Influence of sleep quality on pain characteristics, anxiety symptoms and catastrophizing in patients with painful temporomandibular disorders treated in private orofacial pain clinic
Influência da qualidade do sono nas características da dor, sintomas de ansiedade e catastrofização em pacientes com disfunção temporomandibular dolorosa atendidos em clínica privada
Claudia Aparecida de Oliveira Machado; Camila Maria Bastos Machado Resende; Juliana Stuginski-Barbosa; Paulo Cezar Simamoto-Junior
Abstract
The sample was divided into poor sleep quality and good sleep quality based on PSQI scores. The Visual Analogue Scale (VAS) quantified pain intensity and the pain duration was recorded in months.
Keywords
Resumo
JUSTIFICATIVA E OBJETIVOS: Extensa literatura demonstrou que a má qualidade do sono, os sintomas de ansiedade e a catastrofização contribuem para o agravamento da disfunção temporomandibular (DTM). No entanto, a maioria dos estudos foi realizada em instituições públicas. Portanto, o objetivo deste estudo foi avaliar a influência da qualidade do sono nas características da dor e nos fatores psicológicos em pacientes com DTM dolorosa atendidos em uma clínica particular.
MÉTODOS: Este é um estudo transversal. Quarenta e quatro pacientes adultos selecionados de acordo com o Eixo I dos critérios diagnósticos de DTM (DC/TMD) responderam aos questionários Índice de Qualidade do Sono de Pittsburgh (PSQI); Escala de Catastrofização da Dor (PSC) e Escala de Transtorno de Ansiedade Generalizada (GAD-7). A amostra foi dividida em qualidade de sono bom e ruim de acordo com os escores do PSQI. A intensidade da dor foi mensurada através da Escala Analógica Visual (EAV) e a duração da dor foi registrada em meses.
RESULTADOS: De uma amostra de 44 indivíduos 63,64% dos pacientes apresentaram DTM Muscular (dor miofascial), 18,18% DTM articular (artralgia) e 18% ambos. 72,73% dos pacientes apresentavam dor há mais 6 de meses. Os pacientes que relataram má qualidade do sono apresentaram mais sintomas de ansiedade (p=0,009) e pensamentos catastróficos relacionados à dor (p=0,006); destes, 93,7% apresentavam dor há mais de 6 meses. Houve correlações negativas entre idade e intensidade da dor e entre idade e sintomas de ansiedade.
CONCLUSÃO: A má qualidade do sono foi significativamente associada à ansiedade, à catastrofização e à duração da dor em pacientes com DTM atendidos em clínica privada.
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References
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Submitted date:
03/31/2024
Accepted date:
06/13/2024
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