Sleep-associated aspects of myofascial pain in the orofacial area among Temporomandibular Disorder patients and controls

Schmitter, Marc; Kares-Vrincianu, Alexandra; Kares, Horst; Bermejo, Justo Lorenzo; Schindler, H. J.

doi:10.1016/j.sleep.2015.03.022

Cited by 54 publications

(94 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this largest PSG-evaluated TMD sample to date, moderate levels of chronic myofascial pain intensity were consistent with levels reported in previous studies. 2–8,10,11,15 Reports of sleep quality were significantly worse among cases than in demographically matched controls, and there was little concordance between PSQI scores and PSG indicators. As hypothesized, the results showed that reports of poor sleep quality were better accounted for by symptoms of depression than by pain or objective sleep measures.…”

Section: Discussionmentioning

confidence: 98%

“…12 In uncontrolled TMD samples, mean PSQI scores ranged approximately between 7 and 11, depending on the type of myofascial pain and psychosocial factors, such as exposure to stressors. 2–6 Case-control studies with and without matching report significantly higher PSQI scores in TMD patients than controls, 7–11 providing further evidence for self-reported, or subjective, sleep disturbance in TMD.…”

Section: Introductionmentioning

confidence: 96%

“…2–11 The PSQI combines 18 sleep history items into a global score, which, in excess of 5, is indicative of clinically poor sleep. 12 In uncontrolled TMD samples, mean PSQI scores ranged approximately between 7 and 11, depending on the type of myofascial pain and psychosocial factors, such as exposure to stressors.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Depressive symptoms account for differences between self‐reported versus polysomnographic assessment of sleep quality in women with myofascial TMD

Dubrovsky

Janal

Lavigne

et al. 2017

J of Oral Rehabilitation

View full text Add to dashboard Cite

Background Temporomandibular disorder (TMD) patients report poor sleep quality on the Pittsburgh Sleep Quality Index (PSQI). However, polysomnographic (PSG) studies show meager evidence of sleep disturbance on standard physiological measures. Objective The present aim was to analyze self-reported sleep quality in TMD as a function of myofascial pain, PSG parameters, and depressive symptomatology. Methods PSQI scores from 124 women with myofascial TMD and 46 matched controls were hierarchically regressed onto TMD presence, ratings of pain intensity and pain-related disability, in-lab PSG variables, and depressive symptoms (Symptoms Checklist-90). Results Relative to controls, TMD cases had higher PSQI scores, representing poorer subjective sleep, and more depressive symptoms (both P < 0.001). Higher PSQI scores were strongly predicted by more depressive symptoms (P < 0.001, R2 = 26%). Of 19 PSG variables, two had modest contributions to higher PSQI scores: longer REM latency in TMD cases (P = 0.01, R2 = 3%) and more awakenings in all participants (P = 0.03, R2 = 2%). After accounting for these factors, TMD presence and pain ratings were not significantly related to PSQI scores. Conclusion These results show that reported poor sleep quality in TMD is better explained by depressive symptoms than by PSG-assessed sleep disturbances or myofascial pain. As TMD cases lacked typical PSG features of clinical depression, the results suggest a negative cognitive bias in TMD and caution against interpreting self-report sleep measures as accurate indicators of PSG sleep disturbance. Future investigations should take account of depressive symptomatology when interpreting reports of poor sleep.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 96%

See 1 more Smart Citation

Depressive symptoms account for differences between self‐reported versus polysomnographic assessment of sleep quality in women with myofascial TMD

Dubrovsky

Janal

Lavigne

et al. 2017

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…8,9 It was also previously reported that as much as 70% of TMD patients with myofascial pain also showed evidences of rhythmic masticatory muscle activity (RMMA) upon clinical examination and ambulatory sleep recordings. 10 SB may co-occur with other sleep disturbances including sleep apnea, insomnia, and restless legs syndrome. 3 However the relationship between SB and sleep disturbances is weak and still under debate.…”

Section: Introductionmentioning

confidence: 99%

Sleep Bruxism-Tooth Grinding Prevalence, Characteristics and Familial Aggregation: A Large Cross-Sectional Survey and Polysomnographic Validation

Khoury

Carrà

Huynh

et al. 2016

Sleep

View full text Add to dashboard Cite

Study Objectives: Sleep bruxism (SB) is characterized by tooth grinding and jaw clenching during sleep. Familial factors may contribute to the occurrence of SB. This study aims are: (1) revisit the prevalence and characteristics of SB in a large cross-sectional survey and assess familial aggregation of SB, (2) assess comorbidity such as insomnia and pain, (3) compare survey data in a subset of subjects diagnosed using polysomnography research criteria. Methods: A sample of 6,357 individuals from the general population in Quebec, Canada, undertook an online survey to assess the prevalence of SB, comorbidities, and familial aggregation. Data on familial aggregation were compared to 111 SB subjects diagnosed using polysomnography. Results: Regularly occurring SB was reported by 8.6% of the general population, decreases with age, without any gender difference. SB awareness is concomitant with complaints of difficulties maintaining sleep in 47.6% of the cases. A third of SB positive probands reported pain. A 2.5 risk ratio of having a first-degree family member with SB was found in SB positive probands. The risk of reporting SB in first-degree family ranges from 1.4 to 2.9 with increasing severity of reported SB. Polysomnographic data shows that 37% of SB subjects had at least one first-degree relative with reported SB with a relative risk ratio of 4.625. Conclusions: Our results support the heritability of SB-tooth grinding and that sleep quality and pain are concomitant in a significant number of SB subjects.

show abstract

“…Sleep fragmentation, respiratory effort related arousals, 11 insomnia, 31, 40 and poor sleep quality 36 are each more common in people with TMD than pain-free controls. The limitation of all but one 31 of these studies was reliance on cross-sectional data.…”

Section: Introductionmentioning

confidence: 99%

Subjective Sleep Quality Deteriorates Before Development of Painful Temporomandibular Disorder

Sanders

Akinkugbe

Bair

et al. 2016

The Journal of Pain

View full text Add to dashboard Cite

There is good evidence that poor sleep quality increases risk of painful temporomandibular disorder (TMD). However little is known about the course of sleep quality in the months preceding TMD onset, and whether the relationship is mediated by heightened sensitivity to pain. The Pittsburgh Sleep Quality Index was administered at enrollment into the OPPERA prospective cohort study. Thereafter the Sleep Quality Numeric Rating Scale was administered every three months to 2,453 participants. Sensitivity to experimental pressure pain and pinprick pain stimuli was measured at baseline and repeated during follow-up of incident TMD cases (n=220) and matched TMD-free controls (n=193). Subjective sleep quality deteriorated progressively, but only in those who subsequently developed TMD. A Cox proportional hazards model showed that risk of TMD was greater among participants whose sleep quality worsened during follow-up (adjusted hazard ratio=1.73, 95% confidence limits: 1.29, 2.32). This association was independent of baseline measures of sleep quality, psychological stress, somatic awareness, comorbid conditions, non-pain facial symptoms and demographics. Poor baseline sleep quality was not significantly associated with baseline pain sensitivity or with subsequent change in pain sensitivity. Furthermore the relationship between sleep quality and TMD incidence was not mediated via baseline pain sensitivity nor change in pain sensitivity.

show abstract

Sleep-associated aspects of myofascial pain in the orofacial area among Temporomandibular Disorder patients and controls

Cited by 54 publications

References 40 publications

Depressive symptoms account for differences between self‐reported versus polysomnographic assessment of sleep quality in women with myofascial TMD

Depressive symptoms account for differences between self‐reported versus polysomnographic assessment of sleep quality in women with myofascial TMD

Sleep Bruxism-Tooth Grinding Prevalence, Characteristics and Familial Aggregation: A Large Cross-Sectional Survey and Polysomnographic Validation

Subjective Sleep Quality Deteriorates Before Development of Painful Temporomandibular Disorder

Contact Info

Product

Resources

About