scholarly journals Effects of Clinical Characteristics on Sleep Quality in Patients with Chronic Temporomandibular Disorders

Author(s):  
Yeon-Hee Lee ◽  
Q-Schick Auh ◽  
Jung-Sub An ◽  
Tae Kim

Abstract Objectives: We aimed to investigate and compare sleep quality between patients with chronic temporomandibular disorder and healthy controls, and to analyze the association of sleep quality with disease characteristics, obstructive sleep apnea risk factors, and excessive daytime sleepiness. Methods: Chronic temporomandibular disorder patients (n=503) and 180 age- and sex-matched healthy controls were included, who completed well-organized clinical report and answered questions on sleep quality (Pittsburgh Sleep Quality Index), sleep apnea risk factors (STOP-Bang questionnaire), and excessive daytime sleepiness (Epworth sleepiness scale). Results: Mean global Pittsburgh Sleep Quality Index scores were significantly higher in the patients (6.25±2.77) than in healthy controls (6.25±2.77) (p<0.001). Poor sleep was significantly more prevalent in the patient group (56.9%) than in healthy controls (22.2%) (p<0.001). Compared with healthy controls, chronic temporomandibular disorder patients had a higher likelihood of obstructive sleep apnea (STOP-Bang total score ≥3; 7.2% vs. 16.1%; p<0.01) and higher excessive daytime sleepiness (Epworth sleepiness scale score ≥10; 12.8% vs. 19.7%; p<0.05). Age (odds ratio=2.551; p<0.001), female sex (odds ratio=1.885; p=0.007), total Epworth sleepiness scale score (odds ratio=1.839; p=0.014), and headache attributed to temporomandibular disorder (odds ratio=1.519; p=0.049) were the most powerful predictors of poor sleep (global Pittsburgh Sleep Quality Index score ≥5) in chronic temporomandibular disorder patients. Discussion: Chronic temporomandibular disorder patients had sleep quality impairment. Various factors, including peripheral and central factors, affect the patient's sleep quality. Therefore, in addition to sleep quality and sleep-related problems, the underlying central mechanism for poor sleep quality should be assessed when treating chronic temporomandibular disorder patients.

2021 ◽  
Author(s):  
Yeon-Hee Lee ◽  
Q-Schick Auh ◽  
Jung-Sub An ◽  
Tae Kim

Abstract Objectives: This study aimed to investigate and compare sleep quality between patients with chronic temporomandibular disorder and healthy controls, and to analyze the association of sleep quality with disease characteristics, obstructive sleep apnea risk factors, and excessive daytime sleepiness. Methods: Chronic temporomandibular disorder patients (n=503) and 180 age- and sex-matched healthy controls were included, who completed well-organized clinical report and answered questions on sleep quality (Pittsburgh Sleep Quality Index), sleep apnea risk factors (STOP-Bang questionnaire), and excessive daytime sleepiness (Epworth sleepiness scale). Results: Mean global Pittsburgh Sleep Quality Index scores were significantly higher in the patients (6.25±2.77) than in healthy controls (6.25±2.77) (p<0.001). Poor sleep was significantly more prevalent in the patient group (56.9%) than in healthy controls (22.2%) (p<0.001). Compared with healthy controls, chronic temporomandibular disorder patients had a higher likelihood of obstructive sleep apnea. (STOP-Bang total score ≥3; 7.2% vs. 16.1%; p<0.01) and higher excessive daytime sleepiness (Epworth sleepiness scale score ≥10; 12.8% vs. 19.7%; p<0.05). Age (odds ratio=2.551; p<0.001), female sex (odds ratio=1.885; p=0.007), total Epworth sleepiness scale score (odds ratio=1.839; p=0.014), and headache attributed to temporomandibular disorder (odds ratio=1.519; p=0.049) were the most powerful predictors of poor sleep (global Pittsburgh Sleep Quality Index score ≥5) in chronic temporomandibular disorder patients.Conclusion: Chronic temporomandibular disorder patients had sleep quality impairment. Various factors, including peripheral and central factors, affect the patient's sleep quality. Therefore, in addition to sleep quality and sleep-related problems, the underlying central mechanism for poor sleep quality should be assessed when treating chronic temporomandibular disorder patients.


Author(s):  
Yeon-Hee Lee ◽  
Q-Schick Auh ◽  
Jung-Sub An ◽  
Tae Kim

Objectives: This study aimed to investigate and compare sleep quality between patients with chronic temporomandibular disorder and healthy controls, and to analyze the association of sleep quality with disease characteristics, obstructive sleep apnea risk factors, and excessive daytime sleepiness. Methods: Chronic temporomandibular disorder patients (n=503) and 180 age- and sex-matched healthy controls were included, who completed well-organized clinical report and answered questions on sleep quality (Pittsburgh Sleep Quality Index), sleep apnea risk factors (STOP-Bang questionnaire), and excessive daytime sleepiness (Epworth sleepiness scale). Results: Mean global Pittsburgh Sleep Quality Index scores were significantly higher in the patients (6.25±2.77) than in healthy controls (6.25±2.77) (p&amp;lt;0.001). Poor sleep was significantly more prevalent in the patient group (56.9%) than in healthy controls (22.2%) (p&amp;lt;0.001). Compared with healthy controls, chronic temporomandibular disorder patients had a higher likelihood of obstructive sleep apnea. (STOP-Bang total score ≥3; 7.2% vs. 16.1%; p&amp;lt;0.01) and higher excessive daytime sleepiness (Epworth sleepiness scale score ≥10; 12.8% vs. 19.7%; p&amp;lt;0.05). Age (odds ratio=2.551; p&amp;lt;0.001), female sex (odds ratio=1.885; p=0.007), total Epworth sleepiness scale score (odds ratio=1.839; p=0.014), and headache attributed to temporomandibular disorder (odds ratio=1.519; p=0.049) were the most powerful predictors of poor sleep (global Pittsburgh Sleep Quality Index score ≥5) in chronic temporomandibular disorder patients. Conclusion: Chronic temporomandibular disorder patients had sleep quality impairment. Various factors, including peripheral and central factors, affect the patient's sleep quality. Therefore, in addition to sleep quality and sleep-related problems, the underlying central mechanism for poor sleep quality should be assessed when treating chronic temporomandibular disorder patients.


2019 ◽  
Vol 2 (4) ◽  
pp. 144-148
Author(s):  
Luthfi Aziz ◽  
Adi Hidayat

LATAR BELAKANGPekerja bergilir (shift workers) banyak dijumpai pada masyarakat industri dan mempunyai efek yang negatif terhadap kualitas tidur. Excessive daytime sleepiness (EDS) adalah gejala dari gangguan tidur berupa rasa kantuk pada siang hari yang berlebihan hingga mengganggu aktivitas. Gejala ini dapat menimbulkan dampak merugikan bagi pekerja dan perusahaan. Kualitas tidur, kerja shift, gaya hidup, usia dan jenis kelamin merupakan faktor risiko dari EDS. Seorang pekerja bergilir yang mengalami EDS memiliki risiko kecelakaan kerja yang tinggi. Penelitian ini dilakukan dengan tujuan untuk menentukan hubungan antara kualitas tidur dan EDS pada pekerja bergilir. METODEStudi ini menggunakan desain cross-sectional dengan jumlah subjek penelitian sebanyak 57 pekerja bergilir. Pengumpulan data mengenai usia dan jenis kelamin dilakukan dengan menggunakan kuesioner. Kualitas tidur diukur dengan kuesioner Pittsburgh sleep quality index (PSQI) dan Excessive daytime sleepiness (EDS) diukur dengan Epworth sleepiness scale (ESS). Data dianalisis menggunakan uji korelasi Spearman dan uji Mann Whitney. HASILHasil uji normalitas menunjukkan data yang dikumpulkan tidak tersebar secara normal. Nilai median subjek pekerja besarnya 27 tahun dan sebagian besar subjek adalah laki-laki sebanyak 44 (77.1%) orang.Tidak didapatkan perbedaan yang bermakna antara jenis kelamin dan EDS (p=0.396). Didapatkan hubungan yang sedang dan bermakna antara kualitas tidur dan EDS (r=0.545; 0=0.000). Usia subjek tidak berhubungan secara bermakna dengan EDS (r=0.124; p=0.359). KESIMPULANPenelitian ini menunjukkan hubungan bermakna antara kualitas tidur dan excessive daytime sleepiness pada pekerja, tetapi tidak terdapat perbedaan nilai median EDS antara laki-laki dan perempuan.


2017 ◽  
Vol 6 (1) ◽  
pp. 83-85
Author(s):  
Rajeeb Rajbhandari

Sleep apnea literally means “cessation of breath.” Sleep apnea is a common disorder in which we have one or more pauses in breathing or shallow breaths during our sleep. Breathing pauses can last from a few seconds to minutes. They often occur 5 to 30 times or more an hour. Typically, normal breathing then starts again, sometimes with a loud snort or choking sound. Sleep apnea usually is a chronic condition that disrupts sleep 3 or more nights each week. This results in poor sleep quality that makes one tired during the day. Sleep apnea is one of the leading causes of excessive daytime sleepiness. The airway can become obstructed at several possible sites like the excess tissue in the airway enlarged tonsils, a large tongue, the airway muscle which relaxes and collapses during sleep.


2021 ◽  
Vol 74 (7-8) ◽  
pp. 266-272
Author(s):  
Ramazan Erdem ◽  
Nazan Şimşek Erdem ◽  
Erdal Kurtoğlu

To investigate the quality of sleep and the presence of Restless Legs Syndrome (RLS) in the Turkish population with β-thalassemia major (TM). The second aim was to assess the risk factors of RLS in TM adults. The study sample comprised of 121 patients at least 18 years old with TM. The patients’ socio-demographic information, body mass indexes (BMI), current medications, laboratory data were recorded. The patients were asked if they had a history of chronic kidney disease, diabetes mellitus (DM), and polyneuropathy. Restless legs syndrome was diagnosed according to the International Restless Legs Syndrome Study Group criteria. The sleep quality of the patients was assessed using the Pittsburgh Sleep Quality Index (PSQI) scale. The Epworth Sleepiness Scale (ESS) was used to assess excessive daytime sleepiness in the patients. The median age of the patients was 25 years (range 18-52). The mean BMI was 21.49±2.5 (R 14-26.5) for all patients. The prevalence of RLS was 5% in TM adult patients. The TM patients with RLS had no major complications of TM. The median PSQI global score of all patients was 3. Twenty-two (18.1%) patients had poor sleep quality. The reason for poor sleep quality was RLS symptoms in four patients (18%). There was no significant association between PSQI total score and blood parameters of the patients. Twelve (9.9%) patients had ESS scores greater than 10, which indicates excessive daytime sleepiness. The prevalence of RLS in TM patients was similar to that of the general Turkish adult population. These results indicate that RLS may occur in patients with TM, although they had a high level of serum ferritin.


2020 ◽  
Vol Volume 12 ◽  
pp. 1105-1113
Author(s):  
José Carlos Nogueira Nóbrega-Júnior ◽  
Armèle Dornelas de Andrade ◽  
Erika Alves Marinho de Andrade ◽  
Maria do Amparo Andrade ◽  
Alice Santana Valadares Ribeiro ◽  
...  

Author(s):  
Thalyta Cristina Mansano-Schlosser ◽  
Maria Filomena Ceolim

ABSTRACT Objectives: to analyze the factors associated with poor sleep quality, its characteristics and components in women with breast cancer prior to surgery for removing the tumor and throughout the follow-up. Method: longitudinal study in a teaching hospital, with a sample of 102 women. The following were used: a questionnaire for sociodemographic and clinical characterization, the Pittsburgh Sleep Quality Index; the Beck Depression Inventory; and the Herth Hope Scale. Data collection covered from prior to the surgery for removal of the tumor (T0) to T1, on average 3.2 months; T2, on average 6.1 months; and T3, on average 12.4 months. Descriptive statistics and the Generalized Estimating Equations model were used. Results: depression and pain contributed to the increase in the score of the Pittsburgh Sleep Quality Index, and hope, to the reduction of the score - independently - throughout follow-up. Sleep disturbances were the component with the highest score throughout follow-up. Conclusion: the presence of depression and pain, prior to the surgery, contributed to the increase in the global score of the Pittsburgh Sleep Quality Index, which indicates worse quality of sleep throughout follow-up; greater hope, in its turn, influenced the reduction of the score of the Pittsburgh Sleep Quality Index.


2020 ◽  
Vol 70 (6) ◽  
pp. 1640-44
Author(s):  
Syed Sakhawat Kazmi ◽  
Zahid Hassan ◽  
Waseem Alamgir ◽  
Asif Hashmat ◽  
Muhammad Ali Yousaf ◽  
...  

Objective: To determine the frequency of poor sleep quality among the patients of Parkinson’s disease (PD) and analyze its relationship with the socio-demographic factors.Study Design: Correlational study. Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, from Jan 2019 to Jun 2019. Methodology: One hundred and fifty patients of Parkinson’s disease were approached to participate in this study. Pittsburgh sleep quality index (PSQI) was the psychometric tool used to assess the study parameter for the patients. Age, gender, duration of illness, poly pharmacy and tobacco smoking were corelated with presence of poor quality of sleep among the patients of Parkinson’s disease. Results: Out of 150 patients of Parkinson’s disease screened through Pittsburgh sleep quality index, 85 (56.7%)showed the presence of poor sleep quality while 65 (43.3%) had good sleep quality. Mean age of the patients was 66.2 ± 4.648 years. After applying the logistic regression, we found that increasing age and longer duration of illness had significant association with the presence of poor sleep quality among the patients of Parkinson disease. Conclusion: Previously considered a pure motor disorder, Parkinsonism has a lot of other neuro-psychiatricmanifestations as well. Poor sleep quality turned out to be one of these non-motor problems associated with this chronic debilitating illness. Increasing age and longer duration of illness among these patients emerged asindependent risk factors for poor sleep quality in Parkinsonism.


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