The reports of specific waking-state oral behaviours, including awake bruxism activities, and psychological distress have a dose-response relationship: A retrospective medical record study.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-06-11 DOI:10.1080/08869634.2024.2360865

Maurits K A van Selms, Frank Lobbezoo

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引用次数: 0

Abstract

Objective: To investigate if there are dose-response relationships between self-reported waking-state oral behaviours, including awake bruxism, and three indicators of psychological distress (depression, anxiety, stress).

Methods: The study sample consisted of 1,886 patients with function-dependent TMD pain. Relationships between six non-functional and six functional waking-state oral behaviours, scored on a 5-point ordinal scale, and the psychological factors were investigated using ordinal logistic regression.

Results: Mean age was 42.4 (±15.3) years, 78.7% being female. The odds of reporting the higher categories of non-functional oral behaviours depended on the severity of depression, anxiety, and stress. Most OR coefficients followed a quadratic dose-response distribution, the others increased linearly as the severity of the psychological scales increased. Almost no such associations were found with normal jaw function behaviours.

Conclusion: Within the limitations of this study, it may be concluded that non-functional waking-state oral behaviours, including awake bruxism, and psychological distress have a dose-response relationship, with higher levels of distress being associated with higher reports of oral behaviours.

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包括清醒时磨牙活动在内的特定清醒状态口腔行为报告与心理困扰之间存在剂量反应关系：一项回顾性病历研究。

摘要研究自我报告的觉醒状态口腔行为（包括觉醒磨牙症）与三项心理压力指标（抑郁、焦虑和压力）之间是否存在剂量反应关系：研究样本包括 1,886 名有功能依赖性 TMD 疼痛的患者。采用序数逻辑回归法研究了六种非功能性和六种功能性觉醒状态口腔行为（以 5 点序数量表计分）与心理因素之间的关系：平均年龄为 42.4 (±15.3) 岁，78.7% 为女性。报告较高类别非功能性口腔行为的几率取决于抑郁、焦虑和压力的严重程度。大多数 OR 系数呈二次剂量反应分布，其他 OR 系数则随着心理量表严重程度的增加而线性增加。而正常的下颌功能行为几乎没有这种关联：在本研究的局限性内，可以得出结论：非功能性清醒状态口腔行为（包括清醒磨牙症）与心理困扰存在剂量-反应关系，困扰程度越高，口腔行为报告越多。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.