Bruxism as mechanism subserving hysteria

Abstract

Objective. To explore the hypothesis that bruxism is a mechanism in hysteria by comparing features in hysteria, bruxism, hostility, and local complaints in bruxers. Method. We evaluated 33 patients with mild bruxism, 52 with moderate, 55 with severe, and 42 with extreme bruxism with the Minnesota Multiphasic Personality Index and the Cook-Medley scale for hostility. Results. Scores of hysteria and hostility increased from the mild to the moderate, severe, and extreme bruxism subgroup (p<0.0001). Mean local complaints increased with the severity of bruxism and with scores of hysteria (p><0.0001). The group that presented higher scores in both hysteria and hostility and greater local complaints as compared to two groups, low hysteria and high hostility, and low hysteria and hostility (p><0.003). Conclusion. Scores in hysteria e hostility increased with the severity of bruxism, and the number of local complaints increased with scores in hysteria and severe bruxism, suggesting that bruxism may be a hysterical mechanism in temporomandibular disorders/bruxing behavior patients>

The Effect of Psychological Factors on Sleep Disturbances in Young Adults

“…In There has been an increasing interest in the relationship between sleep problems and mental health. Bruxing behavior was observed in those with higher Hy scores of MMPI, indicating that there was a close relationship between Hy and bruxing behavior [22]. The mean anxiety scores of the Hospital Anxiety Depression Scales and the Hamilton Anxiety Rating Scale were statistically significant higher in patients with bruxism compared with those without bruxism.…”

Medication use in craniomandibular disorders and bruxing behavior individuals with and without dissociation

“…In one study in CMDs individuals 14 , researchers reported higher scores in hysteria and greater number of painful sites with the severity of BB. Because hysteria is closely related with both somatization and with DID in many CMDs individuals, such disorders may increase the need for medication use in many CMDs patients.…”

“…Patients were classified as presenting CMDs if they demonstrated specific signs/symptoms, including a complaint of pain in the masticatory muscles, noises in the TMJs, difficulties to perform lateral and/or opening jaw movements, tenderness in the masticatory muscles during palpation and headaches usually of muscular origin. Patients were classified as presenting CMDs and BB according to criteria published previously 14 . Only those charts presenting clear, sufficient and accurate information defining the most common types of headache pain were reviewed and included in the study.…”

“…Such a limited approach in patients with multiple pains, including CMDs may perpetuate an unsatisfying search for pharmacological symptom management 3 . Because in some studies, CMDs and more severe BB have been associated with hysteria and multiple complaints 14 and it is common knowledge that dissociation is associated with a hysterical personality and somatization 15 , it is expected that DID patients use analgesics, anti-anxiety and antidepressant drugs more frequently as compared to non DID controls. Because there is no available information in medication use in CMD patients with and without dissociation, the objectives of this study is threefold:…”

Psychogenic orofacial pain: literature review, development of a diagnostic questionnaire and three cases report.

“…Kampe and coworkers (17), reported that compared to less frequent bruxers and the general population, the more frequent bruxers presented higher scores in the somatic anxiety, the muscular tension and in the psychic anxiety scales indicating that they were more vulnerable to anxiety, muscle tension and psychosomatic disorders. Additionally, one recent study (19), reported higher scores for anxiety, hysteria, somatization and hostility in severe and extreme bruxing behavior with facial pains and headaches. Additionally, MPD patients with facial pain non responding to conventional therapy showed a greater overall degree of emotional distress.…”