title: Correlation between stress, stress-coping and current sleep bruxism.
abstract: BACKGROUND
  Stress is discussed as a potential factor in the development of sleep bruxism (SB). The aim of this study was to investigate whether specific stress-factors correlate with SB-activity.
  
  
  METHODS
  Sixty-nine subjects, of which 48 were SB-patients, completed three German questionnaires assessing different stress-parameters and stress-coping-strategies: Short questionnaire for recognition of stress-factors (Kurzer Fragebogen zur Erfassung von Belastungen, KFB), Questionnaire for recuperation and strain (Erholungs-Belastungs-Fragebogen, EBF-24 A/3) and the stress-coping questionnaire (Stressverarbeitungsfragebogen-78, SVF-78). The diagnosis of SB was based on the clinical criteria of the American Academy of Sleep Medicine (AASM). The degree of SB-activity was measured by the Bruxcore-Bruxism-Monitoring-Device (BBMD, Bruxcore, Boston, USA), worn for five consecutive nights and analyzed using a computer-based method. Non-parametric Spearman correlation coefficients, rho, were calculated between the psychometric data and the amount of SB-activity measured by a pixel score of the BBMD.
  
  
  RESULTS
  Significant correlations were found for 'daily problems' (r = 0.461, p < 0.01), 'trouble at work' (r = 0.293), 'fatigue' (r = 0.288), 'physical problems' (r = 0.288) and the coping-strategy 'escape' (r = 0.295) (all p < 0.05).
  
  
  CONCLUSIONS
  Within the limitations of this study it could be shown that subjects with high SB-activity tend to feel more stressed at work and in their daily life, which in turn might influence their physical state. These subjects also seem to deal with stress in a negative way. However, due to the rather low to almost moderate correlation coefficients and the descriptive character of the study, further investigations are necessary to examine a possible causal relationship.
authors.affiliation: Department of Operative and Preventive Dentistry and Endodontics, Heinrich-Heine-University Düsseldorf, Moorenstr 5, 40225 Düsseldorf, Germany. mgiraki@hotmail.com
authors.forename: Maria
authors.initials: M
authors.lastname: Giraki
authors.forename: Christine
authors.initials: C
authors.lastname: Schneider
authors.forename: Ralf
authors.initials: R
authors.lastname: Schäfer
authors.forename: Preeti
authors.initials: P
authors.lastname: Singh
authors.forename: Matthias
authors.initials: M
authors.lastname: Franz
authors.forename: Wolfgang H M
authors.initials: WH
authors.lastname: Raab
authors.forename: Michelle A
authors.initials: MA
authors.lastname: Ommerborn
mesh_terms: D000223:Adaptation, Psychological; D006801:Humans; D011594:Psychometrics; D012307:Risk Factors; D020186:Sleep Bruxism / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D013315:Stress, Psychological / Q000453:epidemiology*; D011795:Surveys and Questionnaires