Perceived Stress Mediates the Relationship Between Childhood Trauma and Onset of Bruxism Among Adolescents

Lei-Lei Wang, Shuang-Jiang Zhou, Hong-Juan Li, Jiu-Ju Li, Meng Qi, Jing Zhao, Yun-Long Tan, Jing-Xu Chen Sleep Medicine Center, Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, People’s Republic of ChinaCorrespondence: Jing-Xu Chen, Sleep Medicine Center,...

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Main Authors: Wang LL, Zhou SJ, Li HJ, Li JJ, Qi M, Zhao J, Tan YL, Chen JX
Format: Article
Language:English
Published: Dove Medical Press 2025-07-01
Series:Nature and Science of Sleep
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Online Access:https://www.dovepress.com/perceived-stress-mediates-the-relationship-between-childhood-trauma-an-peer-reviewed-fulltext-article-NSS
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author Wang LL
Zhou SJ
Li HJ
Li JJ
Qi M
Zhao J
Tan YL
Chen JX
author_facet Wang LL
Zhou SJ
Li HJ
Li JJ
Qi M
Zhao J
Tan YL
Chen JX
author_sort Wang LL
collection DOAJ
description Lei-Lei Wang, Shuang-Jiang Zhou, Hong-Juan Li, Jiu-Ju Li, Meng Qi, Jing Zhao, Yun-Long Tan, Jing-Xu Chen Sleep Medicine Center, Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, People’s Republic of ChinaCorrespondence: Jing-Xu Chen, Sleep Medicine Center, Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, 100096, People’s Republic of China, Email chenjx1110@163.comPurpose: Bruxism is relatively common among adolescents; however, the psychological factors affecting its occurrence remain unclear. This study explored the incidence of bruxism in adolescents, and the role of childhood trauma and perceived stress in the occurrence of bruxism.Patients and Methods: This was an online cross-sectional survey of 7794 adolescents aged 12– 18 years, with 6780 adolescents meeting the inclusion criteria. We used the Adverse Childhood Experiences Questionnaire (ACEQ) to assess childhood trauma experiences, the Perceived Stress Scale (PSS) to evaluate stress in adolescents, and three items to assess bruxism. The chi-square test was used for demographic data and t-test was used for continuous variables. A mediation analysis was used to explore the mechanism of childhood trauma as it relates to bruxism.Results: Our research shows that about 21.6% of sampled adolescents had bruxism. Being in adolescents, childhood trauma, and high levels of perceived stress were risk factors for bruxism, and good academic performance was a protective factor against bruxism. Adolescents with bruxism had higher levels of childhood trauma and perceived stress. Perceived stress levels played a mediating role in the relationship between childhood trauma and the development of bruxism.Conclusion: Bruxism is common in adolescents, and its occurrence is related to childhood trauma and perceived stress levels. Childhood trauma mediates bruxism through perceived stress levels. Attention should be paid to the childhood trauma experiences and perceived stress levels of adolescents with bruxism, and timely interventions should be provided that are conducive to reducing the occurrence of bruxism.Keywords: bruxism, childhood trauma, perceived stress, adolescents
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publisher Dove Medical Press
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series Nature and Science of Sleep
spelling doaj-art-6e34f58570c74fb9bbccfe5cfffdcbc22025-08-20T03:31:21ZengDove Medical PressNature and Science of Sleep1179-16082025-07-01Volume 17Issue 116831694105032Perceived Stress Mediates the Relationship Between Childhood Trauma and Onset of Bruxism Among AdolescentsWang LL0Zhou SJ1Li HJ2Li JJQi M3Zhao J4Tan YL5Chen JXSleep Medicine CenterSleep Medical CenterSleep Medicine CenterBeijing Huilongguan HospitalNursing DepartmentBeijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical SchoolLei-Lei Wang, Shuang-Jiang Zhou, Hong-Juan Li, Jiu-Ju Li, Meng Qi, Jing Zhao, Yun-Long Tan, Jing-Xu Chen Sleep Medicine Center, Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, People’s Republic of ChinaCorrespondence: Jing-Xu Chen, Sleep Medicine Center, Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, 100096, People’s Republic of China, Email chenjx1110@163.comPurpose: Bruxism is relatively common among adolescents; however, the psychological factors affecting its occurrence remain unclear. This study explored the incidence of bruxism in adolescents, and the role of childhood trauma and perceived stress in the occurrence of bruxism.Patients and Methods: This was an online cross-sectional survey of 7794 adolescents aged 12– 18 years, with 6780 adolescents meeting the inclusion criteria. We used the Adverse Childhood Experiences Questionnaire (ACEQ) to assess childhood trauma experiences, the Perceived Stress Scale (PSS) to evaluate stress in adolescents, and three items to assess bruxism. The chi-square test was used for demographic data and t-test was used for continuous variables. A mediation analysis was used to explore the mechanism of childhood trauma as it relates to bruxism.Results: Our research shows that about 21.6% of sampled adolescents had bruxism. Being in adolescents, childhood trauma, and high levels of perceived stress were risk factors for bruxism, and good academic performance was a protective factor against bruxism. Adolescents with bruxism had higher levels of childhood trauma and perceived stress. Perceived stress levels played a mediating role in the relationship between childhood trauma and the development of bruxism.Conclusion: Bruxism is common in adolescents, and its occurrence is related to childhood trauma and perceived stress levels. Childhood trauma mediates bruxism through perceived stress levels. Attention should be paid to the childhood trauma experiences and perceived stress levels of adolescents with bruxism, and timely interventions should be provided that are conducive to reducing the occurrence of bruxism.Keywords: bruxism, childhood trauma, perceived stress, adolescentshttps://www.dovepress.com/perceived-stress-mediates-the-relationship-between-childhood-trauma-an-peer-reviewed-fulltext-article-NSSBruxismChildhood traumaPerceived stressAdolescents
spellingShingle Wang LL
Zhou SJ
Li HJ
Li JJ
Qi M
Zhao J
Tan YL
Chen JX
Perceived Stress Mediates the Relationship Between Childhood Trauma and Onset of Bruxism Among Adolescents
Nature and Science of Sleep
Bruxism
Childhood trauma
Perceived stress
Adolescents
title Perceived Stress Mediates the Relationship Between Childhood Trauma and Onset of Bruxism Among Adolescents
title_full Perceived Stress Mediates the Relationship Between Childhood Trauma and Onset of Bruxism Among Adolescents
title_fullStr Perceived Stress Mediates the Relationship Between Childhood Trauma and Onset of Bruxism Among Adolescents
title_full_unstemmed Perceived Stress Mediates the Relationship Between Childhood Trauma and Onset of Bruxism Among Adolescents
title_short Perceived Stress Mediates the Relationship Between Childhood Trauma and Onset of Bruxism Among Adolescents
title_sort perceived stress mediates the relationship between childhood trauma and onset of bruxism among adolescents
topic Bruxism
Childhood trauma
Perceived stress
Adolescents
url https://www.dovepress.com/perceived-stress-mediates-the-relationship-between-childhood-trauma-an-peer-reviewed-fulltext-article-NSS
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