The Contribution of Insomnia and Obstructive Sleep Apnea on the Transition from Acute to Chronic Painful Temporomandibular Disorders and their Persistence: A Prospective 3-Month Cohort Study
ABSTRACTBackground Insomnia, and Excessive Daytime Sleepiness (EDS), a surrogate marker of Obstructive Sleep Apnea (OSA), are common sleep-related conditions among painful temporomandibular disorders (TMD) patients. OSA was found to increase the risk of chronic painful TMD.Aims This prospective coho...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-07-01
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| Series: | Canadian Journal of Pain |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/24740527.2023.2266738 |
| _version_ | 1797352833518927872 |
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| author | Sherif M. Elsaraj Mervyn Gornitsky Richard Hovey Firoozeh Samim Zovinar Der Khatchadourian Ana Velly |
| author_facet | Sherif M. Elsaraj Mervyn Gornitsky Richard Hovey Firoozeh Samim Zovinar Der Khatchadourian Ana Velly |
| author_sort | Sherif M. Elsaraj |
| collection | DOAJ |
| description | ABSTRACTBackground Insomnia, and Excessive Daytime Sleepiness (EDS), a surrogate marker of Obstructive Sleep Apnea (OSA), are common sleep-related conditions among painful temporomandibular disorders (TMD) patients. OSA was found to increase the risk of chronic painful TMD.Aims This prospective cohort study aims to determine the contribution of insomnia and EDS on acute to chronic painful TMD transition as well as its persistence when chronic pain is defined by: (i) duration (> 3 months), and (ii) dysfunction (Graded Chronic Pain Scale [GCPS II-IV]).Methods From 456 patients recruited between 2015 to 2021, through four locations in Canada, 378 completed the follow-up. A diagnosis was obtained using the Research Diagnostic Criteria or the Diagnostic Criteria for TMD. Insomnia was assessed with the Insomnia Severity Scale (ISS), and OSA was assessed using the Epworth Sleepiness Scale (ESS) which measures EDS, both at baseline. Patients completed the GCPS form at baseline and 3-month follow-up.Results Borderline associations were found between EDS and the transition or persistence of chronic painful TMD when chronic pain was defined by pain duration (RR adjusted_duration = 1.11, P = 0.07) and dysfunction (RRadjusted_dysfunction =1.40, P = 0.051). Furthermore, EDS was specifically associated with persistent painful TMD when chronic pain was defined by pain duration (RR = 1.13, 95%CI: 1.00-1.26, P = 0.04). Insomnia was not related to the study outcomes (RRadjusted_duration = 0.94, P = 0.27, RRadjusted_dysfunction =1.00, P = 0.99). Conclusion Results indicate that EDS contrary to insomnia predicted the persistence of chronic painful TMD at a 3-month follow-up. |
| first_indexed | 2024-03-08T13:22:25Z |
| format | Article |
| id | doaj.art-3da6b72220f348fa9aaab33191700b26 |
| institution | Directory Open Access Journal |
| issn | 2474-0527 |
| language | English |
| last_indexed | 2024-03-08T13:22:25Z |
| publishDate | 2023-07-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Canadian Journal of Pain |
| spelling | doaj.art-3da6b72220f348fa9aaab33191700b262024-01-17T19:59:41ZengTaylor & Francis GroupCanadian Journal of Pain2474-05272023-07-017210.1080/24740527.2023.2266738The Contribution of Insomnia and Obstructive Sleep Apnea on the Transition from Acute to Chronic Painful Temporomandibular Disorders and their Persistence: A Prospective 3-Month Cohort StudySherif M. Elsaraj0Mervyn Gornitsky1Richard Hovey2Firoozeh Samim3Zovinar Der Khatchadourian4Ana Velly5Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, CanadaFaculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, CanadaFaculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, CanadaFaculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, CanadaFaculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, CanadaFaculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, CanadaABSTRACTBackground Insomnia, and Excessive Daytime Sleepiness (EDS), a surrogate marker of Obstructive Sleep Apnea (OSA), are common sleep-related conditions among painful temporomandibular disorders (TMD) patients. OSA was found to increase the risk of chronic painful TMD.Aims This prospective cohort study aims to determine the contribution of insomnia and EDS on acute to chronic painful TMD transition as well as its persistence when chronic pain is defined by: (i) duration (> 3 months), and (ii) dysfunction (Graded Chronic Pain Scale [GCPS II-IV]).Methods From 456 patients recruited between 2015 to 2021, through four locations in Canada, 378 completed the follow-up. A diagnosis was obtained using the Research Diagnostic Criteria or the Diagnostic Criteria for TMD. Insomnia was assessed with the Insomnia Severity Scale (ISS), and OSA was assessed using the Epworth Sleepiness Scale (ESS) which measures EDS, both at baseline. Patients completed the GCPS form at baseline and 3-month follow-up.Results Borderline associations were found between EDS and the transition or persistence of chronic painful TMD when chronic pain was defined by pain duration (RR adjusted_duration = 1.11, P = 0.07) and dysfunction (RRadjusted_dysfunction =1.40, P = 0.051). Furthermore, EDS was specifically associated with persistent painful TMD when chronic pain was defined by pain duration (RR = 1.13, 95%CI: 1.00-1.26, P = 0.04). Insomnia was not related to the study outcomes (RRadjusted_duration = 0.94, P = 0.27, RRadjusted_dysfunction =1.00, P = 0.99). Conclusion Results indicate that EDS contrary to insomnia predicted the persistence of chronic painful TMD at a 3-month follow-up.https://www.tandfonline.com/doi/10.1080/24740527.2023.2266738temporomandibular disorderschronic painacute paintransitioncohort studyrisk factors |
| spellingShingle | Sherif M. Elsaraj Mervyn Gornitsky Richard Hovey Firoozeh Samim Zovinar Der Khatchadourian Ana Velly The Contribution of Insomnia and Obstructive Sleep Apnea on the Transition from Acute to Chronic Painful Temporomandibular Disorders and their Persistence: A Prospective 3-Month Cohort Study Canadian Journal of Pain temporomandibular disorders chronic pain acute pain transition cohort study risk factors |
| title | The Contribution of Insomnia and Obstructive Sleep Apnea on the Transition from Acute to Chronic Painful Temporomandibular Disorders and their Persistence: A Prospective 3-Month Cohort Study |
| title_full | The Contribution of Insomnia and Obstructive Sleep Apnea on the Transition from Acute to Chronic Painful Temporomandibular Disorders and their Persistence: A Prospective 3-Month Cohort Study |
| title_fullStr | The Contribution of Insomnia and Obstructive Sleep Apnea on the Transition from Acute to Chronic Painful Temporomandibular Disorders and their Persistence: A Prospective 3-Month Cohort Study |
| title_full_unstemmed | The Contribution of Insomnia and Obstructive Sleep Apnea on the Transition from Acute to Chronic Painful Temporomandibular Disorders and their Persistence: A Prospective 3-Month Cohort Study |
| title_short | The Contribution of Insomnia and Obstructive Sleep Apnea on the Transition from Acute to Chronic Painful Temporomandibular Disorders and their Persistence: A Prospective 3-Month Cohort Study |
| title_sort | contribution of insomnia and obstructive sleep apnea on the transition from acute to chronic painful temporomandibular disorders and their persistence a prospective 3 month cohort study |
| topic | temporomandibular disorders chronic pain acute pain transition cohort study risk factors |
| url | https://www.tandfonline.com/doi/10.1080/24740527.2023.2266738 |
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