Influence of anxiety on the presence of temporomandibular dysfunction and sleep disorders in adult patients

Authors

DOI:

https://doi.org/10.33448/rsd-v12i7.42632

Keywords:

Temporomandibular Joint Dysfunction Syndrome; Anxiety; Sleep disorders.

Abstract

The aim of this study was to evaluate the influence of anxiety on the presence of TMD and sleep disorders in adults by using regression and correlation. The methodology applied consisted of a quantitative cross-sectional study, where 113 patients aged between 20 and 45 years, with one or more symptoms of anxiety and/or temporomandibular dysfunction and/or sleep disorders. Volunteers answered the Beck-BAI, RDC/TMD and Fletcher & Luckett questionnaires for symptom analysis. The results showed that anxiety had a statistically significant influence on all evaluated variables of TMD and sleep disorders. Thus, it was concluded that the signs and symptoms of TMD and sleep disorders are influenced by anxiety.

References

Beck, A. T., Epstein, N., Brown, G. & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology 56(6), 893-897.

Beddis, H., Pemberton, M., & Davies, S. (2018) Sleep bruxism: an overview for clinicians. Br Dent J. 225(6), 497-501.

Benarroch, E. E. (2018). Locus coeruleus. Cell and Tissue Research. 373(1), 221–232.

Benassi, G. F., Mariotto, L. G. S, Botelho, A. L., Valente, M. L. D. C., & Reis, A. C. D. (2022). Relationship between temporomandibular dysfunctions, sleep disorders, and anxiety among dentistry students. Cranio. 40(3), 258-261.

Borodovitsyna, O., Joshi, N., & Chandler, D. (2018). Persistent Stress-Induced Neuroplastic Changes in the Locus Coeruleus/Norepinephrine System. Neural Plasticity. 2018.

Conti, P. C., Pinto-Fiamengui, L. M., Cunha, C. O., & Conti, A. C. (2012). Orofacial pain and temporomandibular disorders: the impact on oral health and quality of life. Braz Oral Res. 26(1), 120-123.

Dahl, M. J., Mather, M., & Werkle-Bergner, M. (2022). Noradrenergic modulation of rhythmic neural activity shapes selective attention. Trends in Cognitive Sciences. 26(1), 38–52.

Dutra Dias, H., Botelho, A. L., Bortoloti, R., & Reis, A. C. (2021). Neuroscience contributes to the understanding of the neurobiology of temporomandibular disorders associated with stress and anxiety. Cranio. 13, 1-6.

Ekici Ö. (2020). Association of stress, anxiety, and depression levels with sleep quality in patients with temporomandibular disorders. Cranio. 19, 1-9.

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Fernandes Azevedo, A. B., Câmara-Souza, M. B., Dantas, I. S., Resende, C. M. B. M., & Barbosa, G. A. S. (2018). Relationship between anxiety and temporomandibular disorders in dental students. Cranio. 36(5), 300-303.

Fletcher, E. C. & Luckett, R. A. (1991). The effect of positive reinforcement on hourly compliance in nasal continuous positive airway pressure users with obstructive sleep apnea. The American Review of Respiratory Disease, 143(51), 936–941.

Florjański, W. & Orzeszek, S. (2021). Role of mental state in temporomandibular disorders: A review of the literature. Dental and Medical Problems, 58(1), 127–133.

Giovanni, A. & Giorgia A. (2021). The neurophysiological basis of bruxism. Heliyon. 7(7), e07477.

Golanska, P., Saczuk, K., Domarecka, M., Kuć, J., Lukomska-& Szymanska, M. (2021) Temporomandibular Myofascial Pain Syndrome-Aetiology and Biopsychosocial Modulation. A Narrative Review. Int J Environ Res Public Health. 18(15), 7807.

He, S., Li, F., Gu, T., Ma, H., Li, X., Zou, S., Huang, X., Lui, S., Gong, Q., & Chen, S. (2018). Reduced corticostriatal functional connectivity in temporomandibular disorders. Hum Brain Mapp. 39(6), 2563-2572.

Hotta, T. H., Vicente, M. F., Reis, A. C., Bezzon, O. L., Bataglion, C., & Bataglion, A. (2003). Combination therapies in the treatment of temporomandibular disorders: a clinical report. J Prosthet Dent. 89(6), 536-539.

Hung, C. I., Liu, C. Y., Yang, C. H., & Wang S. J. (2016). Headache: an important factor associated with muscle soreness/pain at the two-year follow-up point among patients with major depressive disorder. J. Headache Pain. 17, 57.

Kalamir, A., Pollard, H., Vitiello, A. L., & Bonello, R. (2007). TMD and the problem of bruxism. A review. Journal of Bodywork and Movement Therapies. 11(3), 183–193.

Kessing, L. V., Willer, I. S., & Knorr, U. (2011). Volume of the adrenal and pituitary glands in depression. Psychoneuroendocrinology. 36(1), 19-27.

List, T. & Jensen, R. H. (2017). Temporomandibular disorders: Old ideas and new concepts. Cephalalgia. 37(7), 692-704.

Liu, X., Zhou, K. X., Yin, N. N. et al. (2019) Malocclusion Generates Anxiety-Like Behavior Through a Putative Lateral Habenula-Mesencephalic Trigeminal Nucleus Pathway. Front Mol Neurosci. 30(12), 174.

Manfredini, D. & Lobbezoo, F. (2021). Sleep bruxism and temporomandibular disorders: A scoping review of the literature. J Dent. 111:103711.

Manfredini, D., Poggio, A. B., Cantini, E., Dell’Osso, L., & Bosco, M. (2004). Mood and anxiety psychopathology and temporomandibular disorder: a spectrum approach. Journal of Oral Rehabilitation, 31(10), 933–940.

Morris, L. S., McCall, J. G., Charney, D. S., & Murrough, J. W. (2020). The role of the locus coeruleus in the generation of pathological anxiety. Brain and Neuroscience Advances. 4, 2398212820930321.

Nadendla L. K., Meduri V., Paramkusam G., & Pachava K. R. (2014). Evaluation of salivary cortisol and anxiety levels in myofascial pain dysfunction syndrome. Korean J. Pain 27, 30–34.

Ohrbach, R. & Michelotti, A. (2018). The Role of Stress in the Etiology of Oral Parafunction and Myofascial Pain. Oral and Maxillofacial Surgery Clinics of North America. 30(3), 369–379.

Pala Mendes, A. T., Tardelli, J. D. C., Botelho, A. L., & Reis, A. C. (2022). Is there any association between sleep disorder and temporomandibular joint dysfunction in adults? - A systematic review. Cranio. 20, 1-12.

Patel, S., Rahmani, B., Gandhi, J. et al. (2020). Revisiting the pineal gland: a review of calcification, masses, precocious puberty, and melatonin functions. Int J Neurosci. 130(5), 464-475.

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM.

Reis, A. C., Hotta, T. H., Ferreira-Jeronymo, R. R., de Felício, C. M., & Ribeiro, R. F. (2000). Ear symptomatology and occlusal factors: a clinical report. J Prosthet Dent. 83(1), 21-24.

Schiffman, E., Ohrbach, R., Truelove, E., et al. (2014). Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group†. Journal of Oral & Facial Pain and Headache, 28(1), 6–27.

Severino, A. J. (2018). Metodologia do trabalho científico. Ed. Cortez.

Uehara, L. M., Tardelli, J. D. C., Botelho, A. L., Valente, M. L. D. C., & Reis, A. C. (2023). Association between depression and temporomandibular dysfunction in adults - a systematic review. Cranio. 6, 1-7.

Van Egroo, M., Koshmanova, E., Vandewalle, G., & Jacobs, H. I. L. (2022). Importance of the locus coeruleus-norepinephrine system in sleep-wake regulation: Implications for aging and Alzheimer’s disease. Sleep Medicine Reviews. 62, 101592.

Weissman-Fogel, I., Moayedi, M., Tenenbaum, H. C., Goldberg, M. B., Freeman, B. V, & Davis, K. D. (2011). Abnormal cortical activity in patients with temporomandibular disorder evoked by cognitive and emotional tasks. Pain. 152(2), 384–396.

Wieckiewicz, M., Zietek, M., Smardz, J., Zenczak-Wieckiewicz, D., & Grychowska, N. (2017) Mental Status as a Common Factor for Masticatory Muscle Pain: A Systematic Review. Front Psychol. 8, 646.

Yap, A. U., & Marpaung, C. (2021). Severity and form of temporomandibular disorder symptoms: Functional, physical, and psychosocial impacts. Cranio. 1, 1–8.

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Published

19/07/2023

How to Cite

DIAS, H. D. .; SAHM, B. D.; SILVA, J. M. C. .; VALENTE, M. L. da C. .; BORTOLOTI, R. .; REIS, A. C. dos . Influence of anxiety on the presence of temporomandibular dysfunction and sleep disorders in adult patients. Research, Society and Development, [S. l.], v. 12, n. 7, p. e9812742632, 2023. DOI: 10.33448/rsd-v12i7.42632. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/42632. Acesso em: 22 dec. 2024.

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Section

Health Sciences