Almoznino Galit, Zini Avraham, Sharav Yair, Shahar Adi, Zlutzky Hulio, Haviv Yaron, Lvovsky Alex, Aframian Doron J
Department of Oral Medicine, Oral and Maxillofacial Center, Medical Corps, Israel Defense Forces, Tel-Hashomer, Israel; Department of Oral Medicine, Hebrew University - Hadassah School of Dental Medicine, Jerusalem, Israel.
Department of Community Dentistry, Hebrew University - Hadassah School of Dental Medicine, Jerusalem, Israel.
J Psychiatr Res. 2015 Feb;61:214-22. doi: 10.1016/j.jpsychires.2014.11.015. Epub 2014 Dec 9.
Psychological distress is associated with sleep disturbances; however there is little research on sleep quality in dental anxiety (DA) patients.
To measure the sleep quality in patients with DA compared to patients with an exacerbated gag reflex (GAG) and controls and to analyze its association with various demographic and behavioral parameters.
67 DA patients, 54 GAG patients and 100 controls with no history of DA or GAG participated in the study. Data regarding: demographic details, smoking habits, the Pittsburgh Sleep Quality Index (PSQI), Numeric Rating Scale (NRS) for pain assessment, Corah's dental anxiety scale (DAS) and Oral Health Impact Profile-14 (OHIP-14), plaque index (PI) and Decay, Missing and Filled Teeth (DMFT) scores were collected.
49.3% of the DA group and 38.9% of the GAG group were poor sleepers (mean PSQI score > 5), compared to 29.0% of the controls (PSQI mean scores: 5.8 ± 3.4, DA group; 5.2 ± 3.6 GAG group vs. 4.5 ± 2.7, control group; p = 0.029). Compared to controls, DA and GAG patients exhibited poorer scores in the sleep disturbances PSQI component (p = 0.001). DA patients exhibited poorer scores in the sleep duration PSQI component compared to the control (p = 0.002) and GAG groups (p = 0.033). Female gender (p = 0.039), higher current (p = 0.046) and maximal NRS (p = 0.019), higher DAS (p < 0.001) and OHIP-14 (p < 0.001) scores and more missing teeth (p = 0.003) were positively associated with higher PSQI scores.
DA patients suffered more from impaired sleep than controls and GAGs. Impaired sleep in DA patients is multidimensional phenomenon influenced by the specific diagnosis, gender, pain, dental anxiety levels, dental experience and oral health related quality of life.
心理困扰与睡眠障碍有关；然而，关于牙科焦虑（DA）患者睡眠质量的研究很少。
测量DA患者与伴有加重的 gag 反射（GAG）患者及对照组的睡眠质量，并分析其与各种人口统计学和行为参数的关联。
67名DA患者、54名GAG患者和100名无DA或GAG病史的对照者参与了该研究。收集了以下数据：人口统计学细节、吸烟习惯、匹兹堡睡眠质量指数（PSQI）、疼痛评估数字评分量表（NRS）、科拉牙科焦虑量表（DAS）和口腔健康影响程度量表-14（OHIP-14）、菌斑指数（PI）以及龋失补牙数（DMFT）评分。
DA组49.3%的患者和GAG组38.9%的患者睡眠质量差（PSQI平均得分>5），而对照组为29.0%（PSQI平均得分：DA组为5.8±3.4；GAG组为5.2±3.6；对照组为4.5±2.7；p = 0.029）。与对照组相比，DA和GAG患者在睡眠障碍PSQI分量表中的得分更低（p = 0.001）。与对照组（p = 0.002）和GAG组（p = 0.033）相比，DA患者在睡眠时长PSQI分量表中的得分更低。女性（p = 0.039）、当前更高的（p = 0.046）和最大NRS得分（p = 0.019）、更高的DAS得分（p < 0.001）和OHIP-14得分（p < 0.001）以及更多的缺牙（p = 0.003）与更高的PSQI得分呈正相关。
DA患者比对照组和GAG患者睡眠受损更严重。DA患者睡眠受损是一种多维度现象，受特定诊断、性别、疼痛、牙科焦虑水平、牙科经历和口腔健康相关生活质量影响。
