Maladaptive coping strategies in patients with bruxism compared to non-bruxing controls

Schneider, Christine; Schaefer, Ralf; Ommerborn, Michelle A; Giraki, Maria; Goertz, Alexandra; Raab, W.; Franz, Matthias

doi:10.1007/bf03003001

Cited by 35 publications

(31 citation statements)

References 26 publications

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“…At present studies seem to support the multi-factorial hypothesis of the genesis and pathogenesis of SB. Factors such as genetics (3), sleep structure (micro-arousals) (7), environment, emotional distress, anxiety and other psychological factors (8), the catecholaminergic balance of the CNS (9), the autonomic nervous system, and some drugs (ecstasy, alcohol, caffeine, tobacco) and medications (e.g., selective serotonin reuptake inhibitors, benzodiazepines, dopaminergic drugs) bear a relationship with the etiopathogenesis of SB. The theories that sustain a possible genetic predisposition to SB stem mostly from studies based on questionnaires or analyses of populations of monozygotic twins (3,4).…”

Section: Etiopathogenesismentioning

confidence: 99%

“…Future research studies are oriented toward discovering the genes and proteins whose expression may bear a relationship with the genesis of SB. Anxiety, emotional distress, their relationship with the hypothalamic/hypophyseal axis (release of catecholamines such as norepinephrine, epinephrine and dopamine) and their possible involvement in the etiopathogenesis of SB have also been the object of scientific debate (8). High levels of catecholamines have been detected in the urine of children and adults with SB and have been related with stress levels.…”

Section: Etiopathogenesismentioning

confidence: 99%

“…High levels of catecholamines have been detected in the urine of children and adults with SB and have been related with stress levels. Also the results of a questionnaire-based study suggest that patients with SB have a deficit in their capacity to adapt and react to situations of stress (8). However, one study using EMG was unable to prove a significant association between stress and SB.…”

Section: Etiopathogenesismentioning

confidence: 99%

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Sleep bruxism. Conceptual review and update

Hoz-Aizpurua¹,

Díaz-Alonso²,

LaTouche-Arbizu³

et al. 2011

Med Oral

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Sleep bruxism (SB) is a parafunctional oromotor habit that can sometimes pose a threat to the integrity of the structures of the masticatory system if the magnitude and direction of the forces exerted exceed the system's adaptive capacity. Over the years science has tried to provide a consistent explanation of the etiopathogenesis and physiopathology of SB, although the pathophysiological mechanisms are even now not yet fully understood. There is at present no specific, effective treatment to eliminate the habit of bruxism permanently. There are only palliative therapeutic alternatives steered at preventing the pathological effects of SB on the stomatognathic system and alleviating the negative clinical consequences of the habit. The objective of this article is to review and update the fundamental scientific concepts of SB and to furnish an approach to the main types of therapy used, based on the scientific literature.

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Section: Etiopathogenesismentioning

confidence: 99%

Section: Etiopathogenesismentioning

confidence: 99%

Section: Etiopathogenesismentioning

confidence: 99%

See 1 more Smart Citation

Sleep bruxism. Conceptual review and update

Hoz-Aizpurua¹,

Díaz-Alonso²,

LaTouche-Arbizu³

et al. 2011

Med Oral

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“…In addition, other studies of this condition (bruxism) do not develop an integral analysis. Thus, research related to bruxism is focused on its etiology, epidemiology, pathophysiology, and alterations in sleep physiology (6,20,21), and its relation with different psychological factors (2,8,22,23). Different articles include an assessment of factor inheritance (9) because of the relationship between the function of a particular gene and its expression through physical and behavioral traits (24).…”

Section: Introductionmentioning

confidence: 99%

The phenotype, psychotype and genotype of bruxism

Fierro

Flores

et al. 2018

biom rep

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Abstract. Bruxism is a jaw muscle activity that involves physio-pathological, psycho-social, hereditary and genetic factors. The purpose of this study was to determine the associations between self-reported bruxism, anxiety, and neuroticism personality trait with the rs6313 polymorphism in the gene HTR2A. A sample of 171 subjects of both sexes (14-53 years of age) was included. The control group (group 1, n=60) exhibited no signs or symptoms of bruxism. The case group had signs and symptoms of bruxism (n=112) and was subdivided into group 2, bruxism during sleep (n=22); group 3, awake bruxism (n=44); and group 4 combined bruxism (n=46). As diagnostic tools, the Self-Reported Bruxism Questionnaire (SBQ), the Beck Anxiety Inventory (BAI) and the Eysenck Personality Questionnaire Revised-Abbreviated (EPQR-A) were used. HTR2A (rs6313) SNPs were determined by qPCR for all the participants. The packages SPSS, maxLik and EPI-INFO were used for data analysis. The combined bruxism group reported higher scores in bruxism symptoms, mean = 32.21; anxiety symptoms, mean = 14.80; and neuroticism, mean = 3.26. Combined bruxism was associated with a higher degree of neuroticism (OR=15.0; CI 1.52-148.32) and anxiety in grade 3-moderate (OR=3.56; CI 1.27-10.03), and grade 4-severe (OR=8.40; CI 1.45-48.61), as determined using EPISODE computer software. Genotypic homogeneity analysis revealed no significant differences in allele frequency (P=0.612) among the four groups. The population was in Hardy-Weinberg equilibrium (maxLik package). In conclusion, the three instruments confirm traits of bruxism, anxiety and neuroticism in individuals with bruxism. These data were ratified when the sample was divided by genotypic homo geneity. On the other hand, there was no significant difference between the groups in the SNPs rs6313 from the HTR2A gene.

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“…SB-patients reported significantly less positive coping strategies, like 'reaction control' and 'positive self-instructions'. Based on the above, a deficit of functional coping strategies in SB-patients could be demonstrated [33]. …”

Section: Introductionmentioning

confidence: 99%

Correlation between stress, stress-coping and current sleep bruxism

et al. 2010

Self Cite

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BackgroundStress is discussed as a potential factor in the development of sleep bruxism (SB). The aim of this study was to investigate whether specific stress-factors correlate with SB-activity.MethodsSixty-nine subjects, of which 48 were SB-patients, completed three German questionnaires assessing different stress-parameters and stress-coping-strategies: Short questionnaire for recognition of stress-factors (Kurzer Fragebogen zur Erfassung von Belastungen, KFB), Questionnaire for recuperation and strain (Erholungs-Belastungs-Fragebogen, EBF-24 A/3) and the stress-coping questionnaire (Stressverarbeitungsfragebogen-78, SVF-78). The diagnosis of SB was based on the clinical criteria of the American Academy of Sleep Medicine (AASM). The degree of SB-activity was measured by the Bruxcore-Bruxism-Monitoring-Device (BBMD, Bruxcore, Boston, USA), worn for five consecutive nights and analyzed using a computer-based method. Non-parametric Spearman correlation coefficients, rho, were calculated between the psychometric data and the amount of SB-activity measured by a pixel score of the BBMD.ResultsSignificant correlations were found for 'daily problems' (r = 0.461, p < 0.01), 'trouble at work' (r = 0.293), 'fatigue' (r = 0.288), 'physical problems' (r = 0.288) and the coping-strategy 'escape' (r = 0.295) (all p < 0.05).ConclusionsWithin the limitations of this study it could be shown that subjects with high SB-activity tend to feel more stressed at work and in their daily life, which in turn might influence their physical state. These subjects also seem to deal with stress in a negative way. However, due to the rather low to almost moderate correlation coefficients and the descriptive character of the study, further investigations are necessary to examine a possible causal relationship.

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Maladaptive coping strategies in patients with bruxism compared to non-bruxing controls

Cited by 35 publications

References 26 publications

Sleep bruxism. Conceptual review and update

Sleep bruxism. Conceptual review and update

The phenotype, psychotype and genotype of bruxism

Correlation between stress, stress-coping and current sleep bruxism

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