Yağci İbrahim, Taşdelen Yasin, Kivrak Yüksel
Kars Harakani State Hospital, Psychiatry Clinic, Kars, Turkey.
Aydın State Hospital, Psychiatry Clinic, Aydın, Turkey.
Noro Psikiyatr Ars. 2020 Mar 2;57(2):131-135. doi: 10.29399/npa.23617. eCollection 2020 Jun.
The aim was to investigate the relation between sociodemographic features, anxiety, depression, sleep quality, childhood trauma experiences, and quality of life and bruxism determining the risk factors in people with bruxism.
A total of 200 people were included in the study. Of the patients, 100 were diagnosed with bruxism and 100 were included in the control group. Sociodemographic Data Form, Hospital Anxiety Depression Scale (HAD), The Pittsburgh Sleep Quality Index (PSQI), Childhood Trauma Scale (CTS), Short Form-36 Quality of Life Scale (SF-36) were used.
While there was no significant difference between the case group and the control group in terms of age, gender, marital status, and working status, there was a significant difference between educational levels. When the groups were compared a significant difference was found with regard to HAD-A (p<0.05), HAD-D (p<0.01), PSQI (p<0.01) and CTS (p<0.05) scores. While a significant difference was found when KF-36 subscales were examined, with regard to Physical Function (p<0.01), Pain (p<0.05), Social Function (p<0.05) and Mental Health (p<0.01) scores, no significant difference was detected between the subscales of Role Strength (p>0.05), General Health (p>0.05), Vital Energy (p>0.05) and Emotional Role (p>0.05). Regression analysis shows, (PSQI), HAD-D CTS scores predicted bruxism.
Higher depression scale scores, bad sleep quality, traumatic childhood experiences increase the risk for bruxism. Paying attention to the mental state of people diagnosed with bruxism in the treatment process and incorporating the psychiatrists in this process may increase the success rate of the treatment.
目的是调查社会人口学特征、焦虑、抑郁、睡眠质量、童年创伤经历、生活质量与磨牙症之间的关系，确定磨牙症患者的风险因素。
共有200人纳入本研究。其中，100例患者被诊断为磨牙症，100例纳入对照组。使用了社会人口学数据表格、医院焦虑抑郁量表（HAD）、匹兹堡睡眠质量指数（PSQI）、童年创伤量表（CTS）、简短健康调查36项生活质量量表（SF-36）。
病例组和对照组在年龄、性别、婚姻状况和工作状态方面无显著差异，但在教育水平上存在显著差异。比较两组时，发现HAD-A（p<0.05）、HAD-D（p<0.01）、PSQI（p<0.01）和CTS（p<0.05）得分存在显著差异。检查KF-36分量表时，在身体功能（p<0.01）、疼痛（p<0.05）、社会功能（p<0.05）和心理健康（p<0.01）得分方面存在显著差异，但在角色功能（p>0.05）、总体健康（p>0.05）、活力（p>0.05）和情感角色（p>0.05）分量表之间未检测到显著差异。回归分析显示，PSQI、HAD-D、CTS得分可预测磨牙症。
较高的抑郁量表得分、不良的睡眠质量、童年创伤经历会增加磨牙症的风险。在治疗过程中关注被诊断为磨牙症患者 的精神状态，并让精神科医生参与这一过程，可能会提高治疗成功率。
