Is There Association Between Stress and Bruxism? A Systematic Review and Meta-Analysis.
Is There Association Between Stress and Bruxism? A Systematic Review and Meta-Analysis.
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压力和磨牙症之间有联系吗？系统回顾和荟萃分析。
DOI：
10.3389/fneur.2020.590779
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发表时间：
2020
影响因子：
3.4
通讯作者：
Lima RR
中科院分区：
文献类型：
--
作者：
Chemelo VDS;Né YGS;Frazão DR;de Souza-Rodrigues RD;Fagundes NCF;Magno MB;da Silva CMT;Maia LC;Lima RR
本系统综述和荟萃分析旨在调查压力与人类磨牙症之间的可能联系。本研究按照系统评价和荟萃分析首选报告项目（PRISMA）指南进行，代码为CRD42020188862，检索数据库为PubMed、Scopus、Web of Science、Cochrane、LILACS、OpenGrey和谷歌Scholar。本系统综述评估了有压力和没有压力的成年人的观察性研究，以验证磨牙症与压力存在之间的联系。偏倚风险通过乔安娜·布里格斯研究所分析横截面研究的关键评估工具进行评估。在定量分析中，通过固定效应模型计算优势比（OR）及其95%置信区间（CI）。此外，使用推荐、评估、发展和评价分级（GRADE）对证据的总体强度进行了总结。共纳入1458项研究，其中6项纳入本系统综述。纳入的两项研究被归类为低偏倚风险，其他研究被归类为中等偏倚风险。在三篇文章中，进行了荟萃分析，显示这两个因素之间存在关联（OR 2.07 [1.51, 2.83], p < 0.00001, I2 = 45%）。此外，在这一关联中发现证据的确定性较低。与健康的人相比，压力大的人出现磨牙的几率更高。尽管在报道压力和磨牙症之间关系的文章中发现定量分析的异质性较低，但有必要用类似的方法进行进一步的研究，以更好地理解这种关系。
This systematic review and meta-analysis aimed to investigate a possible association between stress and bruxism in humans. This study was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines under the code CRD42020188862, and the searches were performed on the following databases: PubMed, Scopus, Web of Science, Cochrane, LILACS, OpenGrey, and Google Scholar. This systematic review evaluated observational studies in adult humans with and without stress to verify the association between bruxism and the presence of stress. The risk of bias was evaluated through the Joanna Briggs Institute Critical Appraisal Tools for Analytical Cross-Sectional Studies. In quantitative analysis, the Odds Ratio (OR) and their 95% confidence interval (CI) were calculated through a fixed-effect model. Furthermore, a summary of the overall strength of evidence was presented using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). A total of 1,458 studies were identified, and six were included in this systematic review. Two studies included were classified with a low risk of bias, and the others were classified with a moderate risk of bias. In three articles, a meta-analysis was performed and showed an association between these two factors (OR 2.07 [1.51, 2.83], p < 0.00001, I2 = 45%). Besides that, a low certainty of the evidence was detected among this association. Stressed individuals show a higher chance of presenting bruxism when compared to healthy individuals. Despite the low heterogeneity found in the quantitative analysis among the articles reporting an association between stress and bruxism, further studies with similar methods are necessary to understand this relationship better.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
4.4
作者：
GRAETZ, B
通讯作者：
GRAETZ, B
影响因子：
2.5
作者：
Carvalho, Andréa Lúcia de Almeida;Cury, Altair Antoninha Del Bel;Garcia, Renata Cunha Matheus Rodrigues
通讯作者：
Garcia, Renata Cunha Matheus Rodrigues
影响因子：
3.9
作者：
Martynowicz, Helena;Gac, Pawel;Wieckiewicz, Mieszko
通讯作者：
Wieckiewicz, Mieszko
影响因子：
2.2
作者：
Ahlberg, Jari;Lobbezoo, Frank;Savolainen, Aslak
通讯作者：
Savolainen, Aslak