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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2018; 76(06): 387-392
DOI: 10.1590/0004-282X20180043
ARTICLE

Painful temporomandibular disorder, sleep bruxism, anxiety symptoms and subjective sleep quality among military firefighters with frequent episodic tension-type headache. A controlled study.

Desordens temporomandibulares dolorosas, bruxismo do sono, sintomas de ansiedade e qualidade subjetiva do sono em bombeiros militares com cefaleia do tipo tensional episódica frequente. Estudo controlado.
Bianca de Araújo Wagner
1   Universidade Federal Fluminense, Pós-Graduação em Neurociências, Niterói RJ, Brasil;
,
Pedro Ferreira Moreira Filho
2   Universidade Federal Fluminense, Departamento de Neurologia, Niterói RJ, Brasil.
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ABSTRACT

Objective To investigate associations of temporomandibular disorders (TMDs), bruxism, anxiety and sleep quality among military firefighters with frequent episodic tension-type headache (FETTH).

Methods The sample comprised two groups (80 individuals): controls (mean age 35.2 years) and study group (mean age 38.5 years). Headache was diagnosed in accordance with the ICHD-III. The Research Diagnostic Criteria for TMDs were used to classify the TMDs; bruxism was diagnosed in accordance with the International Classification of Sleep Disorders; anxiety was classified using the Beck Anxiety Inventory; and sleep quality was assessed using the Pittsburgh Sleep Quality Index. In the statistical models, we used a significance level of 95%.

Results Associations were found between participants with FETTH and TMDs (p < 0.001) and anxiety (p = 0.002).Poor quality of sleep (p = 0.687) and bruxism (p = 0.670) were not risk factors.

Conclusion The study found that TMDs and anxiety among firefighters were associated with FETTH.

RESUMO

Objetivo Investigar associações de distúrbios temporomandibulares (DTM), bruxismo, ansiedade e qualidade subjetiva do sono entre bombeiros militares com cefaleia do tipo tensional episódica frequente (CTTEF).

Método A amostra consistiu em dois grupos com 80 indivíduos cada: controles (idade média 35,2 anos) e grupo de estudo (idade média 38,5 anos). A dor de cabeça foi diagnosticada de acordo com a Classificação Internacional de Cefaleias, 3a edição. Os critérios de diagnóstico de pesquisa para DTM (RDC / TMD) foram utilizados para classificar DTM; o bruxismo foi diagnosticado de acordo com a Classificação Internacional de Distúrbios do Sono; a ansiedade foi classificada usando o Inventário de Ansiedade Beck; e a qualidade do sono foi avaliada usando o Índice de Qualidade do Sono de Pittsburgh (PSQI). Nos modelos estatísticos utilizamos um nível de significância de 95%.

Resultados Foram encontradas associações entre indivíduos com CTTEF e presença de DTM (p <0,001) e ansiedade (p = 0,002). A baixa qualidade do sono (p = 0,687) e o bruxismo (p = 0,670) não foram fatores de risco para CTTEF.

Conclusão O estudo verificou que DTM e ansiedade entre os bombeiros estavam associados a CTTEF, mas a qualidade subjetiva do sono e o bruxismo não foram fatores de risco.

tension-type headache - temporomandibular joint disorders - bruxism - surveys and questionnaires
cefaleia do tipo tensional - transtornos da articulação temporomandibular - bruxismo - inquéritos e questionários


Publication History

Received: 19 August 2017

Accepted: 26 February 2018

Article published online:
25 August 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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