Güzel Ceylan, Erten Fatma Dilek, Seyidoğlu Ayda, Münevveroğlu Sümer
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul Medipol University, Istanbul, Türkiye.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Graduate School of Health Sciences, Istanbul Medipol University, Istanbul, Türkiye.
BMC Oral Health. 2025 Jul 15;25(1):1164. doi: 10.1186/s12903-025-06568-0.
This study aims to examine the association between video game addiction stress levels, and both awake and sleep bruxism in adolescents. Given the increasing prevalence of digital addiction among young populations, understanding its potential impact on oral health is essential.
A cross-sectional study was conducted with 300 adolescents aged 10–19 years. Participants completed an online survey assessing video game addiction using the short form of the Digital Game Addiction Scale − 21 (DGAS-21), stress levels using the Perceived Stress Scale (PSS), and bruxism through self-reported questionnaires based on the American Academy of Sleep Medicine (AASM) criteria. Statistical analyses included chi-square tests, independent t-tests, and point-biserial correlation analysis. A significance level of ≤ 0.05 was considered statistically significant.
The prevalence of video game addiction in the sample was 50.3% ( = 151), with males significantly more affected than females ( < 0.05). Participants with video game addiction exhibited higher stress levels compared to non-addicted individuals ( < 0.001). A statistically significant association was found between video game addiction and both awake bruxism ( = 0.31, < 0.001) and sleep bruxism ( = 0.28, < 0.001). However, stress levels were not significantly correlated with bruxism ( > 0.05), suggesting that factors beyond stress may contribute to this relationship.
These findings indicate that video game addiction is associated with an increased likelihood of both awake and sleep bruxism in adolescents. However, the nature of this relationship remains unclear. Further longitudinal and experimental studies incorporating objective bruxism assessments are necessary to clarify potential causal mechanisms. Preventive measures focusing on digital well-being and stress management strategies should be considered in adolescent healthcare interventions.
The online version contains supplementary material available at 10.1186/s12903-025-06568-0.
本研究旨在探讨青少年电子游戏成瘾、压力水平与觉醒性和睡眠性磨牙症之间的关联。鉴于数字成瘾在年轻人群中的患病率不断上升，了解其对口腔健康的潜在影响至关重要。
对300名年龄在10至19岁的青少年进行了一项横断面研究。参与者通过填写在线调查问卷来评估电子游戏成瘾情况（使用数字游戏成瘾量表简版-21，即DGAS-21）、压力水平（使用感知压力量表，即PSS），并根据美国睡眠医学学会（AASM）标准通过自我报告问卷来评估磨牙症情况。统计分析包括卡方检验、独立样本t检验和点二列相关分析。显著性水平≤0.05被认为具有统计学意义。
样本中电子游戏成瘾的患病率为50.3%（n = 151），男性受影响的程度显著高于女性（p < 0.05）。与未成瘾个体相比，电子游戏成瘾的参与者表现出更高的压力水平（p < 0.001）。在电子游戏成瘾与觉醒性磨牙症（r = 0.31，p < 0.001）和睡眠性磨牙症（r = 0.28，p < 0.001）之间均发现了具有统计学意义的关联。然而，压力水平与磨牙症之间无显著相关性（p > 0.05），这表明除压力之外的因素可能促成了这种关系。
这些研究结果表明，电子游戏成瘾与青少年觉醒性和睡眠性磨牙症的发生可能性增加有关。然而，这种关系的本质尚不清楚。有必要进行进一步的纵向和实验研究，并纳入客观的磨牙症评估，以阐明潜在的因果机制。在青少年医疗保健干预中，应考虑侧重于数字健康和压力管理策略的预防措施。
在线版本包含可在10.1186/s12903-025-06568-0获取的补充材料。
