Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction

Ekici, Omer

doi:10.4274/jtsm.galenos.2021.16878

Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction

Ömer EKİCİ (Afyonkarahisar Sağlık Bilimleri Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi Anabilim Dalı, Afyonkarahisar, Türkiye)

Türk Uyku Tıbbı Dergisi

2 0

Yıl: 2021 Cilt: 8 Sayı: 1 Sayfa Aralığı: 67 - 72 Metin Dili: İngilizce DOI: 10.4274/jtsm.galenos.2021.16878 İndeks Tarihi: 23-01-2022

Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction

Öz:

Objective: Craniofacial pain and sleep are interrelated: Pain can cause sleep problems, and sleep problems can worsen pain. This study aimed to establish the relationship between chronic pain and sleep quality among patients with temporomandibular disorders (TMDs). Materials and Methods: The study was carried out in patients with TMDs who sought care at the oral and maxillofacial surgery clinic of a faculty of dentistry. This study included a total of 337 patients diagnosed with TMD according to the Research diagnostic criteria for TMDs. TMD pain was evaluated using the graded chronic pain scale, and their sleep quality was assessed with the Pittsburgh Sleep Quality index (PSQI). Results: The mean PQQI index score of all participants was 6.54. No significant difference was found between the PSQI scores in terms of sociodemographic variables. The sleep quality of the participants varied significantly according to the pain levels. This difference was observed both in total sleep quality scores and in each of the seven components of sleep quality (p<0.001 and p<0.005, respectively). In this study, sleep disturbance components with the highest scores were ‘‘sleep disturbances (1.5±0.65)’’, ‘‘sleep latency (1.42±0.86)’’ and ‘‘subjective sleep quality (1.21±0.68)’’. Conclusion: The findings of this study reveal that the quality of sleep decreased as the level of pain increased, that is, PSQI scores and all subcomponent scores are also increased. These findings indicate that physicians treating patients with TMD pain should investigate their quality of sleep

Anahtar Kelime:

Temporomandibular Eklem Disfonksiyonu Olan Hastalarda Kronik Ağrı ve Uyku Kalitesi İlişkisi

Öz:

Amaç: Kraniyofasiyal ağrı ve uyku birbiriyle ilişkilidir: Ağrı uyku sorunlarına neden olabilir, uyku sorunları ağrıyı kötüleştirebilir. Bu çalışmanın amacı, temporo-mandibular eklem bozukluğu olan hastalarda kronik ağrı ile uyku kalitesi arasındaki ilişkiyi belirlemektir. Gereç ve Yöntem: Çalışma bir diş hekimliği fakültesi ağız ve çene cerrahisi kliniğine tedavi için başvuran Temporomandibular bozukluk (TMD) hastaları ile gerçekleştirilmiştir. TMD’ler için araştırma tanı kriterlerine (ATK/TMD) göre TME bozukluğu tanısı alan 337 hasta çalışmaya dahil edildi. Hastaların TMD ağrıları Dereceli Kronik Ağrı ölçeği ile, uyku kaliteleri Pittsburgh Uyku Kalitesi indeksi (PUKİ) ile değerlendirildi. Bulgular: Tüm katılımcıların ortalama PUKİ puanı 6,54 idi. Katılımcıların PUKİ puanları arasında sosyodemografik değişkenler açısından anlamlı bir fark yoktu. Katılımcıların ağrı düzeylerine göre uyku kaliteleri önemli derecede değişti. Bu fark hem toplam uyku kalitesi puanlarında hem de uyku kalitesinin 7 bileşeninin her birinde gözlendi (sırasıyla p<0,001 ve p<0,005). Bu çalışmada, en yüksek uyku bozukluğu bileşenleri ‘‘uyku bozuklukları (1,5±0,65)’’, ‘‘uyku gecikmesi (1,42±0,86)’’ ve ‘‘öznel uyku kalitesi (1,21±0,68)’’ idi. Sonuç: Çalışma bulgularına göre ağrı düzeyi arttıkça, uyku kalitesi azaldı yani toplam PUKİ puanları ve tüm alt bileşen puanları yükseldi. Bu bulgular, TMD ağrısı olan hastaları tedavi eden hekimlerin uyku kalitelerini araştırması gerektiğini göstermektedir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Ekici O (2021). Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction. , 67 - 72. 10.4274/jtsm.galenos.2021.16878
Chicago	Ekici Omer Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction. (2021): 67 - 72. 10.4274/jtsm.galenos.2021.16878
MLA	Ekici Omer Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction. , 2021, ss.67 - 72. 10.4274/jtsm.galenos.2021.16878
AMA	Ekici O Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction. . 2021; 67 - 72. 10.4274/jtsm.galenos.2021.16878
Vancouver	Ekici O Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction. . 2021; 67 - 72. 10.4274/jtsm.galenos.2021.16878
IEEE	Ekici O "Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction." , ss.67 - 72, 2021. 10.4274/jtsm.galenos.2021.16878
ISNAD	Ekici, Omer. "Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction". (2021), 67-72. https://doi.org/10.4274/jtsm.galenos.2021.16878

APA	Ekici O (2021). Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction. Türk Uyku Tıbbı Dergisi, 8(1), 67 - 72. 10.4274/jtsm.galenos.2021.16878
Chicago	Ekici Omer Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction. Türk Uyku Tıbbı Dergisi 8, no.1 (2021): 67 - 72. 10.4274/jtsm.galenos.2021.16878
MLA	Ekici Omer Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction. Türk Uyku Tıbbı Dergisi, vol.8, no.1, 2021, ss.67 - 72. 10.4274/jtsm.galenos.2021.16878
AMA	Ekici O Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction. Türk Uyku Tıbbı Dergisi. 2021; 8(1): 67 - 72. 10.4274/jtsm.galenos.2021.16878
Vancouver	Ekici O Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction. Türk Uyku Tıbbı Dergisi. 2021; 8(1): 67 - 72. 10.4274/jtsm.galenos.2021.16878
IEEE	Ekici O "Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction." Türk Uyku Tıbbı Dergisi, 8, ss.67 - 72, 2021. 10.4274/jtsm.galenos.2021.16878
ISNAD	Ekici, Omer. "Relationship Between Chronic Pain and Sleep Quality in Patients with Temporomandibular Joint Dysfunction". Türk Uyku Tıbbı Dergisi 8/1 (2021), 67-72. https://doi.org/10.4274/jtsm.galenos.2021.16878