关键词: bruxism driving habits health behavior masticatory muscles myofascial pain oral parafunction pain stress stress response temporomandibular disorders

来  源:   DOI:10.3390/healthcare12151538   PDF(Pubmed)

Abstract:
Driving stress is a multifaceted phenomenon, and the experience of driving invokes stress. Driving causes the activation of stress-response mechanisms, leading to short-term and long-term stress responses resulting in physiological and behavioral changes. The aim of this study was to evaluate driving stress-initiated effects on orofacial functions and health behaviors in the Riyadh population. A cross-sectional survey was conducted in Riyadh using a pre-validated set of questionnaires for habitual information, a driving stress assessment using a driving-behavior inventory, and an assessment of parafunctional habits and effects on orofacial functions. The results indicate that nearly 50% of the sample spends more than two hours commuting, and more than 50% of the sample has inadequate sleep and insufficient exercise. Oral parafunctional habits like nail biting (p = 0.039) and lip or object biting (p = 0.029) had a significant correlation with aggressive driving behaviors, whereas the grinding of teeth (p = 0.011), the clenching of jaws (p = 0.048), lip or object biting (p = 0.018), and pain in mastication (p = 0.036) had a positive correlation with driving dislikes. Driving stress can be detrimental to one\'s health and not only impacts health behaviors but also induces oral parafunctional habits and adversely affects orofacial regions and functions. Acute driving stress responses may be transient. However, prolonged driving stress can be maladaptive and can increase the risk of chronic diseases including chronic temporomandibular joint disorders and parafunctional habit-related changes in the oral cavity.
摘要:
驾驶压力是一个多方面的现象,驾驶的经验会引起压力。驱动会激活应激反应机制,导致短期和长期应激反应,导致生理和行为变化。这项研究的目的是评估利雅得人群的驾驶压力对口面功能和健康行为的影响。在利雅得进行了横断面调查,使用一套预先验证的问卷来获取习惯性信息,使用驾驶行为清单进行驾驶压力评估,并评估功能异常的习惯和对口面功能的影响。结果表明,近50%的样本花费超过两个小时的通勤时间,超过50%的样本睡眠不足和运动不足。咬指甲(p=0.039)和咬嘴唇或物体(p=0.029)等口腔功能习惯与攻击性驾驶行为有显著相关性。而磨齿(p=0.011),钳口的咬合(p=0.048),嘴唇或物体咬(p=0.018),咀嚼疼痛(p=0.036)与驾驶不喜欢呈正相关。驾驶压力可能对一个人的健康有害,不仅会影响健康行为,还会诱发口腔功能异常习惯,并对口腔区域和功能产生不利影响。急性驾驶应激反应可能是短暂的。然而,长时间的驾驶压力可能是适应不良的,并可能增加慢性疾病的风险,包括慢性颞下颌关节紊乱病和与口腔功能异常相关的习惯变化。
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