Autoinforme de la percepción de estrés y signos de bruxismo derivados de la pandemia en estudiantes del área de la salud
DOI:
https://doi.org/10.15517/ijds.2022.50877Palabras clave:
Bruxismo; COVID-19; Estrés psicológico; Ansiedad; Desgaste dental; Articulación temporomandíbular.Resumen
El bruxismo es el comportamiento músculo-mandibular repetitivo caracterizado por apretamiento y/o rechinamiento de los dientes, que refleja la presencia de una o varias condiciones o factores subyacentes. Se realizó un estudio descriptivo con el objetivo de determinar la asociación del nivel de estrés y síntomas de bruxismo autopercibidos durante la pandemia, así como su frecuencia por género y área académica. Se aplicó un interrogatorio y escala de estrés percibido PSS-14 a los estudiantes de las distintas áreas del Instituto de Ciencias de la Salud (ICSa) para determinar la presencia o ausencia de estrés y síntomas de bruxismo, se utilizó una Chi-cuadrada para la comparación entre variables, considerando significativo un valor de p<0,005, así como ANOVA de dos vías para evaluar la diferencia entre los síntomas antes y durante el aislamiento de la pandemia. De los 825 participantes se obtuvo una muestra final de 420 estudiantes compuesta por 297 (70.72%) mujeres y 123 (29.28%) hombres, con un promedio de 20±1.75 años de edad. Existe una asociación entre la frecuencia de bruxismo y estrés severo generados durante el aislamiento social de la pandemia COVID-19, prevaleciendo percepción alta de estrés en el área de medicina y alta percepción en la frecuencia de síntomas de bruxismo en el área de nutrición p>0.0001. Los estudiantes de 18 a 24 años de edad del ICSa perciben síntomas de bruxismo y altos niveles de estrés originados durante la pandemia.
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Referencias
Castellón R.L., Busto J.E.B., Pérez L.C.V. Afectación del sistema nervioso por la COVID-19. An la Acad Ciencias Cuba. 2020; 10 (2) especial COVID-19.
Guiñez C.M. Impacto del COVID-19 (SARS-CoV-2) a Nivel Mundial, Implicancias y Medidas Preventivas en la Práctica Dental y sus Consecuencias Psicológicas en los Pacientes. Int J Odontostomatol. 2020; 14 (3): 271-8. DOI: https://doi.org/10.4067/S0718-381X2020000300271
Aúcar L.J.D.H. Bruxism and academic stress in students of the medical sciences. Rev Hum Med 2020; 20 (2): 401-20.
Lobbezoo F., Ahlberg J., Raphael K.G., Wetselaar P., Glaros A.G., Kato T., et al. International consensus on the assessment of bruxism: Report of awork in progress. J Oral Rehabil. 2018; 45 (11): 837-844. DOI: https://doi.org/10.1111/joor.12663
Manfredini F.L. Role of psychosocial factors in the etiology of bruxism. J Orofac Pain. 2009; 23 (2): 153-66.
Winocur E., Uziel N., Lisha T., Goldsmith C.E.I. Self-reported bruxism associations with perceived stress, motivation for control, dental anxiety and gagging. J Oral Rehabil. 2011; 38 (1): 3-11. DOI: https://doi.org/10.1111/j.1365-2842.2010.02118.x
Pierce C.J., Chrisman K., Bennett M.E., Close J.M. Stress, anticipatory stress, and psychologic measures related to sleep bruxism. J Orofac Pain. 1995; 9 (1): 51-6.
Manfredini D., Lobbezoo F. Relationship between bruxism and temporomandibular disorders: a systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jun; 109 (6): 26-50.
Hermesh H., Schapir L., Marom S., Skopski R., Barnea E., Weizman A., et al. Bruxism and oral parafunctional hyperactivity in social phobia outpatients. J Oral Rehabil. 2015; 42 (2): 90-7. DOI: https://doi.org/10.1111/joor.12235
Miettinen T., Myllymaa K., Muraja-Murro A., Westeren-Punnonen S., Hukkanen T., Töyräs J., et al. Polysomnographic scoring of sleep bruxism events is accurate even in the absence of video recording but unreliable with EMG-only setups. Sleep Breath. 2020; 24 (3): 893-904. DOI: https://doi.org/10.1007/s11325-019-01915-2
Manfredini D., Colonna A., Bracci A., Lobbezoo F. Bruxism: a summary of current knowledge on aetiology, assessment and management. Oral Surg. 2020; 13 (4): 358-70. DOI: https://doi.org/10.1111/ors.12454
Díaz M.Y. Estrés académico y afrontamiento en estudiantes de Medicina. Rev. Hum Med. 2010; 10 (1): 0-0.
Hernández R.B., Hernández R.B., Lazo N.R., Díaz G.S.M., Hidalgo H.S., Rodríguez R.S., et al. Bruxismo y manifestaciones clínicas en el sistema estomatognático. Arch Médico Camagüey. 2019; 23 (3): 309-18.
Bäck K., Hakeberg M., Wide U., Hange D., Dahlström L. Orofacial pain and its relationship with oral health-related quality of life and psychological distress in middle-aged women. 2019; 78 (1): 74-80. DOI: https://doi.org/10.1080/00016357.2019.1661512
Peixoto K.O., De Resende C.M.B.M., De Almeida E.O., Almeida L.C.M., Conti P.C.R., Barbosa G.A.S., 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. 2021; 29: 1-10. DOI: https://doi.org/10.1590/1678-7757-2020-1089
Gaş S., Ekşi Özsoy H., Cesur Aydın K.. The association between sleep quality, depression, anxiety and stress levels, and temporomandibular joint disorders among Turkish dental students during the COVID-19 pandemic. Cranio. 2021; 5: 1-6. DOI: https://doi.org/10.1080/08869634.2021.1883364
Herrera L.B.I., Luis Y., Concepción N. Bruxismo del sueño. Medimay. 2018; 25 (2): 166-75.
Stanton R., To Q.G., Khalesi S., Williams S.L., Alley S.J., Thwaite T.L., et al. Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults. Int J Environ Res Public Health. 2020; 17 (11): 1-13. DOI: https://doi.org/10.3390/ijerph17114065
Estrada M.N.A., Evaristo C.T.A. Estados psicoemocionales y presencia de bruxismo en estudiantes de odontología peruanos. Odovtos Int J Dent Sci. 2019; 21 (3): 111-7.
Barbosa Hernández J.Z. Prevalencia de bruxismo en alumnos del décimo semestre de la Facultad de Medicina Campus Poza Rica-Tuxpan. [DDS. thesis] Poza Rica Veracruz: Veracruzana University, 2012.
Ordóñez P.M.P., Villavicencio C.É., Alvarado J.O.R., Vanegas A.M.E. Prevalencia de bruxismo de vigilia evaluado por auto-reporte en relación con estrés, ansiedad y depresión. Rev Estomatológica Hered. 2016; 26 (3): 147-50. DOI: https://doi.org/10.20453/reh.v26i3.2958
Hernández A.M. Estudio sobre el bruxismo y una nueva prueba de esfuerzo. [PhD. thesis] Murcía University 2011.
Wu Y., Xiong X., Fang X., Sun W., Yi Y., Liu J., et al. Psychological status of TMD patients, orthodontic patients and the general population during the COVID-19 pandemic. Psychol Heal Med. 2021; 26 (1): 62-74. DOI: https://doi.org/10.1080/13548506.2020.1858489
Wang C., Pan R., Wan X., et al. A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain Behav Immun. 2020; 87: 40-48. DOI: https://doi.org/10.1016/j.bbi.2020.04.028
Zhang M., Zhang J., Zhang F., Zhang L., Feng D. Prevalence of psychological distress and the effects of resilience and perceived social support among Chinese college students: Does gender make a difference? Psychiatry Res. 2018; 267: 409-413. DOI: https://doi.org/10.1016/j.psychres.2018.06.038
Özdinç S., Ata H., Selçuk H., Can H.B., Sermenli N., Turan F.N. Temporomandibular joint disorder determined by Fonseca anamnestic index and associated factors in 18- to 27-year-old university students. Cranio. 2020; 38 (5): 327-332. DOI: https://doi.org/10.1080/08869634.2018.1513442
Xia W.D., Fu K.Y., Lu W.X., Zhao C.M., Yang H.Y., Ye Z.X. The prevalence of temporomandibular disorder symptoms in 898 university students and its relationship with psychological distress and sleep quality. 2016; 51 (9): 521-5.
Kardeş E., Kardeş S. Google searches for bruxism, teeth grinding, and teeth clenching during the COVID-19 pandemic. J Orofac Orthop. 2021; 1-6. DOI: https://doi.org/10.1007/s00056-021-00315-0
Emodi P.A., Eli I., Smardz J., Uziel N., Wieckiewicz G., Gilon E., et al. Temporomandibular Disorders and Bruxism Outbreak as a Possible Factor of Orofacial Pain Worsening during the COVID-19 Pandemic-Concomitant Research in Two Countries. J Clin Med. 2020; 9 (10): 1-15. DOI: https://doi.org/10.3390/jcm9103250
Saccomanno S., Bernabei M., Scoppa F., Pirino A., Mastrapasqua R., Visco M.A. Coronavirus Lockdown as a Major Life Stressor: Does It Affect TMD Symptoms? Int J Environ Res Public Health. 2020; 17 (23): 1-13. DOI: https://doi.org/10.3390/ijerph17238907
Medeiros R.A., Vieira D.L., Da Silva E.V.F.D., Rezende L.V.M.L., Santos R.W.D, Tabata L.F. Prevalence of symptoms of temporomandibular disorders, oral behaviors, anxiety, and depression in Dentistry students during the period of social isolation due to COVID-19. J Appl Oral Sci. 2020; 28: e20200445. DOI: https://doi.org/10.1590/1678-7757-2020-0445
Lobbezoo F., Ahlberg J., Manfredini D., Winocur E. Are bruxism and the bite causally related? J Oral Rehabil. 2012; 39 (7): 489-501. DOI: https://doi.org/10.1111/j.1365-2842.2012.02298.x
Lobbezoo F., Naeije M. Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil. 2001; 28 (12): 1085-91. DOI: https://doi.org/10.1046/j.1365-2842.2001.00839.x
Almeida L.C.M., Stuginski B.J., Conti P.C.R. How psychosocial and economic impacts of COVID-19 pandemic can interfere on bruxism and temporomandibular disorders? J Appl Oral Sci. 2020; 28: e20200263. DOI: https://doi.org/10.1590/1678-7757-2020-0263
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: https://doi.org/10.11607/jop.921
Fernandes G., Franco A.L., Siqueira J.T.T., Gonçalves D.A.G., Camparis C.M. Sleep bruxism increases the risk for painful temporomandibular disorder, depression and non-specific physical symptoms. J Oral Rehabil. 2012 Jul; 39 (7): 538-44. DOI: https://doi.org/10.1111/j.1365-2842.2012.02308.x
Lange T., Dimitrov S., Born J. Effects of sleep and circadian rhythm on the human immune system. Ann N Y Acad Sci. 2010; 1193 (1): 48-59. DOI: https://doi.org/10.1111/j.1749-6632.2009.05300.x
Bryant P.A., Trinder J., Curtis N. Sick and tired: Does sleep have a vital role in the immune system? Nat Rev Immunol. 2004; 4 (6): 457-67. DOI: https://doi.org/10.1038/nri1369
Majde J.A., Krueger J.M. Links between the innate immune system and sleep. J Allergy Clin Immunol. 2005; 116 (6): 1188-98. DOI: https://doi.org/10.1016/j.jaci.2005.08.005
Manfredini D., Lobbezoo F. Relationship between bruxism and temporomandibular disorders: a systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 109 (6): e26-50. DOI: https://doi.org/10.1016/j.tripleo.2010.02.013
Abe S., Yamaguchi T., Rompré P.H., De Grandmont P., Chen Y.J., Lavigne G.J. Tooth wear in young subjects: a discriminator between sleep bruxers and controls?. Int J Prosthodont. 2009; 22 (4): 342-350.
Manfredini D., Fabbri A., Peretta R., Guarda-Nardini L., Lobbezoo F. Influence of psychological symptoms on home-recorded sleep-time masticatory muscle activity in healthy subjects. J Oral Rehabil. 2011; 38 (12): 902-11. DOI: https://doi.org/10.1111/j.1365-2842.2011.02226.x
Hassan K.A., Khier S.E. Awake Bruxism Intensified During COVID-19 Pandemic by Cumulative Stress – An Overview. J Clin Res Dent. 2020; 3 (1): 1-3. DOI: https://doi.org/10.33309/2639-8281.030103
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: https://doi.org/10.46332/aemj.787182
Frias E., López SHD., Ayala H.J.L. Dental Students’ Self-Perception: Health and Academics During COVID-19 Quarantine. Odovtos - Int J Dent Sci. 2021; 3 (23): 436-46. DOI: https://doi.org/10.15517/ijds.2021.47519
Machado E., Dal-Fabbro C., Cunali P.A., Kaizer O.B. Prevalence of sleep bruxism in children: A systematicreview. Dental Press J Orthod. 2014; 19 (6): 54-61. DOI: https://doi.org/10.1590/2176-9451.19.6.054-061.oar
Hummig W., Cruz M.M.E. Bruxism as a clinical indicator of mental ilness: Lessons from the covid-19 to the future! Rev Psiquiatr Clin. 2021; 48 (2): 127-127. DOI: https://doi.org/10.4337/9781839108259.00015
Murali R.V., Rangarajan P., Mounissamy A. Bruxism: Conceptual discussion and review. J Pharm Bioallied Sci. 2015; 7 (Suppl 1): S265-70. DOI: https://doi.org/10.4103/0975-7406.155948
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