荷兰睡眠登记处中自我报告的睡眠磨牙症的网络分析：其与失眠以及若干人口统计学、心理和生活方式因素的关联。

A network analysis of self-reported sleep bruxism in the Netherlands sleep registry: its associations with insomnia and several demographic, psychological, and life-style factors.

作者信息

Chattrattrai Thiprawee, Blanken Tessa F, Lobbezoo Frank, Su Naichuan, Aarab Ghizlane, Van Someren Eus J W

机构信息

Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands; Department of Masticatory Science, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.

Department of Psychological Methods, University of Amsterdam, Amsterdam, the Netherlands.

出版信息

Sleep Med. 2022 May;93:63-70. doi: 10.1016/j.sleep.2022.03.018. Epub 2022 Mar 30.

DOI:10.1016/j.sleep.2022.03.018

PMID:35429746

Abstract

OBJECTIVES

To investigate the association between self-reported sleep bruxism and insomnia and their potential risk factors (eg, depression and anxiety), and to construct a network model with all these factors.

METHODS

We recruited 2251 participants from the Netherlands Sleep Registry. All participants completed questionnaires on self-reported sleep bruxism, insomnia, depression, anxiety, smoking frequency, and alcohol and caffeine consumption. The associations between self-reported sleep bruxism and other variables were analyzed by univariate analysis, multivariate logistic regression, and network analysis.

RESULTS

Although univariate analysis showed that there was a positive association between sleep bruxism and insomnia (P < 0.001), this association disappeared in the multivariate logistic regression model (P = 0.258). However, multivariate logistic regression did show an association between self-reported sleep bruxism and anxiety (OR = 1.087, 95% CI 1.041-1.134). The network model showed that there was no direct link between self-reported sleep bruxism and insomnia. However, there was an indirect link between self-reported sleep bruxism and insomnia via anxiety.

CONCLUSIONS

Although self-reported sleep bruxism has no direct association with insomnia, anxiety is a bridging factor between these variables.

摘要

目的

探讨自我报告的磨牙症与失眠之间的关联及其潜在危险因素（如抑郁和焦虑），并构建包含所有这些因素的网络模型。

方法

我们从荷兰睡眠登记处招募了2251名参与者。所有参与者都完成了关于自我报告的磨牙症、失眠、抑郁、焦虑、吸烟频率以及酒精和咖啡因摄入量的问卷调查。通过单因素分析、多因素逻辑回归和网络分析来分析自我报告的磨牙症与其他变量之间的关联。

结果

尽管单因素分析显示磨牙症与失眠之间存在正相关（P < 0.001），但在多因素逻辑回归模型中这种关联消失了（P = 0.258）。然而，多因素逻辑回归确实显示自我报告的磨牙症与焦虑之间存在关联（OR = 1.087，95%CI 1.041 - 1.134）。网络模型显示自我报告的磨牙症与失眠之间没有直接联系。然而，自我报告的磨牙症与失眠之间通过焦虑存在间接联系。