Estresse percebido e bruxismo autorreferido em cirurgiões-dentistas peruanos: um estudo transversal em saúde ocupacional
DOI:
https://doi.org/10.15343/0104-7809.202650e17872025IPalavras-chave:
Bruxismo, Cirurgiões-dentistas, Estresse Percebido, Saúde Ocupacional, AutorrelatoResumo
O estresse ocupacional representa um risco crescente entre profissionais da saúde, sendo os cirurgiões-dentistas particularmente expostos a demandas físicas e emocionais. Uma de suas potenciais consequências clínicas é o bruxismo, definido como uma atividade involuntária dos músculos mastigatórios que pode ser influenciada por fatores psicológicos. Este estudo teve como objetivo determinar a relação entre estresse percebido e bruxismo autorreferido em cirurgiões-dentistas da cidade de Puno, Peru, durante o ano de 2025. Foi conduzido um estudo quantitativo, transversal e correlacional, com uma amostra de 219 participantes. O Índice de Reatividade ao Estresse (IRE-32) e uma lista de verificação de bruxismo autorreferido composta por 15 itens foram utilizados para avaliar as variáveis principais. Os resultados mostraram que 38,4% dos participantes apresentaram nível elevado de estresse percebido e 61,6% relataram algum grau de bruxismo, sendo a forma leve a mais frequente (31,9%). A análise de correlação de Spearman demonstrou uma relação positiva forte entre as duas variáveis (rho = 0,689; p < 0,001), indicando que níveis mais elevados de estresse percebido estão associados a maior gravidade do bruxismo autorreferido. Esses achados sugerem uma associação significativa entre as duas condições, a qual deve ser considerada no planejamento de estratégias de prevenção e promoção da saúde voltadas ao bem-estar mental e musculoesquelético de profissionais da odontologia. Devido ao delineamento transversal, esses achados devem ser interpretados como associações, e não como relações causais.
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Referências
González de Rivera JL. Stress reactivity patterns. In: VI World Congress of the International College of Psychosomatic Medicine. Montreal, Canada; 1981.
World Health Organization [website]. Estrés – questions and answers. Geneva; 2023 [accessed Jun 27, 2025]. Available at: https://www.who.int/es/ news-room/questions-and-answers/item/stress
World Health Organization. Sensibilizando sobre el estrés laboral en los países en desarrollo [Internet]. Geneva; 2008 [accessed Jun 27, 2025]. Available at: https://iris.who.int/bitstream/10665/43770/1/9789243591650_spa.pdf
Lijun Z, Yanping B, Shuhui T, Xuequn R, Meiyan L. The characteristics and risk factors of cardiovascular diseases and psychological status in science and technologyists. Zhonghua Neike Zazhi. 2022;61(9):1037–1043. DOI: https://doi.org/10.3760/cma.j.cn112138-20220124-00077
Haudrich EA, Burns EK, Gupta T, Haas GL, Horton LE. The day-to-day influence of trauma exposure and sleep dysfunction on everyday stress in youth at familial high-risk for psychotic disorders. Schizophr Res. 2024;274:535–544. DOI: https://doi.org/10.1016/j.schres.2024.10.024
Romero EER, Young J, Salado-Castillo R. Fisiología del estrés y su integración al sistema nervioso y endocrino. Rev Med Cient. 2019;32:61–70. DOI: https://doi.org/10.37416/rmc.v32i1.535
Villada C, Hidalgo V, Almela M, Salvador A. Individual differences in the psychobiological response to psychosocial stress (Trier Social Stress Test): The relevance of trait anxiety and coping styles. Stress and Health. 2016;32(2):90–99. DOI: https://doi.org/10.1002/smi.2582
Dharmadhikari S, Romito LM, Dzemidzic M, Dydak U, Xu J, Bodkin CL, et al. GABA and glutamate levels in occlusal splint-wearing males with possible bruxism. Arch Oral Biol. 2015;60(7):1021–1029. DOI: https://doi.org/10.1016/j.archoralbio.2015.03.006
Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ, et al. Bruxism defined and graded: An international consensus. J Oral Rehabil. 2013;40(1):2–4. DOI: https://doi.org/10.1111/joor.12011
Amorim CSM, Vieira GF, Firsoff EFO, Frutuoso JRC, Puliti E, Marques AP. Symptoms in different severity degrees of bruxism: A cross-sectional study. Fisioter Pesqui. 2016;23(4):423–430. DOI: https://doi.org/10.1590/1809-2950/15988723042016
Verhoeff MC, Lobbezoo F, Ahlberg J, Bender S, Bracci A, Colonna A, et al. Updating the bruxism definitions: Report of an international consensus meeting. J Oral Rehabil. 2025;52(9):1335-1342. DOI: https://doi.org/10.1111/joor.13985
Przystańska A, Jasielska A, Ziarko M, Pobudek-Radzikowska M, Maciejewska-Szaniec Z, Prylińska-Czyżewska A, et al. Psychosocial predictors of bruxism. Biomed Res Int. 2019;1:2069716. DOI: https://doi.org/10.1155/2019/2069716
Smardz J, Martynowicz H, Wojakowska A, Michalek-Zrabkowska M, Mazur G, Wieckiewicz M. Correlation between sleep bruxism, stress, and depression—A polysomnographic study. J Clin Med. 2019;8(9):1344. DOI: https://doi.org/10.3390/jcm8091344
Saczuk K, Lapinska B, Wilmont P, Pawlak L, Lukomska-Szymanska M. Relationship between sleep bruxism, perceived stress, and coping strategies. Int J Environ Res Public Health. 2019;16(17):3193. DOI: https://doi.org/10.3390/ijerph16173193
Costa FDS, Fernandez MDS, Silva-Junior IF da, Karam SA, Chisini LA, Goettems ML. Association involving possible sleep bruxism, stress, and depressive symptoms in Brazilian university students: A cross-sectional study. Sleep Sci. 2023;16(3):e317–322. DOI: https://doi.org/10.1055/s-0043-1772808
Levartovsky S, Msarwa S, Reiter S, Eli I, Winocur E, Sarig R. The association between emotional stress, sleep, and awake bruxism among dental students: A sex comparison. J Clin Med. 2022;11(1):10. DOI: https://doi.org/10.3390/jcm11010010
Evaristo-Chiyong TA. Estados psicoemocionales y presencia de bruxismo en estudiantes de odontología peruanos. Odovtos Int J Dent Sci. 2019;21(3):111–117. DOI: https://doi.org/10.15517/ijds.v0i0.34414
Bakri MM, Aljabri MY, Hezam AAA, Abiri ZA, Mubaraky LM, Alhamidhi AA, et al. Association of self-reported bruxism and academic performance in Jazan University dental students: A cross-sectional study. Natl J Maxillofac Surg. 2024;15(3):379. DOI: https://doi.org/10.4103/njms.njms_47_24
Martínez-Hernández MM, González-Alamilla R, Gutiérrez-Sánchez JE, Cuevas-Suárez CE, Monjarás-Ávila CU, Monjarás-Ávila AJ, et al. Self-Report of the perception of stress and signs of bruxism generated during the pandemic in student of the health area. Odovtos Int J Dent Sci. 2022;24(3):200–212. DOI: https://doi.org/10.15517/ijds.2022.50877
Durga Prasad Naik K, Gortha P, Varma M, Kumar M, Koruprolu RL, Rameswarapu M, et al. Prevalence of bruxism and its association with stress among dental students: A questionnaire-based cross-sectional study. J Den Indones. 2025;32(3):153–159. DOI: https://doi.org/10.14693/jdi.v32i3.1872
Monterrey AL, González de Rivera JL, de las Cuevas C, Rodriguez-Pulido F. El índice de reactividad al estrés (IRE): ¿rasgo o estado? Rev Psiquiatr Fac Med Barna. 1991;18(1):23–27.
Molina OF, Dos Santos J, Nelson SJ, Nowlin T. A Clinical study of specific signs and symptoms of CMD in bruxers classified by the degree of severity. Cranio. 1999;17(4):268–279. DOI: https://doi.org/10.1080/08869634.1999.11746104
Coelho D, Yamaguchi S, Harb A, Souza-Talarico JN. Effort-reward and overcommitment at work and psychiatric symptoms in healthcare professionals: The mediation role of allostatic load. Compr Psychoneuroendocrinol. 2024;17:100225. DOI: https://doi.org/10.1016/j.cpnec.2024.100225
Owczarek JE, Lion KM, Radwan-Oczko M. The impact of stress, anxiety and depression on stomatognathic system of physiotherapy and dentistry first-year students. Brain Behav. 2020;10(10):e01797. DOI: https://doi.org/10.1002/brb3.1797
Babayiğit O, Büyükkalaycı FN, Altun S. The interplay of academic procrastination, self-generated stress, and self-reported bruxism among medical and dental students: a cross-sectional study. BMC Psychol. 2024;12(1). DOI: https://doi.org/10.1186/s40359-024-02105-w
Sic A, Bogicevic M, Brezic N, Nemr C, Knezevic NN. Chronic stress and headaches: The role of the HPA axis and autonomic nervous system. Biomedicines 2025;13(2):463. DOI: https://doi.org/10.3390/biomedicines13020463
Phuong NTT, Ngoc VTN, Linh LM, Duc NM, Tra NT, Anh LQ. Bruxism, related factors and oral health-related quality of life among Vietnamese medical students. Int J Environ Res Public Health. 2020;17(20):7408. DOI: https://doi.org/10.3390/ijerph17207408
Ng A, Hayes MJ, Polster A. Musculoskeletal disorders and working posture among dental and oral health students. Healthcare 2016;4(1):13. DOI: https://doi.org/10.3390/healthcare4010013
Kawtharani AA, Chemeisani A, Salman F, Younes AH, Msheik A. Neck and musculoskeletal pain among dentists: A review of the literature. Cureus. 2023;15(1):e33609. DOI: https://doi.org/10.7759/cureus.33609
Calderon-Jofre R, Moraga D, Moraga FA. The effect of chronic intermittent hypobaric hypoxia on sleep quality and melatonin serum levels in Chilean miners. Front Physiol. 2022;12:809360. DOI: https://doi.org/10.3389/fphys.2021.809360
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