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报告有口面部疼痛的个体中疼痛、睡眠质量、磨牙症与患者个性之间的关系。

Relationship between pain, quality of sleep, sleep bruxism and patients' personality among individuals with reported orofacial pain.

作者信息

Orzeszek Sylwia, Martynowicz Helena, Smardz Joanna, Wojakowska Anna, Bombała Wojciech, Jenca Andrej, Więckiewicz Mieszko

机构信息

Department of Experimental Dentistry, Wroclaw Medical University, Wroclaw, Poland.

Clinical Department of Diabetology, Hypertension and Internal Diseases, Institute of Internal Diseases, Wroclaw Medical University, Wroclaw, Poland.

出版信息

Sci Rep. 2025 Jul 11;15(1):25009. doi: 10.1038/s41598-025-09978-w.

DOI:10.1038/s41598-025-09978-w
PMID:40640286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12246242/
Abstract

The study aimed to determine the relationship between personality traits, orofacial pain (OFP), and headache. Eligible patients underwent one-night videopolysomnography and completed a series of validated questionnaires assessing sleep quality (ISS- Insomnia Severity Scale, PSQI- Pittsburgh Sleep Quality Index, ESS- Epworth Sleepiness Scale), pain intensity (McGill Pain questionnaire, GCPS- Graded Chronic Pain Scale, HIT-6- Headache Impact Test-6, MIDAS- Migraine Disability Assessment, TMD pain screener- Temporomandibular Disorder pain screener), psychoemotional state (KPS- Sense of Stress Questionnaire, PHQ-9 - Patient Health Questionnaire-9, BDI- Beck Depression Inventory, BAI- Beck Anxiety Index, PSS-10- Perceived Stress Scale-10, GAD-7- Generalized Anxiety Disorder-7), personality traits (IPIP-BFM-20 -International Personality Item Pool- Big Five Markers- 20). Patients who exhibited nervousness and hypersensitivity reported higher perceived pain and greater negative impacts on work and daily activities (p = 0,000). Furthermore, a statistically significant relationship was found between subjective sleep quality and emotional stability scales (p = 0,001 for PSQI, p = 0,000 for ISI, p = 0,001 for ESS). However, no such relationship was observed for objective sleep quality, as measured by polysomnography (p > 0,05). The correlation between the emotional stability scale and each of the questionnaires used to examine anxiety, depression, and stress was very strong and corresponded to p = 0.000. Clinical Trial: Relationship Between Selected Parameters and Bruxism www.ClinicalTrials.gov, identifier NCT04214561.

摘要

该研究旨在确定人格特质、口面部疼痛(OFP)和头痛之间的关系。符合条件的患者接受了一晚的视频多导睡眠图检查,并完成了一系列经过验证的问卷,以评估睡眠质量(失眠严重程度量表ISS、匹兹堡睡眠质量指数PSQI、爱泼华嗜睡量表ESS)、疼痛强度(麦吉尔疼痛问卷、慢性疼痛分级量表GCPS、头痛影响测试-6 HIT-6、偏头痛残疾评估MIDAS、颞下颌关节紊乱疼痛筛查量表TMD疼痛筛查量表)、心理情绪状态(压力感问卷KPS、患者健康问卷-9 PHQ-9、贝克抑郁量表BDI、贝克焦虑指数BAI、感知压力量表-10 PSS-10、广泛性焦虑障碍-7 GAD-7)、人格特质(国际人格项目池-大五人格标记-20 IPIP-BFM-20)。表现出紧张和过敏的患者报告了更高的疼痛感知以及对工作和日常活动的更大负面影响(p = 0,000)。此外,在主观睡眠质量和情绪稳定量表之间发现了具有统计学意义的关系(PSQI的p = 0,001,ISI的p = 0,000,ESS的p = 0,001)。然而,通过多导睡眠图测量的客观睡眠质量未观察到这种关系(p > 0,05)。情绪稳定量表与用于检查焦虑、抑郁和压力的每个问卷之间的相关性非常强,且对应p = 0.000。临床试验:选定参数与磨牙症之间的关系,www.ClinicalTrials.gov,标识符NCT04214561。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49fc/12246242/7e4d77ca460e/41598_2025_9978_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49fc/12246242/7e4d77ca460e/41598_2025_9978_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49fc/12246242/7e4d77ca460e/41598_2025_9978_Fig1_HTML.jpg

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本文引用的文献

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Dent Med Probl. 2024 Jul-Aug;61(4):549-562. doi: 10.17219/dmp/177008.
2
Decrypting the putative interrelation between sleep bruxism, masticatory muscle pain and sleep breathing disorders: Nosology and the role of hypoxia.解析磨牙症、咀嚼肌疼痛和睡眠呼吸障碍之间的假定相互关系:命名法和缺氧的作用。
Dent Med Probl. 2024 Mar-Apr;61(2):165-167. doi: 10.17219/dmp/175686.
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Relationship between pain severity, satisfaction with life and the quality of sleep in Polish adults with temporomandibular disorders.
波兰成年人颞下颌关节紊乱症患者疼痛严重程度、生活满意度与睡眠质量的关系。
Dent Med Probl. 2023 Oct-Dec;60(4):609-617. doi: 10.17219/dmp/171894.
4
A case-control study on the effect of rhythmic masticatory muscle activity (RMMA) clusters on sleep fragmentation and severity of orofacial muscle pain in sleep bruxism.磨牙症患者咀嚼肌节律性活动簇对睡眠碎片化及口颌面部肌肉疼痛严重程度的病例对照研究
J Sleep Res. 2024 Aug;33(4):e14072. doi: 10.1111/jsr.14072. Epub 2023 Oct 20.
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Personality, psychosocial and oral behavioural risk factors for temporomandibular disorder symptoms in Asian young adults.亚洲年轻成年人的颞下颌关节紊乱症状的人格、心理社会和口腔行为危险因素。
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The Impact of Personality Traits on Patient Satisfaction after Telerehabilitation: A Comparative Study of Remote and Face-to-Face Musculoskeletal Rehabilitation during COVID-19 Lockdown.人格特质对远程康复后患者满意度的影响:COVID-19 封锁期间远程和面对面肌骨康复的比较研究。
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Determination of pain intensity, pain-related disability, anxiety, depression, and perceived stress in Polish adults with temporomandibular disorders: A prospective cohort study.波兰颞下颌关节紊乱症成年患者疼痛强度、疼痛相关功能障碍、焦虑、抑郁及感知压力的测定:一项前瞻性队列研究。
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Lower serotonin levels in severe sleep bruxism and its association with sleep, heart rate, and body mass index.严重睡眠磨牙症患者的血清素水平降低及其与睡眠、心率和体重指数的关系。
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