DOI QR코드

DOI QR Code

The Relationship between Sleep Quality and Clinical Features of Adolescents with Temporomandibular Disorder

  • Park, Yang Mi (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Lee, Sunhee (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Kim, Kyung-Hee (Department of Oral Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Ahn, Yong-Woo (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Jeong, Sung-Hee (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Ok, Soo-Min (Department of Oral Medicine, School of Dentistry, Pusan National University)
  • Received : 2018.03.09
  • Accepted : 2018.04.06
  • Published : 2018.06.30

Abstract

Purpose: Many researchers have established a connection between sleep disturbances and the symptoms of temporomandibular disorder (TMD) in adults, but there are a few studies targeted at adolescents with TMD. The aim of this study was to analyze the sleep pattern of adolescents with TMD and to determine the effect of poor sleep quality on their clinical symptoms. Methods: The subjects were composed of 47 adolescents with TMD. The sleep pattern and preliminary information of patients were measured by self-reported questionnaires; Pittsburgh Sleep Quality Index (PSQI) and Questionnaire for TMD analysis. TMD pain was scored using the Numerical Rating Scale. The Kruskal-Wallis test, Mann-Whitney U test, Fisher's exact test and logistic regression were used for statistical analysis. Results: The poor sleeping group had statistically more females (25.00% males, 75.00% females) than the good sleeping group. As compared with that of good sleepers, sleep quality of poor sleepers was significantly worse in the items of subjective sleep quality, sleep latency, sleep duration, sleep disturbances, daytime dysfunction and global PSQI score. The sleep time of adolescents was much longer during vacation ($7.20{\pm}1.38hours$) than during school days ($6.10{\pm}1.26hours$). Poor sleep of patients was associated with the pain in the ear or in front of the ear, in the face, jaw, throat or temple and in neck or back. Adolescents with pain in those areas had significantly higher proportion of poor sleepers than adolescents with no pain in those areas. Conclusions: The high ratio of girls in poor sleeping group could reflect the greater prevalence of TMD in women than in men. Pain in peri-temporomandibular joint areas, neck or back could negatively influence sleep quality of adolescents with TMD.

Keywords

Adolescent;Pain;Questionnaires;Sleep;Temporomandibular joint disorders

References

  1. Lei J, Liu MQ, Yap AU, Fu KY. Sleep disturbance and psychologic distress: prevalence and risk indicators for temporomandibular disorders in a Chinese population. J Oral Facial Pain Headache 2015;29:24-30. https://doi.org/10.11607/ofph.1301
  2. Nicassio PM, Moxham EG, Schuman CE, Gevirtz RN. The contribution of pain, reported sleep quality, and depressive symptoms to fatigue in fibromyalgia. Pain 2002;100:271-279. https://doi.org/10.1016/S0304-3959(02)00300-7
  3. Morin CM, Gibson D, Wade J. Self-reported sleep and mood disturbance in chronic pain patients. Clin J Pain 1998;14:311-314. https://doi.org/10.1097/00002508-199812000-00007
  4. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  5. Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM, Colantonio A. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: a systematic review and meta-analysis. Sleep Med Rev 2016;25:52- 73. https://doi.org/10.1016/j.smrv.2015.01.009
  6. de la Vega R, Tome-Pires C, Sole E, et al. The Pittsburgh Sleep Quality Index: Validity and factor structure in young people. Psychol Assess 2015;27:e22-e27. https://doi.org/10.1037/pas0000128
  7. Ji X, Liu J. Subjective sleep measures for adolescents: a systematic review. Child Care Health Dev 2016;42:825-839. https://doi.org/10.1111/cch.12376
  8. Solberg WK. Temporomandibular disorders: data collection and examination. Br Dent J 1986;160:317-322. https://doi.org/10.1038/sj.bdj.4805852
  9. Liu Y, Tanaka H; Fukuoka Heart Study Group. Overtime work, insufficient sleep, and risk of non-fatal acute myocardial infarction in Japanese men. Occup Environ Med 2002;59:447-451. https://doi.org/10.1136/oem.59.7.447
  10. Punjabi NM, Shahar E, Redline S, Gottlieb DJ, Givelber R, Resnick HE; Sleep Heart Health Study Investigators. Sleep-disordered breathing, glucose intolerance, and insulin resistance: the Sleep Heart Health Study. Am J Epidemiol 2004;160:521-530. https://doi.org/10.1093/aje/kwh261
  11. Kohatsu ND, Tsai R, Young T, et al. Sleep duration and body mass index in a rural population. Arch Intern Med 2006;166:1701- 1705. https://doi.org/10.1001/archinte.166.16.1701
  12. Lei J, Fu J, Yap AU, Fu KY. Temporomandibular disorders symptoms in Asian adolescents and their association with sleep quality and psychological distress. Cranio 2016;34:242-249. https://doi.org/10.1179/2151090315Y.0000000021
  13. Ojio Y, Nishida A, Shimodera S, Togo F, Sasaki T. Sleep duration associated with the lowest risk of depression/anxiety in adolescents. Sleep 2016;39:1555-1562. https://doi.org/10.5665/sleep.6020
  14. LeResche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997;8:291-305. https://doi.org/10.1177/10454411970080030401
  15. Wang J, Chao Y, Wan Q, Zhu Z. The possible role of estrogen in the incidence of temporomandibular disorders. Med Hypotheses 2008;71:564-567. https://doi.org/10.1016/j.mehy.2008.05.011
  16. Ghurye S, McMillan R. Pain-related temporomandibular disorder - current perspectives and evidence-based management. Dent Update 2015;42:533-536, 539-542, 545-546.
  17. Drangsholt M, LeResche L. Temporomandibular disorder pain. In: Crombie IK, Croft PR, Linton SJ, LeResche L, Von Korff M, eds. Epidemiology of pain. Seattle: IASP Press; 1999. pp. 203-233.
  18. Nilsson IM. Reliability, validity, incidence and impact of temporormandibular pain disorders in adolescents. Swed Dent J Suppl 2007;(183):7-86.
  19. Ribeiro-Dasilva MC, Fillingim RB, Wallet SM. Estrogen-induced monocytic response correlates with TMD pain: a case control study. J Dent Res 2017;96:285-291. https://doi.org/10.1177/0022034516678599
  20. Abrahamsen R, Zachariae R, Svensson P. Effect of hypnosis on oral function and psychological factors in temporomandibular disorders patients. J Oral Rehabil 2009;36:556-570. https://doi.org/10.1111/j.1365-2842.2009.01974.x
  21. Song KW, Kim ME. Sleep quality of patients with temporoman- dibular disorders: relationship to clinical and psychological characteristics. J Oral Med Pain 2015;40:155-162. https://doi.org/10.14476/jomp.2015.40.4.155
  22. Johansson AE, Petrisko MA, Chasens ER. Adolescent sleep and the impact of technology use before sleep on daytime function. J Pediatr Nurs 2016;31:498-504. https://doi.org/10.1016/j.pedn.2016.04.004
  23. Group ASW. School start times for adolescents. Pediatrics 2014; 134:642-649. https://doi.org/10.1542/peds.2014-1697
  24. Gradisar M, Gardner G, Dohnt H. Recent worldwide sleep patterns and problems during adolescence: a review and meta-analysis of age, region, and sleep. Sleep Med 2011;12:110-118. https://doi.org/10.1016/j.sleep.2010.11.008
  25. Finan PH, Goodin BR, Smith MT. The association of sleep and pain: an update and a path forward. J Pain 2013;14:1539-1552. https://doi.org/10.1016/j.jpain.2013.08.007
  26. Vazquez-Delgado E, Schmidt JE, Carlson CR, DeLeeuw R, Okeson JP. Psychological and sleep quality differences between chronic daily headache and temporomandibular disorders patients. Cephalalgia 2004;24:446-454. https://doi.org/10.1111/j.1468-2982.2004.00698.x
  27. Riley JL 3rd, Benson MB, Gremillion HA, et al. Sleep disturbance in orofacial pain patients: pain-related or emotional distress? Cranio 2001;19:106-113. https://doi.org/10.1080/08869634.2001.11746159
  28. Hirsch C, Hoffmann J, Türp JC. Are temporomandibular disorder symptoms and diagnoses associated with pubertal development in adolescents? An epidemiological study. J Orofac Orthop 2012;73:6-8, 10-18.
  29. Janal MN, Raphael KG, Nayak S, Klausner J. Prevalence of myofascial temporomandibular disorder in US community women. J Oral Rehabil 2008;35:801-809. https://doi.org/10.1111/j.1365-2842.2008.01854.x
  30. Suvinen TI, Reade PC, Kemppainen P, Kononen M, Dworkin SF. Review of aetiological concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Eur J Pain 2005;9:613-633. https://doi.org/10.1016/j.ejpain.2005.01.012
  31. LeResche L, Mancl LA, Drangsholt MT, Saunders K, Von Korff M. Relationship of pain and symptoms to pubertal development in adolescents. Pain 2005;118:201-209. https://doi.org/10.1016/j.pain.2005.08.011
  32. Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health 2015;1:40-43. https://doi.org/10.1016/j.sleh.2014.12.010
  33. Olds T, Blunden S, Petkov J, Forchino F. The relationships between sex, age, geography and time in bed in adolescents: a meta-analysis of data from 23 countries. Sleep Med Rev 2010;14:371-378. https://doi.org/10.1016/j.smrv.2009.12.002
  34. Diatchenko L, Nackley AG, Slade GD, Fillingim RB, Maixner W. Idiopathic pain disorders-pathways of vulnerability. Pain 2006;123:226-230. https://doi.org/10.1016/j.pain.2006.04.015
  35. Smith MT, Wickwire EM, Grace EG, et al. Sleep disorders and their association with laboratory pain sensitivity in temporomandibular joint disorder. Sleep 2009;32:779-790. https://doi.org/10.1093/sleep/32.6.779
  36. Lindroth JE, Schmidt JE, Carlson CR. A comparison between masticatory muscle pain patients and intracapsular pain patients on behavioral and psychosocial domains. J Orofac Pain 2002;16:277-283.
  37. Yatani H, Studts J, Cordova M, Carlson CR, Okeson JP. Comparison of sleep quality and clinical and psychologic characteristics in patients with temporomandibular disorders. J Orofac Pain 2002;16:221-228.
  38. Bertoli E, de Leeuw R, Schmidt JE, Okeson JP, Carlson CR. Prevalence and impact of post-traumatic stress disorder symptoms in patients with masticatory muscle or temporomandibular joint pain: differences and similarities. J Orofac Pain 2007;21:107-119.
  39. Porto F, de Leeuw R, Evans DR, et al. Differences in psychosocial functioning and sleep quality between idiopathic continuous orofacial neuropathic pain patients and chronic masticatory muscle pain patients. J Orofac Pain 2011;25:117-124.
  40. Rener-Sitar K, John MT, Pusalavidyasagar SS, Bandyopadhyay D, Schiffman EL. Sleep quality in temporomandibular disorder cases. Sleep Med 2016;25:105-112. https://doi.org/10.1016/j.sleep.2016.06.031
  41. Zee PC, Turek FW. Sleep and health: everywhere and in both directions. Arch Intern Med 2006;166:1686-1688. https://doi.org/10.1001/archinte.166.16.1686
  42. Carskadon MA, Dement WC. Normal human sleep: an overview. In: Kryger MH, Roth T, Dement WC, eds. Principles and practice of sleep medicine. 5th ed. St. Louis: Elsevier saunders; 2011. pp. 16-26.
  43. Schwartz S, McDowell Anderson W, et al. Insomnia and heart disease: a review of epidemiologic studies. J Psychosom Res 1999;47:313-333. https://doi.org/10.1016/S0022-3999(99)00029-X
  44. Gangwisch JE, Heymsfield SB, Boden-Albala B, et al. Short sleep duration as a risk factor for hypertension: analyses of the first National Health and Nutrition Examination Survey. Hypertension 2006;47:833-839. https://doi.org/10.1161/01.HYP.0000217362.34748.e0
  45. Gangwisch JE, Heymsfield SB, Boden-Albala B, et al. Sleep duration as a risk factor for diabetes incidence in a large U.S. sample. Sleep 2007;30:1667-1673. https://doi.org/10.1093/sleep/30.12.1667
  46. Yaggi HK, Araujo AB, McKinlay JB. Sleep duration as a risk factor for the development of type 2 diabetes. Diabetes Care 2006;29:657-661. https://doi.org/10.2337/diacare.29.03.06.dc05-0879
  47. Steptoe A, Peacey V, Wardle J. Sleep duration and health in young adults. Arch Intern Med 2006;166:1689-1692. https://doi.org/10.1001/archinte.166.16.1689
  48. Matricciani L, Blunden S, Rigney G, Williams MT, Olds TS. Children's sleep needs: is there sufficient evidence to recommend optimal sleep for children? Sleep 2013;36:527-534. https://doi.org/10.5665/sleep.2538