Unraveling the relationship between facial neuropathic conditions and pain, sleep, chronotypes, bruxism, and psychosocial factors.

IF 1.9 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2026-01-01 Epub Date: 2025-01-30 DOI:10.1080/08869634.2025.2449595

R C Souza, Cmc Gandara, J M Serra-Negra, C M Almeida-Leite

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Abstract

Objective: This cross-sectional study evaluated associations between sleep disorders, pain, bruxism, and chronotypes in patients with trigeminal neuralgia (TN) or post-herpetic neuralgia (PHN) in orofacial area.

Methods: Ninety-four subjects (25 TN, 14 PHN, 55 controls) were evaluated for pain, sleep, chronotype, anxiety, depression, oral behaviors, and lifestyle by validated instruments. Bruxism was assessed by self-report. Between-group comparisons and associations using correlation and regression analysis were made.

Results: TN patients had more sleep disorders and depressive symptoms and poorer lifestyles. Morningness was more common in PHN. Pain and anxiety were correlated with lower sleep quality and oral risk behaviors, mainly in TN. Worse lifestyle in both groups was correlated to anxiety and depression, and morningness was correlated to better lifestyle in TN. No association was observed of sleep or awake bruxism with lifestyle, anxiety, or depression.

Conclusion: TN patients are more vulnerable to sleep disorders and psychosocial impacts of pain.

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揭示面部神经病变与疼痛、睡眠、时型、磨牙和社会心理因素之间的关系。

目的：本横断面研究评估口面部三叉神经痛（TN）或疱疹后神经痛（PHN）患者的睡眠障碍、疼痛、磨牙和时间型之间的关系。方法：94名被试（25名TN， 14名PHN， 55名对照）采用验证过的工具对疼痛、睡眠、时间型、焦虑、抑郁、口腔行为和生活方式进行评估。磨牙症采用自我报告评估。采用相关和回归分析进行组间比较和关联。结果：TN患者睡眠障碍和抑郁症状较多，生活方式较差。早起在PHN中更为常见。疼痛和焦虑与较低的睡眠质量和口腔危险行为相关，主要是在TN中。两组中生活方式的恶化与焦虑和抑郁相关，晨起与TN中更好的生活方式相关。未观察到睡眠或醒时磨牙与生活方式、焦虑或抑郁相关。结论：TN患者更容易出现睡眠障碍和疼痛的社会心理影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.