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Publication
A importância dos fatores psicológicos no bruxismo : uma umbrella review sem meta-análise
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Abstract(s)
Introdução: Perante a etiologia multifatorial do bruxismoo e o reconhecimento da importância dos fatores psicológicos no mesmo, pretendemos através de uma umbrella review, analisar as revisões sistemáticas ou meta-análises sobre os fatores psicológicos associados ao bruxismo. Método: Foram utilizadas as seguintes bases de dados: PubMed / Medline, PsychArticles, PsychInfo, Scielo PePsic, B-on and Web of Science (Academic Search Premier), Redalyc. A pesquisa foi efetuada através da seleção das seguintes palavras-chave: Bruxism; sleep bruxism; awake bruxism; night guard; Systematic review or meta-analysis; Psycho; Psychological factors; Stress; Anxiety. Resultados: Dos 61 artigos que reuniram critérios de elegibilidade , apenas 7 foram incluídos. A maioria dos estudos reportaram que existe associação entre bruxismo e fatores psicológicos com graus de evidência variáveis. A população dos estudos englobou crianças, adolescentes e adultos de diferentes países, com grande heterogeneidade nas suas características o que por si só constitui fator de enviesamento. Conclusão: Os resultados, disponíveis sugerem uma associação entre o bruxismo do sono e fatores psicológicos. Verificamos que é necessário a realização de mais trabalhos de investigação nesta área, com resultados inequívocos para uma melhor orientação do tratamento. Há necessidade de homogeneidade de critérios, quer na seleção da população quer no uso de instrumentos validados para a população em estudo.
Introduction: Given the multifactorial etiology of bruxism and the recognition of the importance of psychological factors in it, we intend through an umbrella review, to analyse the systematic reviews or meta-analyses on the psychological factors associated with bruxism. Method: The following databases were used: PubMed / Medline, PsychArticles, PsychInfo, Scielo PePsic, B-on and Web of Science (Academic Search Premier), Redalyc. The search was carried out by selecting the following keywords: Bruxism; sleep bruxism; awake bruxism; night guard; Systematic review or meta-analysis; Psycho; Psychological factors; Stress; Anxiety. Results: Of the 61 articles that met eligibility criteria, only 7 were included. Most studies reported that there is an association between bruxism and psychological factors with variable degrees of evidence. The population of the studies included children, adolescents and adults from different countries, with great heterogeneity in their characteristics which in itself constitutes a biasing factor. Conclusion: The available results suggest an association between sleep bruxism and psychological factors. We found that there is a need for further research in this area, with unequivocal results for better treatment guidance. There is a need for homogeneity of criteria, both in the selection of the population and in the use of instruments validated for the population under study.
Introduction: Given the multifactorial etiology of bruxism and the recognition of the importance of psychological factors in it, we intend through an umbrella review, to analyse the systematic reviews or meta-analyses on the psychological factors associated with bruxism. Method: The following databases were used: PubMed / Medline, PsychArticles, PsychInfo, Scielo PePsic, B-on and Web of Science (Academic Search Premier), Redalyc. The search was carried out by selecting the following keywords: Bruxism; sleep bruxism; awake bruxism; night guard; Systematic review or meta-analysis; Psycho; Psychological factors; Stress; Anxiety. Results: Of the 61 articles that met eligibility criteria, only 7 were included. Most studies reported that there is an association between bruxism and psychological factors with variable degrees of evidence. The population of the studies included children, adolescents and adults from different countries, with great heterogeneity in their characteristics which in itself constitutes a biasing factor. Conclusion: The available results suggest an association between sleep bruxism and psychological factors. We found that there is a need for further research in this area, with unequivocal results for better treatment guidance. There is a need for homogeneity of criteria, both in the selection of the population and in the use of instruments validated for the population under study.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Bruxism Sleep bruxism Awake bruxism Systematic review Umbrella review