Network Analysis of Temporomandibular Disorder Pain and Subject‐Based Bruxism in Post‐Traumatic Stress Disorder Patients.

Background: Post‐traumatic stress disorder (PTSD) is a psychosocial factor of interest in the multifactorial aetiology of temporomandibular disorder (TMD) pain, awake bruxism (AB) and sleep bruxism (SB). Objective: To investigate direct and indirect associations between post‐traumatic stress disorde...

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Publicado en:Journal of Oral Rehabilitation Vol. 52; no. 9; pp. 1399 - 1407
Autores principales: Chung, Joey, Knibbe, Wendy, Chattrattrai, Thiprawee, de Jongh, Ad, Lobbezoo, Frank
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
      vid: 52
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/joor.14007
        188365707
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        atl: Network Analysis of Temporomandibular Disorder Pain and Subject‐Based Bruxism in Post‐Traumatic Stress Disorder Patients.
      aug:
        au:
          Chung, Joey
          Knibbe, Wendy
          Chattrattrai, Thiprawee
          de Jongh, Ad
          Lobbezoo, Frank
        affil: Department of Orofacial Pain and Dysfunction, Amsterdam, the Netherlands
      sug:
        subj:
          Temporomandibular Joint Diseases Etiology
          Pain Etiology
          Bruxism Etiology
          Sleep Bruxism Etiology
          Stress Disorders, Post-Traumatic Complications
          Netherlands
          Human
          Male
          Female
          Social Network Analysis
          Nonexperimental Studies
          Cross Sectional Studies
          Structured Interview
          Anxiety
          Insomnia
          Affective Disorders
          Severity of Illness
          Age Factors
          Sex Factors
          Data Analysis Software
          Descriptive Statistics
          Checklists
          Scales
          Male
          Female
      ab: Background: Post‐traumatic stress disorder (PTSD) is a psychosocial factor of interest in the multifactorial aetiology of temporomandibular disorder (TMD) pain, awake bruxism (AB) and sleep bruxism (SB). Objective: To investigate direct and indirect associations between post‐traumatic stress disorder (PTSD), TMD pain, AB, SB and demographic and psychological variables using network analysis. Methods: The study sample included 597 subjects recruited from a specialised centre for the treatment of PTSD. Network analysis was performed using a Mixed Graphical Model and included variables of self‐reported TMD pain, self‐reported AB, self‐reported SB, age, sex, PTSD symptom severity, mood disorders, anxiety disorders and insomnia severity. These variables were visualised in the network model as nodes connected by edges, representing individual associations. Results: The network model revealed a triangular positive association between TMD pain, AB and SB. AB also displayed a positive connection with anxiety disorders, while PTSD symptom severity was linked to insomnia, mood disorders and anxiety disorders. Age and sex did not significantly influence the network structure, although a negative association was observed between these variables, indicating younger ages among female subjects. Conclusion: TMD pain, AB and SB were strongly associated with each other in subjects with PTSD. The presence of anxiety disorders emerged as a bridge factor, connecting the triangular positive association between TMD pain, AB and SB with psychological conditions (PTSD severity, insomnia severity, mood disorders).
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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