Evidence map›Paper›PMID 41083621›Full record

ArticleScientific reports2025

Impact of comorbid depression and anxiety on temporomandibular disorders related pain, sleep, function, behaviors, and quality of life.

Adrian Ujin Yap, Yunhao Zheng, Tiqian Liu, Yijun Li, Po-Kam Wo, Shufang Du, Xin Xiong

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Adrian Ujin Yap *West China School of Stomatology, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0003-0361-6209
Yunhao Zheng *West China School of Stomatology, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0002-4906-2830
Tiqian LiuState Key Laboratory of Oral Diseases, National Centre for Stomatology, and National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0003-4721-5829
Yijun LiState Key Laboratory of Oral Diseases, National Centre for Stomatology, and National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0002-1699-1510
Po-Kam WoState Key Laboratory of Oral Diseases, National Centre for Stomatology, and National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.ORCID http://orcid.org/0009-0004-5084-9886
Shufang DuState Key Laboratory of Oral Diseases, National Centre for Stomatology, and National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China. dushufang@scu.edu.cn.
Xin XiongWest China School of Stomatology, Sichuan University, Chengdu, China. drxiongxin@scu.edu.cn.ORCID http://orcid.org/0000-0003-2175-0970

Funding

Clinical Research Project of West China Hospital of Stomatology, Sichuan University LCYJ-2023-YY-2National Natural Science Foundation of China 82301129Natural Science Foundation of Sichuan Province 2025ZNSFSC1586The Science and Technology Department of Sichuan Province 2025JDKP0106
6 · The paper itself

Abstract

This study examined the prevalence of comorbid depression and anxiety in Chinese patients with temporomandibular disorders (TMDs), and their associations with pain intensity, sleep propensity, oral behaviors, jaw function, and oral health-related quality of life (OHRQoL). It also evaluated the likelihood of different TMD subtypes among individuals with no depression or anxiety (NC), depression alone (DA), anxiety alone (AA), and comorbid conditions (CC). Participants recruited from a dental hospital completed a survey comprising sociodemographics, the Diagnostic Criteria for TMDs (DC/TMD) Symptoms Questionnaire, Patient Health Questionnaire-9, Generalized Anxiety Disorder Scale-7, Numerical Pain Rating Scale, Epworth Sleepiness Scale, Oral Behaviors Checklist, Jaw Functional Limitation Scale-8, and the Oral Health Impact Profile for TMDs. Clinical examinations followed the DC/TMD protocol, classifying individuals into intra-articular (IT), pain-related (PT), or combined (CT) TMDs. Statistical analyses included chi-square tests, non-parametric methods, and multinomial logistic regression (α = 0.05). Among 798 participants (mean age 29.8 years [SD 10.7]; 79.6% women), 48.0%, 10.8%, 7.9%, and 33.3% had NC, DA, AA, and CC, respectively. Significant differences were observed in pain intensity (CC/AA/DA > NC), sleep propensity (CC/DA > AA/NC), jaw overuse behavior (CC > AA/NC; DA > NC), jaw functional limitation (CC > DA > NC; AA > NC), and OHRQoL (CC > AA > DA > NC). Moderate correlations were observed between jaw functional limitation and OHRQoL across groups, with additional links to pain intensity in DA and AA (r

Indexed as

AnxietyDepressionPainQuality of LifeSleepTemporomandibular Joint DisordersAdultChinaComorbidityFemaleHumansMaleMiddle AgedPrevalenceSurveys and QuestionnairesYoung AdultAnxietyDepressionJaw functionOral behaviorsOral health-related quality of lifePainSleep propensityTemporomandibular disorders

Identifiers

PMID41083621
PMCPMC12518660

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.