Influence of psychological symptoms on home-recorded sleep-time masticatory muscle activity in healthy subjects
Summary The present investigation attempts to describe the correlation between sleep‐time masticatory muscle activity (MMA) and psychological symptoms by the use of a four‐channel electromyography (EMG) home‐recording device in a group of 15 healthy volunteers completing a battery of psychometric q...
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| Published in | Journal of oral rehabilitation Vol. 38; no. 12; pp. 902 - 911 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Blackwell Publishing Ltd
01.12.2011
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0305-182X 1365-2842 1365-2842 |
| DOI | 10.1111/j.1365-2842.2011.02226.x |
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| Abstract | Summary The present investigation attempts to describe the correlation between sleep‐time masticatory muscle activity (MMA) and psychological symptoms by the use of a four‐channel electromyography (EMG) home‐recording device in a group of 15 healthy volunteers completing a battery of psychometric questionnaires for the assessment of anxiety, depression and anger. The integrated EMG signal was adopted to quantify the work (μV × s) produced by each of the four muscles (bilateral masseter and temporal) during the 5‐h recording span and per each 1‐h increment. The duration of MMA events and the muscle work during the first hour of sleep was related to trait anxiety scores for both masseter (P = 0·007) and temporalis muscles (P = 0·022). Trait anxiety was also significantly correlated to the total amount of MMA duration (in seconds) of the temporalis muscles (r = 0·558; P = 0·031). The present investigation provides support to the hypothesis that the duration of sleep‐time masticatory muscle activity, especially during the early phases of a night’s sleep, may be related to anxiety trait and not to anxiety state, depression or anger. These findings may support the view that features related to the individual management of anxiety, viz. trait, are likely to be more important than acute episodes of anxiety, viz. state, in the aetiology of sleep‐time masticatory muscle activity. The role of other psychological symptoms is likely to be less important. |
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| AbstractList | The present investigation attempts to describe the correlation between sleep-time masticatory muscle activity (MMA) and psychological symptoms by the use of a four-channel electromyography (EMG) home-recording device in a group of 15 healthy volunteers completing a battery of psychometric questionnaires for the assessment of anxiety, depression and anger. The integrated EMG signal was adopted to quantify the work (μV × s) produced by each of the four muscles (bilateral masseter and temporal) during the 5-h recording span and per each 1-h increment. The duration of MMA events and the muscle work during the first hour of sleep was related to trait anxiety scores for both masseter (P = 0·007) and temporalis muscles (P = 0·022). Trait anxiety was also significantly correlated to the total amount of MMA duration (in seconds) of the temporalis muscles (r = 0·558; P = 0·031). The present investigation provides support to the hypothesis that the duration of sleep-time masticatory muscle activity, especially during the early phases of a night's sleep, may be related to anxiety trait and not to anxiety state, depression or anger. These findings may support the view that features related to the individual management of anxiety, viz. trait, are likely to be more important than acute episodes of anxiety, viz. state, in the aetiology of sleep-time masticatory muscle activity. The role of other psychological symptoms is likely to be less important. The present investigation attempts to describe the correlation between sleep-time masticatory muscle activity (MMA) and psychological symptoms by the use of a four-channel electromyography (EMG) home-recording device in a group of 15 healthy volunteers completing a battery of psychometric questionnaires for the assessment of anxiety, depression and anger. The integrated EMG signal was adopted to quantify the work (μV × s) produced by each of the four muscles (bilateral masseter and temporal) during the 5-h recording span and per each 1-h increment. The duration of MMA events and the muscle work during the first hour of sleep was related to trait anxiety scores for both masseter (P = 0·007) and temporalis muscles (P = 0·022). Trait anxiety was also significantly correlated to the total amount of MMA duration (in seconds) of the temporalis muscles (r = 0·558; P = 0·031). The present investigation provides support to the hypothesis that the duration of sleep-time masticatory muscle activity, especially during the early phases of a night's sleep, may be related to anxiety trait and not to anxiety state, depression or anger. These findings may support the view that features related to the individual management of anxiety, viz. trait, are likely to be more important than acute episodes of anxiety, viz. state, in the aetiology of sleep-time masticatory muscle activity. The role of other psychological symptoms is likely to be less important.The present investigation attempts to describe the correlation between sleep-time masticatory muscle activity (MMA) and psychological symptoms by the use of a four-channel electromyography (EMG) home-recording device in a group of 15 healthy volunteers completing a battery of psychometric questionnaires for the assessment of anxiety, depression and anger. The integrated EMG signal was adopted to quantify the work (μV × s) produced by each of the four muscles (bilateral masseter and temporal) during the 5-h recording span and per each 1-h increment. The duration of MMA events and the muscle work during the first hour of sleep was related to trait anxiety scores for both masseter (P = 0·007) and temporalis muscles (P = 0·022). Trait anxiety was also significantly correlated to the total amount of MMA duration (in seconds) of the temporalis muscles (r = 0·558; P = 0·031). The present investigation provides support to the hypothesis that the duration of sleep-time masticatory muscle activity, especially during the early phases of a night's sleep, may be related to anxiety trait and not to anxiety state, depression or anger. These findings may support the view that features related to the individual management of anxiety, viz. trait, are likely to be more important than acute episodes of anxiety, viz. state, in the aetiology of sleep-time masticatory muscle activity. The role of other psychological symptoms is likely to be less important. Summary The present investigation attempts to describe the correlation between sleep‐time masticatory muscle activity (MMA) and psychological symptoms by the use of a four‐channel electromyography (EMG) home‐recording device in a group of 15 healthy volunteers completing a battery of psychometric questionnaires for the assessment of anxiety, depression and anger. The integrated EMG signal was adopted to quantify the work (μV × s) produced by each of the four muscles (bilateral masseter and temporal) during the 5‐h recording span and per each 1‐h increment. The duration of MMA events and the muscle work during the first hour of sleep was related to trait anxiety scores for both masseter (P = 0·007) and temporalis muscles (P = 0·022). Trait anxiety was also significantly correlated to the total amount of MMA duration (in seconds) of the temporalis muscles (r = 0·558; P = 0·031). The present investigation provides support to the hypothesis that the duration of sleep‐time masticatory muscle activity, especially during the early phases of a night’s sleep, may be related to anxiety trait and not to anxiety state, depression or anger. These findings may support the view that features related to the individual management of anxiety, viz. trait, are likely to be more important than acute episodes of anxiety, viz. state, in the aetiology of sleep‐time masticatory muscle activity. The role of other psychological symptoms is likely to be less important. |
| Author | MANFREDINI, D. PERETTA, R. GUARDA-NARDINI, L. LOBBEZOO, F. FABBRI, A. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21569074$$D View this record in MEDLINE/PubMed |
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| References | Goldberg DP, Blackwell B. Psychiatric illness in general practice. A detailed study using a new method of case identification. Br Med J. 1970;1:439-443. Chida Y, Hamer M. Chronic psychosocial factors and acute physiological responses to laboratory-induced stress in healthy populations: a quantitative review of 30 years of investigations. Psychol Bull. 2008;134:829-885. Manfredini D, Ciapparelli A, Dell'Osso L, Bosco M. Mood disorders in subjects with bruxing behavior. J Dent. 2005;33:485-490. Lavigne GJ, Rompré PH, Poirier G, Huard H, Kato T, Montplaisir JY. Rhythmic masticatory muscle activity during sleep in humans. J Dent Res. 2001;80:443-448. Rosales VP, Ikeda K, Hizaki K, Naruo T, Nozoe S, Ito G. Emotional stress and brux-like activity of the masseter muscle in rats. Eur J Orthod. 2002;24:107-117. Van Der Zaag J, Lobbezoo F, Visscher CM, Hamburger HL, Naeije M. Time-variant nature of sleep bruxism outcome variables using ambulatory polysomnography: implications for recognition and therapy evaluation. J Oral Rehabil. 2008;35:577-584. Lobbezoo F, van der Zaag J, Naeije M. Bruxism: its multiple causes and its effects on dental implants. An updated review. J Oral Rehabil. 2006;33:293-300. Molina OF, dos Santos J Jr. Hostility in TMD/bruxism patients and controls: a clinical comparison study and preliminary results. Cranio. 2002;20:282-288. Baba K, Haketa T, Sasaki Y, Ohyama T, Clark GT. Association between masseter muscle activity levels recorded during sleep and signs and symptoms of temporomandibular disorders in healthy young adults. J Orofac Pain. 2005;19:226-231. Gallo LM, Guerra PO, Palla S. Automatic on-line one-channel recognition of masseter activity. J Dent Res. 1998;77:1539-1546. Koyano K, Tsukiyama Y, Ichiki R, Kuwata T. Assessment of bruxism in the clinic. J Oral Rehabil. 2008;35:495-508. Van Selms MK, Lobbezoo F, Visscher CM, Naeije M. Myofascial temporomandibular disorder pain, parafunctions and psychological stress. J Oral Rehabil. 2008;35:45-52. Conti L. Repertorio delle scale di valutazione in Psichiatria (Italian). Firenze: SEE, 1999. Kampe T, Edman G, Bader G, Tagdae T, Karlsson S. Personality traits in a group of subjects with long-standing bruxing behaviour. J Oral Rehabil. 1997;24:588-593. Spielberger C. Manual of the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press, Inc; 1983. Rugh JD. Psychological stress in orofacial neuromuscular problems. Int Dent J. 1981;31:202-205. Van der Zaag J, Lobbezoo F, Wicks DJ, Vischer CM, Hamburger HL, Naeije M. Controlled assessment of the efficacy of occlusal stabilization splints on sleep bruxism. J Orofac Pain. 2005;19:151-158. Camparis CM, Formigoni G, Teixeira MJ, Bittencourt LR, Tufik S, de Siqueira JT. Sleep bruxism and temporomandibular disorder: clinical and polysomnographic evaluation. Arch Oral Biol. 2006;51:721-728. Manfredini D, Lobbezoo F. Role of psychosocial factors in the etiology of bruxism. J Orofac Pain. 2009;23:153-166. Torisu T, Wang K, Svensson P, De Laat A, Fujii H, Arendt-Nielsen L. Effect of low-level clenching and subsequent muscle pain on exteroceptive suppression and resting muscle acitivity in human jaw muscles. Clin Neurophysiol. 2007;118:999-1009. Macaluso GM, Guerra P, Di Giovanni G, Boselli M, Parrino L, Terzano MG. Sleep bruxism is a disorder related to periodic arousal during sleep. J Dent Res. 1998;77:565-573. Dworkin SF, Leresche L. Research diagnostic criteria for temporomandibular disorders: review, criteria examinations and specifications, critique. J Craniomandib Disord Fac Oral Pai. 1992;6:301-355. Manfredini D, Landi N, Fantoni F, Segù M, Bosco M. Anxiety symptoms in clinically diagnosed bruxers. J Oral Rehabil. 2005;32:584-588. Manfredini D, Landi N, Romagnoli M, Bosco M. Psychic and occlusal factors in bruxers. Aust Dent J. 2004;49:84-89. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:53-63. Schwenkmezger P, Hodapp V. A questionnaire for assessing anger and expression of anger. Z Klin Psychol Psychopathol Psychother. 1991;39:63-68. Piccinelli M, Bisoffi G, Bon MG, Cunico L, Tansella M. Validity and test-retest reliability of the Italian version of the 12-item General Health Questionnaire in general practice: a comparison between three scoring methods. Compr Psychiatry. 1993;34:198-205. Kato T, Thie NM, Montplaisir JY, Lavigne GJ. Bruxism and orofacial movements during sleep. Dent Clin North Am. 2001;45:657-684. Bellantuono C, Fiorio R, Zanotelli R, Tansella M. Psychiatric screening in general practice in Italy. A validity study of the GHQ (General Health Questionnaire). Soc Psychiatry. 1987;22:113-117. 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:e26-e50. Pierce CJ, Chrisman K, Bennett ME, Close JM. Stress, anticipatory stress, and psychologic measures related to sleep bruxism. J Orofac Pain. 1995;9:51-56. Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation, 1996. Rollmann GB, Gillespie JM. The role of psychosocial factors in temporomandibular disorders. Curr Rev Pain. 2000;4:71-81. Lobbezoo F, Lavigne GJ, Tanguay R, Montplaisir YJ. The effect of the catecholamine precursor L-dopa on sleep bruxism: a controlled clinical trial. Mov Disord. 1997;12:73-78. Lavigne GJ, Kato T, Kolta A, Sessle BJ. Neurobiological mechanisms involved in sleep bruxism. Crit Rev Oral Biol Med. 2003;14:30-46. Lavigne GJ, Khoury S, Abe S, Yamaguchi T, Raphael K. Bruxism physiology and pathology: an overview for clinicians. J Oral Rehabil. 2008;35:476-494. Spielberger C. State-trait anger expression inventory. Odessa, FL: Psychological Assessment Resources, Inc; 1988. Rossetti LM, Rossetti PH, Conti PC, de Araujo Cdos R. Association between sleep bruxism and temporomandibular disorders: a polysomnographic pilot study. Cranio. 2008;26:16-24. Ohayon MM, Li KK, Guilleminault C. Risk factors for sleep bruxism in the general population. Chest. 2001;119:53-61. Svensson P, Burgaard A, Schlosser S. Fatigue and pain in human jaw muscles during a sustained, low-intensity clenching task. Arch Oral Biol. 2001;46:773-777. Lobbezoo F, Van DerZaag J, Van Selms MK, Hamburger HL, Naeije M. Principles for the management of bruxism. J Oral Rehabil. 2008;35:509-523. Lavigne GJ, Guitard F, Rompré PH, Montplaisir JY. Variability in sleep bruxism activity over time. J Sleep Res. 2001;10:237-244. 2009; 23 1995; 9 1991; 39 2010; 109 2006; 51 2010 2004; 49 2000; 4 2006; 33 1997; 24 2009 2003; 14 1996 2008; 35 1994 1970; 1 2001; 45 2001; 46 1999 1992; 6 2001; 80 1987; 22 1993; 34 2005; 19 2007; 118 1961; 4 2002; 20 2002; 24 1997; 12 2008; 26 2005; 32 1983 2001; 119 2008; 134 2005; 33 1998; 77 1981; 31 1988 2001; 10 |
| References_xml | – reference: Lobbezoo F, van der Zaag J, Naeije M. Bruxism: its multiple causes and its effects on dental implants. An updated review. J Oral Rehabil. 2006;33:293-300. – reference: Manfredini D, Lobbezoo F. Role of psychosocial factors in the etiology of bruxism. J Orofac Pain. 2009;23:153-166. – reference: Manfredini D, Ciapparelli A, Dell'Osso L, Bosco M. Mood disorders in subjects with bruxing behavior. J Dent. 2005;33:485-490. – reference: Manfredini D, Landi N, Romagnoli M, Bosco M. Psychic and occlusal factors in bruxers. Aust Dent J. 2004;49:84-89. – reference: Van Der Zaag J, Lobbezoo F, Visscher CM, Hamburger HL, Naeije M. Time-variant nature of sleep bruxism outcome variables using ambulatory polysomnography: implications for recognition and therapy evaluation. J Oral Rehabil. 2008;35:577-584. – reference: Goldberg DP, Blackwell B. Psychiatric illness in general practice. A detailed study using a new method of case identification. Br Med J. 1970;1:439-443. – reference: Chida Y, Hamer M. Chronic psychosocial factors and acute physiological responses to laboratory-induced stress in healthy populations: a quantitative review of 30 years of investigations. Psychol Bull. 2008;134:829-885. – reference: Koyano K, Tsukiyama Y, Ichiki R, Kuwata T. Assessment of bruxism in the clinic. J Oral Rehabil. 2008;35:495-508. – reference: Spielberger C. State-trait anger expression inventory. Odessa, FL: Psychological Assessment Resources, Inc; 1988. – reference: Van der Zaag J, Lobbezoo F, Wicks DJ, Vischer CM, Hamburger HL, Naeije M. Controlled assessment of the efficacy of occlusal stabilization splints on sleep bruxism. J Orofac Pain. 2005;19:151-158. – reference: Rugh JD. Psychological stress in orofacial neuromuscular problems. Int Dent J. 1981;31:202-205. – reference: Rossetti LM, Rossetti PH, Conti PC, de Araujo Cdos R. Association between sleep bruxism and temporomandibular disorders: a polysomnographic pilot study. Cranio. 2008;26:16-24. – reference: Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation, 1996. – reference: Lobbezoo F, Lavigne GJ, Tanguay R, Montplaisir YJ. The effect of the catecholamine precursor L-dopa on sleep bruxism: a controlled clinical trial. Mov Disord. 1997;12:73-78. – reference: Camparis CM, Formigoni G, Teixeira MJ, Bittencourt LR, Tufik S, de Siqueira JT. Sleep bruxism and temporomandibular disorder: clinical and polysomnographic evaluation. Arch Oral Biol. 2006;51:721-728. – reference: Manfredini D, Landi N, Fantoni F, Segù M, Bosco M. Anxiety symptoms in clinically diagnosed bruxers. J Oral Rehabil. 2005;32:584-588. – reference: Macaluso GM, Guerra P, Di Giovanni G, Boselli M, Parrino L, Terzano MG. Sleep bruxism is a disorder related to periodic arousal during sleep. J Dent Res. 1998;77:565-573. – reference: Lobbezoo F, Van DerZaag J, Van Selms MK, Hamburger HL, Naeije M. Principles for the management of bruxism. J Oral Rehabil. 2008;35:509-523. – reference: 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:e26-e50. – reference: Schwenkmezger P, Hodapp V. A questionnaire for assessing anger and expression of anger. Z Klin Psychol Psychopathol Psychother. 1991;39:63-68. – reference: Lavigne GJ, Rompré PH, Poirier G, Huard H, Kato T, Montplaisir JY. Rhythmic masticatory muscle activity during sleep in humans. J Dent Res. 2001;80:443-448. – reference: Rollmann GB, Gillespie JM. The role of psychosocial factors in temporomandibular disorders. Curr Rev Pain. 2000;4:71-81. – reference: Spielberger C. Manual of the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press, Inc; 1983. – reference: Bellantuono C, Fiorio R, Zanotelli R, Tansella M. 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| Snippet | Summary The present investigation attempts to describe the correlation between sleep‐time masticatory muscle activity (MMA) and psychological symptoms by the... The present investigation attempts to describe the correlation between sleep-time masticatory muscle activity (MMA) and psychological symptoms by the use of a... |
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| SubjectTerms | Adult anger anxiety Anxiety Disorders - complications Anxiety Disorders - physiopathology Anxiety Disorders - psychology depression Depressive Disorder - complications Depressive Disorder - physiopathology Depressive Disorder - psychology Electromyography Female Humans Italy - epidemiology Male Masseter Muscle - physiopathology Masticatory Muscles - physiopathology Motor Activity Psychometrics Sleep sleep bruxism Sleep Bruxism - physiopathology Sleep Bruxism - psychology sleep-time masticatory muscle activity Young Adult |
| Title | Influence of psychological symptoms on home-recorded sleep-time masticatory muscle activity in healthy subjects |
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