Jariyasakulroj Supawadee, Mitrirattanakul Somsak
Department of Masticatory Science, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Cranio. 2020 May;38(3):144-148. doi: 10.1080/08869634.2018.1525116. Epub 2018 Sep 30.
: To investigate the relationship between excessive daytime sleepiness (EDS) and associated factors in temporomandibular disorder (TMD) patients. : Medical records of 350 TMD patients were collected. The EDS status was measured by Epworth Sleepiness Scale (ESS). TMD patients were classified according to ESS scores into TMD patients with EDS (ESS ≥10) and without EDS (ESS <10). The relationship between EDS status and associated factors, such as demographic, TMD symptom severity, and psychological status was analyzed using chi-square and -test. The level of statistical significance was set at 0.05. : Approximately 28.57% of TMD patients presented with EDS. These patients possessed a significantly higher level of TMD symptom severity, stress, anxiety, and depression, compared to TMD patients without EDS. : TMD patients with EDS distinctively suffer both physically and psychologically. This warrants further investigation for the causes and effects as well as underlying mechanisms of EDS in TMD.
探讨颞下颌关节紊乱病(TMD)患者日间过度嗜睡(EDS)与相关因素之间的关系。
收集350例TMD患者的病历。采用Epworth嗜睡量表(ESS)测量EDS状态。根据ESS评分将TMD患者分为伴有EDS的TMD患者(ESS≥10)和不伴有EDS的TMD患者(ESS<10)。采用卡方检验和t检验分析EDS状态与人口统计学、TMD症状严重程度及心理状态等相关因素之间的关系。统计学显著性水平设定为0.05。
约28.57%的TMD患者存在EDS。与不伴有EDS的TMD患者相比,这些患者的TMD症状严重程度、压力、焦虑和抑郁水平显著更高。
伴有EDS的TMD患者在身体和心理上都有明显痛苦。这值得对TMD中EDS的因果关系及潜在机制进行进一步研究。