Assessment of self-reported sleep disturbance and psychological status in patients with burning mouth syndrome

• Published in: Journal of the European Academy of Dermatology and Venereology Vol. 29; no. 7; pp. 1285 - 1290
• Main Authors: Lopez-Jornet, P., Lucero-Berdugo, M., Castillo-Felipe, C., Zamora Lavella, C., Ferrandez-Pujante, A., Pons-Fuster, A.
• Format: Journal Article
• Language: English
• Published: England Blackwell Publishing Ltd 01.07.2015
• Subjects: Burning Mouth Syndrome - complications; Burning Mouth Syndrome - psychology; Cross-Sectional Studies; Female; Follow-Up Studies; Humans; Male; Middle Aged; Psychiatric Status Rating Scales; Quality of Life - psychology; Retrospective Studies; Self Report; Sleep - physiology; Sleep Wake Disorders - etiology; Sleep Wake Disorders - psychology; Surveys and Questionnaires
• ISSN: 0926-9959; 1468-3083; 1468-3083
• DOI: 10.1111/jdv.12795

Objectives To investigate the quality of sleep of patients with primary burning mouth syndrome (BMS) compared with a control group. Methods A total of 70 patients with primary BMS and 70 control subjects were enrolled in the study. The severity of pain was evaluated with a Visual Analogue Scale (VAS). Four validated questionnaires were used to investigate the psychological profile of each patient: the Hospital Anxiety and Depression Scale, the Oral Health Impact Profile‐14 (OHIP‐14), the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (EES). Results Poor sleep quality was present in 67.1% patients with BMS vs. 17.1% in control subjects (P ≤ 0.001). For patients with BMS, total data resulting from the PSQI correlated with results obtained by the EES (P ≤ 0.001), VAS pain (P ≤ 0.001), localization (P = 0.01), HAD‐A (P = 0.001) and HAD‐D (P = 0.001). Logistic regression analysis showed that an increase of one point in each depression score (HAD‐D) made the chances of PSQI 1.26 times more likely, with a 95% confidence interval (CI = 1.03–1.55). Conclusions Patients with primary BMS exhibited significant decreases in sleep quality compared with the control group.