Emotional disorders, parafunctional habits, and bruxism in hospital healthcare professionals in the COVID-19 post-pandemic period: a cross-sectional observational study
DOI:
https://doi.org/10.1590/1809-2950/22018129042022ENKeywords:
Bruxism, COVID-19, Health PersonnelAbstract
During the COVID-19 pandemic, hospital
healthcare professionals (HHP) were vulnerable to sources of
anxiety that can lead to the onset or worsening of conditions
such as bruxism and parafunctional habits (PH). This study
aims to evaluate the relationship between sleep bruxism (SB),
awake bruxism (AB), and PH and HHP’s stress, anxiety, and
depression in the post-pandemic period. Data were collected
via an online questionnaire composed of four sections: sample
characterization, “Depression, Anxiety and Stress Scale”
(DASS-21), “Oral Behavior Checklist” (OBC), and diagnostic
questionnaire of SB from the American Academy of Sleep
Medicine. This is a descriptive and inferential statistical analysis
with 118 responses (mostly females and nurses). A total of
99.2% of the sample presented PH, 38.1% SB, and 686% AB.
We found a significant association between AB and stress
(p=0029), anxiety (p=0005), and depression (p=0.004); SB
and anxiety (p=0.013); and between SB and AB and emotional
changes in the studied sample.
Downloads
References
Morgado P. Saúde mental em tempos de pandemia COVID-19:
uma perspetiva da Medicina. In: Martins M, Rodrigues E, editors.
A Universidade do Minho em tempos de pandemia: (re)ações.
Braga: UMinho; 2020. p. 8-22.
Ferreira S, Sousa MM, Moreira PS, Sousa N, Picó-Pérez M.
A wake-up call for burnout in Portuguese physicians during
the COVID-19 outbreak: national survey study. JMIR Public
Health Surveill. 2021;7(6):e24312. doi: 10.2196/24312.
Emodi-Perlman A, Eli I. One year into the COVID-19 pandemic –
temporomandibular disorders and bruxism: what we have
learned and what we can do to improve our manner of
treatment. Dent Med Probl. 2021;58(2):215-8. doi: 10.17219/
dmp/132896.
Beddis H, Pemberton M, Davies S. Sleep bruxism: an overview
for clinicians. Br Dent J. 2018;225(6):497-501. doi: 10.1038/
sj.bdj.2018.757.
Manfredini D, Winocur E, Guarda-Nardini L, Paesani D, Lobbezoo
F. Epidemiology of bruxism in adults: a systematic review of
the literature. J Orofac Pain. 2013;27(2):99-110. doi: 10.11607/
jop.921.
Lavigne GJ, Khoury S, Abe S, Yamaguchi T, Raphael
K. Bruxism physiology and pathology: an overview
for clinicians. J Oral Rehabil. 2008;35(7):476-94.
doi: 10.1111/j.1365-2842.2008.01881.x.
Giraki M, Schneider C, Schäfer R, Singh P, Franz M, et al.
Correlation between stress, stress-coping and current sleep
bruxism. Head Face Med. 2010;6:2. doi: 10.1186/1746-160X-6-2.
Carra MC, Huynh N, Lavigne G. Sleep bruxism: a comprehensive
overview for the dental clinician interested in sleep medicine.
Dent Clin North Am. 2012;56(2):387-413. doi: 10.1016/j.
cden.2012.01.003.
Castroflorio T, Bargellini A, Rossini G, Cugliari G, Deregibus A.
Sleep bruxism and related risk factors in adults: a systematic
literature review. Arch Oral Biol. 2017;83:25-32. doi: 10.1016/j.
archoralbio.2017.07.002.
Chemelo VS, Né YGS, Frazão DR, Souza-Rodrigues RD,
Fagundes NCF, et al. Is there association between stress and
bruxism? A systematic review and meta-analysis. Front Neurol.
;11:590779. doi: 10.3389/fneur.2020.590779.
Lovibond SH, Lovibond PF. Manual for the depression anxiety
stress scales. 2nd ed. Sydney: Psychology Foundation of
Australia; 1995.
Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, et al.
Diagnostic criteria for temporomandibular disorders (DC/TMD)
for clinical and research applications: recommendations of the
International RDC/TMD Consortium Network and Orofacial
Pain Special Interest Group. J Oral Facial Pain Headache.
;28(1):6-27. doi: 10.11607/jop.1151.
American Academy of Sleep Medicine. The international
classification of sleep disorders. Chicago: AASM; 2001.
Portugal. Ministério da Saúde. Relatório social do Ministério
da Saúde e do Serviço Nacional de Saúde [Internet]. Lisboa:
SNS; 2018 [cited 2022 Nov 18]. Available from: https://
www.acss.min-saude.pt/wp-content/uploads/2019/09/
Relatorio-Social-MS_SNS_2018_vf.pdf
Ghaleb Y, Lami F, Al Nsour M, Rashak HA, Samy S, Khader YS,
et al. Mental health impacts of COVID-19 on healthcare workers
in the Eastern Mediterranean Region: a multi-country study.
J Public Health (Oxf). 2021;43(Suppl 3):iii34-42. doi: 10.1093/
pubmed/fdab321.
Peixoto KO, Resende CMBM, Almeida EO, Almeida-Leite CM,
Conti PCR, et al. Association of sleep quality and psychological
aspects with reports of bruxism and TMD in Brazilian
dentists during the COVID-19 pandemic. J Appl Oral Sci.
;29:e20201089. doi: 10.1590/1678-7757-2020-1089.
Tee ML, Tee CA, Anlacan JP, Aligam KJG, Reyes PWC,
Kuruchittham V, et al. Psychological Impact of COVID-19
pandemic in the Philippines. J Affect Disord. 2020;277:379-
doi: 10.1016/j.jad.2020.08.043.
Santamaría M, Ozamiz-Etxebarria N, Rodriguez IR, AlbonigaMayor JJ, Gorrotxategi MP. Impacto psicológico de la COVID-19
en una muestra de profesionales sanitarios españoles.
Rev Psiquiatr Salud Ment. 2021;14(2):106-12. doi: 10.1016/j.
rpsm.2020.05.004.
Çiğdem B, Medin C, Korkmaz M, Şahbaz T. The Effect of anxiety
and depression on bruxism among healthcare workers during
the COVID-19 pandemic. Ahi Evran Med J. 2021;5(2):78-84.
doi: 10.46332/aemj.787182.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Catarina dos Santos Pereira, Maria Carlos Lopes Cardoso Real Dias Quaresma
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.