3-Year Retrospective Evaluation of Sleep Disturbance Patients between an Orofacial Pain Center and a Sleep Medicine Clinic
Abstract
Introduction: Sleep disorders and chronic orofacial pain (OFP) in the military negatively affects individual performance, unit readiness, and national security. Previous research has revealed associations between pain and sleep disturbances but to date, no studies have evaluated the relationship between OFP diagnosis and sleep disorder categories in a military OFP clinic and sleep medicine center. Methods: This study retrospectively examined 3 years of data of 105 subjects concurrently evaluated at the Naval Postgraduate Dental School Orofacial Pain Center (OPC) and Walter Reed Sleep Medicine Clinic. Data examined included demographic data and the following validated indices: Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, Insomnia Severity Index, and Posttraumatic Stress Disorder Checklist. Significance as well as strength and direction of associations between OFP diagnoses and sleep disorders were evaluated via odds ratios with type I error (alpha) set at 0.05. Results: The majority of subjects received a primary OFP diagnosis of a muscular disorder (77.1 percent, n = 81) followed by joint (9.5 percent, n = 10), neuropathic (8.6 percent, n = 9), and other (3.8 percent, n = 4). The odds of being diagnosed with insomnia given a muscle disorder was 1.30 (0.23, 13.59, p=1.00), 1.41 (0.23, 15.01, p = 1.00) for a sleep-related movement disorder given a joint disorder, and 1.20 (0.43, 3.60, p = 0.81) for insomnia given a joint disorder. A higher relative prevalence of anxiety, depression, and insomnia were found in muscle disorders (74.0 percent, 75.3 percent, 86.4 percent) and neuropathic disorders (88.8 percent, 100 percent, 100 percent) compared to joint disorders (30.0 percent, 30.0 percent, 50.0 percent). Conclusions: Although there were increased odds ratios between certain OFP and sleep disorder categories, none were statistically significant.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jun 01, 2023
- Accession Number
- AD1222416
Entities
People
- Matthew E. Simon
Organizations
- Uniformed Services University of the Health Sciences