Department of Experimental Dentistry, Outpatient Clinic for Temporomandibular Disorders, Wroclaw Medical University, Poland.
Clinical Department of Internal and Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, Poland.
Dent Med Probl. 2024 Jul-Aug;61(4):549-562. doi: 10.17219/dmp/177008.
Sleep is a physiological function essential for survival, recovery, tissue repair, memory consolidation, and brain function. Pain is also an indispensable aspect of human life. The coexistence of sleep disorders and pain is often described in the literature, yet it is critical to define sleep not only subjectively but also using objective instrumental methods, such as polysomnography, that provide data on sleep quality.
The aim of the study was to determine the relationship between orofacial pain (OFP), headache (HA) and sleep quality using subjective and objective sleep quality assessment methods. Additionally, we aimed to explore whether poor sleep quality was related to OFP and HA alone or was influenced by the coexistence of psycho-emotional factors such as depression, anxiety and stress.
A single-night video-polysomnography was performed on patients from the Outpatient Clinic for Temporomandibular Disorders at Wroclaw Medical University, Poland, who had been diagnosed with OFP and HA. Additionally, questionnaires were employed to assess sleep quality, pain, HA, and the psycho-emotional state.
There was no statistically significant relationship between the severity of OFP and HA and polysomnographic sleep quality parameters. On the other hand, the quality of sleep as determined by questionnaire studies correlated markedly with the severity of experienced pain. The severity of pain was found to be significantly correlated with depression, anxiety and perceived stress scores.
The psycho-emotional aspects are of critical importance in the perception of OFP and HA. They can be associated with worsened subjective sleep quality, insomnia or daytime sleepiness. Therefore, the treatment of such patients must be preceded by a comprehensive assessment of their psychoemotional state, as anxiety, stress and depression can significantly influence the course of the disease and the response to treatment procedures.
睡眠是一种对生存、恢复、组织修复、记忆巩固和大脑功能至关重要的生理功能。疼痛也是人类生活中不可或缺的一部分。文献中经常描述睡眠障碍和疼痛共存，但关键是不仅要主观地定义睡眠，还要使用客观的仪器方法，如多导睡眠图，提供关于睡眠质量的数据。
本研究旨在使用主观和客观睡眠质量评估方法来确定口腔颌面部疼痛（OFP）、头痛（HA）和睡眠质量之间的关系。此外，我们还旨在探讨睡眠质量差是否仅与 OFP 和 HA 有关，还是受到抑郁、焦虑和压力等心理情绪因素的共同影响。
对来自波兰弗罗茨瓦夫医科大学颞下颌关节紊乱门诊的患者进行了单晚视频多导睡眠图检查，这些患者被诊断为 OFP 和 HA。此外，还使用问卷评估睡眠质量、疼痛、HA 和心理情绪状态。
OFP 和 HA 的严重程度与多导睡眠图睡眠质量参数之间没有统计学上的显著关系。另一方面，通过问卷调查研究确定的睡眠质量与经历疼痛的严重程度明显相关。疼痛的严重程度与抑郁、焦虑和感知压力评分显著相关。
心理情绪因素在 OFP 和 HA 的感知中至关重要。它们可能与主观睡眠质量恶化、失眠或白天嗜睡有关。因此，在治疗此类患者之前，必须全面评估其心理情绪状态，因为焦虑、压力和抑郁会显著影响疾病的进程和对治疗程序的反应。
