Emotional disorders, parafunctional habits, and bruxism in hospital healthcare professionals in the COVID-19 post-pandemic period: a cross-sectional observational study

Pereira, Catarina dos Santos; Quaresma, Maria Carlos Lopes Cardoso Real Dias

doi:10.1590/1809-2950/22018129042022EN

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ORIGINAL RESEARCH • Fisioter. Pesqui. 29 (4) • Oct-Dec 2022 • https://doi.org/10.1590/1809-2950/22018129042022EN copy

Emotional disorders, parafunctional habits, and bruxism in hospital healthcare professionals in the COVID-19 post-pandemic period: a cross-sectional observational study

Alterações emocionais, hábitos parafuncionais e bruxismo em profissionais de saúde de ambiente hospitalar no período pós-pandemia de COVID-19: um estudo observacional descritivo

Cambios emocionales, hábitos parafuncionales y bruxismo en profesionales de la salud en el ámbito hospitalario en el período pospandemia por COVID-19: un estudio observacional descriptivo

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

During the COVID-19 pandemic, hospital healthcare professionals (HHP) were vulnerable to sources of anxiety that can lead to the onset or worsening of conditions such as bruxism and parafunctional habits (PH). This study aims to evaluate the relationship between sleep bruxism (SB), awake bruxism (AB), and PH and HHP’s stress, anxiety, and depression in the post-pandemic period. Data were collected via an online questionnaire composed of four sections: sample characterization, “Depression, Anxiety and Stress Scale” (DASS-21), “Oral Behavior Checklist” (OBC), and diagnostic questionnaire of SB from the American Academy of Sleep Medicine. This is a descriptive and inferential statistical analysis with 118 responses (mostly females and nurses). A total of 99.2% of the sample presented PH, 38.1% SB, and 686% AB. We found a significant association between AB and stress (p=0029), anxiety (p=0005), and depression (p=0.004); SB and anxiety (p=0.013); and between SB and AB and emotional changes in the studied sample.

Keywords:
Bruxism; COVID-19; Health Personnel

		Emotional changes (DASS-21)
		Depression	Anxiety	Stress
		p (significance)
Sociodemographic characteristic	Age	−0.329***	−0.215***	−0.394***
	Age	*0.003*	*0.039*	*<0.001*
	Gender	0.212**	0.279**	0.166**
	Gender	0.259	0.057	0.514
	Profession	0.299**	0.424**	0.287**
	Profession	0.567	0.047	0.641
	Schooling level	−0.351***	−0.337***	−0.356***
	Schooling level	*0.026*	*0.018*	*0.026*
	Years of professional activity	−0.371***	−0.213***	−0.442**
	Years of professional activity	*0.003*	*0.047*	<0.001*
	Worked in the COVID-19 frontline	0.181**	0.099**	0.149**
	Worked in the COVID-19 frontline	0.423	0.885	0.621
	Worked in the emergency ward	0.092**	0.204**	0.262**
	Worked in the emergency ward	0.908	0.299	0.088
	Hours of daily professional activity	0.115***	−0.080***	0.109***
	Hours of daily professional activity	0.476	0.574	0.489
	Hours of mask use	0.072***	−0.094***	0.036***
	Hours of mask use	0.653	0.511	0.818
	COVID-19 infection	0.255**	0.103**	0.174**
	COVID-19 infection	0.104	0.869	0.465
	Moved from home	0.225**	0.248**	0.224**
	Moved from home	0.202	0.123	0.205

		Bruxism (OBC and AASM)
		AB	SB
		p (significance)
Sociodemographic Variables	Age	0.281**	0.149**
	Age	0.054	0.623
	Gender	0.254*	0.073*
	Gender	*0.006*	0.428
	Profession	0.218**	0.177**
	Profession	0.133	0.295
	Schooling level	0.147**	0.152**
	Schooling level	0.634	0.605
	Years of professional activity	0.135**	0.260**
	Years of professional activity	0.542	*0.046*
	Worked in the COVID-19 frontline	0.102*	−0.036*
	Worked in the COVID-19 frontline	0.270	0.697
	Worked in the emergency ward	−0.043*	0.004*
	Worked in the emergency ward	0.638	0.964
	Hours of daily professional activity	−0.016*	0.023*
	Hours of daily professional activity	0.861	0.807
	Hours of mask use	−0.055*	−0.017*
	Hours of mask use	0.552	0.850
	COVID-19 infection	0.110*	−0.097*
	COVID-19 infection	0.234	0.294
	Moved from home	0.170*	0.246*
	Moved from home	0.065	*0.008*

		Emotional changes (DASS-21)
		Depression	Ansiedade	Stress
		p (significance)
Bruxism diagnosis (OBC and AASM)	AB	0.363**	0.356**	0.303**
	AB	*0.004*	*0.005*	*0.029*
	SB	0.191**	0.328**	0.205**
	SB	0.369	*0.013*	0.291

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[1] Corresponding address: Catarina Santos Pereira - Faculdade de Medicina Dentária da Universidade de Lisboa - Rua Professora Teresa Ambrósio - Lisboa, Portugal - ZIP Code: 1600-277 - E-mail: catpereira98@hotmail.com