":"J Prosthet Dent"},{"issue":"6","key":"ref28","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1067\/mpr.2001.118892","article-title":"A reliability study of clinical tooth wear measurements","volume":"86","author":"Lobbezoo F","year":"2001","journal-title":"J Prosthet Dent"},{"issue":"4","key":"ref29","first-page":"340","article-title":"Reports of SSRI-associated bruxism in the family physician\u2019s office","volume":"15","author":"Lobbezoo F","year":"2001","journal-title":"J Orofac Pain"},{"issue":"6","key":"ref30","first-page":"893","article-title":"The beck anxiety inventory","volume":"56","author":"Beck AT","year":"1988","journal-title":"J Consult Clin Psychol"}],"container-title":["Arquivos de Neuro-Psiquiatria"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/anp\/v77n7\/0004-282X-anp-77-7-0478.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,11]],"date-time":"2020-02-11T18:14:05Z","timestamp":1581444845000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0004-282X2019000700478&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":30,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2019,7]]}},"alternative-id":["S0004-282X2019000700478"],"URL":"https:\/\/doi.org\/10.1590\/0004-282x20190069","relation":{},"ISSN":["1678-4227","0004-282X"],"issn-type":[{"value":"1678-4227","type":"electronic"},{"value":"0004-282X","type":"print"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}