背景:睡眠是生存必不可少的生理功能,recovery,组织修复,记忆巩固,和大脑功能。疼痛也是人类生活中不可或缺的一个方面。睡眠障碍和疼痛的共存在文献中经常被描述,然而,不仅要主观地定义睡眠,还要使用客观的工具方法来定义睡眠,比如多导睡眠图,提供睡眠质量数据。
目的:该研究的目的是确定口面疼痛(OFP)之间的关系,使用主观和客观睡眠质量评估方法评估头痛(HA)和睡眠质量。此外,我们旨在探讨睡眠质量差是否仅与OFP和HA有关,还是受抑郁等心理情绪因素并存的影响,焦虑和压力。
方法:对弗罗茨瓦夫医科大学门诊颞下颌关节紊乱病患者进行了单晚视频多导睡眠图检查,波兰,被诊断为OFP和HA。此外,问卷被用来评估睡眠质量,疼痛,HA,和心理情绪状态。
结果:OFP和HA的严重程度与多导睡眠图睡眠质量参数之间没有统计学上的显着关系。另一方面,问卷研究确定的睡眠质量与经历疼痛的严重程度显着相关。发现疼痛的严重程度与抑郁显着相关,焦虑和感知压力得分。
结论:心理情绪方面对OFP和HA的感知至关重要。它们可能与主观睡眠质量恶化有关,失眠或白天嗜睡。因此,在对这些患者进行治疗之前,必须对其心理情绪状态进行全面评估,作为焦虑,压力和抑郁可以显着影响疾病的进程和对治疗程序的反应。
BACKGROUND: Sleep is a physiological function essential for survival, recovery, tissue repair, memory consolidation, and brain function. Pain is also an indispensable aspect of human life. The coexistence of sleep disorders and pain is often described in the literature, yet it is critical to define sleep not only subjectively but also using objective instrumental methods, such as polysomnography, that provide data on sleep quality.
OBJECTIVE: The aim of the
study was to determine the relationship between orofacial pain (OFP), headache (HA) and sleep quality using subjective and objective sleep quality assessment methods. Additionally, we aimed to explore whether poor sleep quality was related to OFP and HA alone or was influenced by the coexistence of psycho-emotional factors such as depression, anxiety and stress.
METHODS: A single-night video-polysomnography was performed on patients from the Outpatient Clinic for Temporomandibular Disorders at Wroclaw Medical University, Poland, who had been diagnosed with OFP and HA. Additionally, questionnaires were employed to assess sleep quality, pain, HA, and the psycho-emotional state.
RESULTS: There was no statistically significant relationship between the severity of OFP and HA and polysomnographic sleep quality parameters. On the other hand, the quality of sleep as determined by questionnaire studies correlated markedly with the severity of experienced pain. The severity of pain was found to be significantly correlated with depression, anxiety and perceived stress scores.
CONCLUSIONS: The psycho-emotional aspects are of critical importance in the perception of OFP and HA. They can be associated with worsened subjective sleep quality, insomnia or daytime sleepiness. Therefore, the treatment of such patients must be preceded by a comprehensive assessment of their psychoemotional state, as anxiety, stress and depression can significantly influence the course of the disease and the response to treatment procedures.