Abstract
Objective. To evaluate means in anger-in and aggressive dream content in craniomandibular disorder/bruxers. Method. Two questionnaires to evaluate anger-in and aggressive content in nightmares, clinical examination, and criteria for craniomandibular disorders/ bruxism were used in 70 subjects with craniomandibular disorders/ bruxism (66 females, mean age 31.3); in 28 bruxers without craniomandibular disorders (19 females, mean age 32.3); and in 39 controls without such disorders (26 females, mean age 30.6). Results. Anger-inward was not different between craniomandibular disorder/bruxism (130.7) and non craniomandibular disorder/bruxism (105.6); but it was different when compared with control group (70.1): craniomandibular disorder/bruxism versus control group (p<0.001); non craniomandibular disorder/bruxism and control group (p<0.01). Frequencies of aggressive dream content in nightmares were about: craniomandibular disorder/bruxism: 71.4%; non craniomandibular disorder/bruxism: 67.9% and control group: 46.2% (p=0.02). Means in aggressive dream events were not different among the groups. Conclusions. Anger-in was higher in those with craniomandibular disorders/bruxism. Aggressive events in bad dreams and nightmares decreased from the more psychologically disturbed subgroup to the less psychological disturbed one.
Highlights
Craniomandibular disorders (CMDs) is a collective term used to describe a number of related disorders affecting the temporomandibular joints (TMJs), masticatory muscles, and adjacent musculoskeletal structures presenting with common symptoms including pain and limited mouth opening1
Females predominated in the experimental group as compared to the two control groups: CMDs+bruxing behavior (BB) versus Non CMDs+BB, p
Because we found higher scores in anger turned-inward in CMDs and BB patients in the current investigation, this outcome is in accordance with one investigation16, evaluating 35 recalcitrant cases of CMDs and BB and reporting that at the time of the psychiatric interview, 31 patients presented with conspicuous psychiatric disorders, some were markedly depressed, and most patients were involved in insoluble life problems associated with rage, conflicts and frustration
Summary
Craniomandibular disorders (CMDs) is a collective term used to describe a number of related disorders affecting the temporomandibular joints (TMJs), masticatory muscles, and adjacent musculoskeletal structures presenting with common symptoms including pain and limited mouth opening. CMDs may be part of an interdisciplinary group of somatoform syndromes defined as functional somatic syndromes, characterized by similar mechanisms, etiologies and psychosocial impairement. The term “La Bruxomanie” was first introduced in the dental and psychological literature by Marie and Pietkiewicz in 1907 and was later adapted to describe the act of gnashing and grinding the teeth at daytime/nighttime without a functional purpose. Many CMDs and bruxing behavior (BB) individuals, present somatoform and dissociative disorders (DID) that in some way are related to sleep disorders including nightmares and bad dreams
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