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Previous issue date: 2016-02-29 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Objective: This study evaluated prevalence of various types of sleep disorders in a Brazilian population, and correlated temporomandibular disorder (TMD) with depression, somatization and sleep disorders. Materials and Methods: The study population was comprised by 1,643 users of the Public Health System of the city of Maring?, with an age range of 20 to 65 years. Prevalences of sleep disorders (insomnia, non-restorative sleep, sleep schedule disorder, daytime sleepiness, sleep apnea, and restlessness) were assessed by the Sleep Assessment Questionnaire (SAQ?). For the case-control study, data were obtained by RDC/TMD, Axis I and II, and SAQ?. Inclusion criteria for case group were presence of scores 3 or 4 on chronic pain grade (CPG), and zero CPG for control group. This way, case group was comprised by 84 individuals and control group by 1,048. The remaining 511 were excluded from this study, since they presented with a CPG = 1 or 2. Results: Thirty-one percent of the overall population (n=1,643) had complete high school education, and 70.1% were Caucasian, predominantly women (65.9%) ranging from 20-39 years old. According to the SAQ? global score, 56.8% showed some type of sleep disorder. The prevalence varied from 19.9% to 34.1%, depending on the type of sleep disorder. There were statistically significant differences between case- and control-group, related to depression, somatization, and sleep disorders levels (p<0.001). Conclusion: Prevalence of sleep disorders, regardless of the type, demonstrated in our study, highlights the importance of assessing sleep quality in the health clinic routine, especially when considering the possible harms they may cause to the individual. In addition, the higher the levels of depression, somatization, and sleep disorders, the higher the risk of developing TMD with an increased CPG. This population study demonstrated the correlation between different levels of exposure among these variables and TMD for the first time in the literature. / Objetivo: Este estudo avaliou a preval?ncia de diferentes tipos de dist?rbios do sono em uma popula??o brasileira e analisou a correla??o de depress?o, somatiza??o e dist?rbios do sono com disfun??o temporomandibular (DTM). Materiais e M?todos: foram avaliados 1643 indiv?duos usu?rios do Sistema de Sa?de P?blico da cidade de Maring?, com idade entre 20 e 65 anos. As preval?ncias de dist?rbios do sono (ins?nia, sono n?o-reparador, desordem de rotina do sono, sonol?ncia diurna, apneia e inquieta??o) foram avaliadas a partir do Question?rio de Avalia??o do Sono (SAQ?). Para o estudo caso-controle, foram analisados os dados obtidos atrav?s do RDC/DTM, Eixos I e II, e SAQ?. Os crit?rios de inclus?o para o grupo caso foram graus de dor cr?nica (GDC) 3 e 4, e GDC zero para o grupo controle. Assim, o grupo caso foi composto de 84 indiv?duos e o grupo controle de 1.048. Os 511 restantes foram exclu?dos desse estudo por apresentarem GDC = 1 ou 2. Resultados: Da popula??o geral (n=1.643), 31% haviam completado o ensino m?dio e 70,1% eram caucasianos, predominantemente mulheres (65,9%) com idade entre 20-39 anos. De acordo com o escore global do SAQ?, 56,8% da popula??o tinham algum tipo de dist?rbio do sono. A preval?ncia variou de 19,9 a 34,1%, dependendo do tipo de dist?rbio do sono. Foram encontradas diferen?as estatisticamente significativas entre o grupo caso e o grupo controle, com rela??o ? depress?o, somatiza??o e dist?rbios do sono (p<0.001). Conclus?o: A preval?ncia de dist?rbios do sono, independente do tipo, demonstrada em nosso estudo destaca a necessidade de se avaliar a qualidade do sono como rotina de consult?rio, especialmente devido aos poss?veis danos ao indiv?duo. Al?m disso, quanto mais elevado for o n?vel de depress?o, somatiza??o e dist?rbio do sono, maior o risco de desenvolver DTM com um alto GDC. Este estudo populacional demonstrou a correla??o entre diferentes n?veis de exposi??o entre estas vari?veis e DTM, pela primeira vez na literatura.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/6735 |
| Date | 29 February 2016 |
| Creators | Rehm, Daniela Disconzi Seitenfus |
| Contributors | Grossi, M?rcio Lima |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Odontologia, PUCRS, Brasil, Faculdade de Odontologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | -8096554818733665164, 600, 600, 600, 600, 4673435736271820140, -2070498469879244349, 2075167498588264571 |
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