Psychological Distress: A Mediating Factor in the Relationship Between Sleep Bruxism and Tobacco Smoking.

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-04-17 DOI:10.1111/joor.13978

Matteo Pollis, Frank Lobbezoo, Ovidiu Ionut Saracutu, Anna Colonna, Daniele Manfredini

{"title":"Psychological Distress: A Mediating Factor in the Relationship Between Sleep Bruxism and Tobacco Smoking.","authors":"Matteo Pollis, Frank Lobbezoo, Ovidiu Ionut Saracutu, Anna Colonna, Daniele Manfredini","doi":"10.1111/joor.13978","DOIUrl":null,"url":null,"abstract":"Background: Sleep bruxism (SB) is defined as a masticatory muscle activity during sleep characterised by a multifactorial aetiology. Tobacco smoking and psychological status are considered predisposing factors for SB, but their mutual interaction remains unclear.Objective: To investigate the relationship between self-report SB, tobacco smoking, and psychological status, adopting a multiple-variable model in a sample of healthy young adults.Methods: A sample of 150 individuals (Female = 62%; mean age (±SD) = 23.3 (±3.4) years) completed a questionnaire to assess self-reported SB, tobacco smoking, and psychological distress. Self-reported SB was assessed according to the Subject-Based Assessment strategy recommended in the 'Standardized Tool for the Assessment of Bruxism' (STAB). Psychological distress was evaluated using the four-item Patient Health Questionnaire-4 (PHQ-4) for anxiety and depression. Tobacco smoking was assessed by four questions included in the Global Adult Tobacco Smoking (GATS) questionnaire. Spearman's rank correlation, ordinal regression, and mediation analysis were used to examine the relationship between SB, psychological distress, and smoking-related variables.Results: Significant positive correlations between SB and psychological distress (r = 0.350, p < 0.001) and between SB and n° cigarettes/day (r = 0.196 p < 0.05) emerged. Psychological distress positively mediated this relationship between tobacco smoking and SB, with an indirect effect of 0.065 (C.I. = 0.108-0.313; p value < 0.05). Psychological distress showed a positive predictive effect for SB (OR = 1.23, C.I. = 0.071-0.345, p < 0.05), while no significant associations with smoking variables were found.Conclusions: Within the limitation of this study, tobacco smoking does not seem to be directly correlated with sleep bruxism. Psychological distress could play the role as a mediating factor in this relationship.","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of oral rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/joor.13978","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Sleep bruxism (SB) is defined as a masticatory muscle activity during sleep characterised by a multifactorial aetiology. Tobacco smoking and psychological status are considered predisposing factors for SB, but their mutual interaction remains unclear.

Objective: To investigate the relationship between self-report SB, tobacco smoking, and psychological status, adopting a multiple-variable model in a sample of healthy young adults.

Methods: A sample of 150 individuals (Female = 62%; mean age (±SD) = 23.3 (±3.4) years) completed a questionnaire to assess self-reported SB, tobacco smoking, and psychological distress. Self-reported SB was assessed according to the Subject-Based Assessment strategy recommended in the 'Standardized Tool for the Assessment of Bruxism' (STAB). Psychological distress was evaluated using the four-item Patient Health Questionnaire-4 (PHQ-4) for anxiety and depression. Tobacco smoking was assessed by four questions included in the Global Adult Tobacco Smoking (GATS) questionnaire. Spearman's rank correlation, ordinal regression, and mediation analysis were used to examine the relationship between SB, psychological distress, and smoking-related variables.

Results: Significant positive correlations between SB and psychological distress (r = 0.350, p < 0.001) and between SB and n° cigarettes/day (r = 0.196 p < 0.05) emerged. Psychological distress positively mediated this relationship between tobacco smoking and SB, with an indirect effect of 0.065 (C.I. = 0.108-0.313; p value < 0.05). Psychological distress showed a positive predictive effect for SB (OR = 1.23, C.I. = 0.071-0.345, p < 0.05), while no significant associations with smoking variables were found.

Conclusions: Within the limitation of this study, tobacco smoking does not seem to be directly correlated with sleep bruxism. Psychological distress could play the role as a mediating factor in this relationship.

查看原文本刊更多论文

心理困扰：睡眠磨牙症与吸烟关系的中介因素。

背景：睡眠磨牙症（SB）被定义为睡眠期间咀嚼肌肉活动，具有多因素病因。吸烟和心理状态被认为是SB的易感因素，但它们之间的相互作用尚不清楚。目的：采用多变量模型研究健康青年自述SB、吸烟和心理状态之间的关系。方法：150人(女性占62%；平均年龄（±SD） = 23.3（±3.4）岁)完成问卷，评估自我报告的SB、吸烟情况和心理困扰。根据“磨牙症标准化评估工具”（STAB）中推荐的基于学科的评估策略对自我报告的SB进行评估。采用四项患者健康问卷-4 （PHQ-4）评估焦虑和抑郁的心理困扰。吸烟情况通过全球成人吸烟（GATS）问卷中的四个问题进行评估。采用Spearman秩相关、序数回归和中介分析来检验SB、心理困扰和吸烟相关变量之间的关系。结果：睡眠磨牙症与心理困扰呈显著正相关（r = 0.350, p）。结论：在本研究范围内，吸烟与睡眠磨牙症似乎没有直接相关。心理困扰可能在这一关系中起中介作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.