Cohen S M, Fiske J, Newton J T
Community Dental Service, Riverside NHS Trust.
Br Dent J. 2000 Oct 14;189(7):385-90. doi: 10.1038/sj.bdj.4800777.
To explore the impact of dental anxiety on daily living.
Twenty people attending a dental sedation clinic completed the Modified Dental Anxiety Scale, and were interviewed privately using a reflexive, in-depth technique. All interviews were audio-tape recorded and transcribed. The transcripts were analysed to identify the impact of dental anxiety upon the participants' daily lives. Twenty-five per cent of the qualitative data was reviewed by an independent researcher to ensure the reliability of the analysis.
The mean age of participants was 41 years (range 23 to 60). The mean MDAS score was 21.5 (range 14 to 25). Five main impacts of dental anxiety were identified: physiological; cognitive; behavioural; health; and social. Subsumed under these broad categories were: the fright response; a vast array of negative thoughts, feelings and fears; avoidance behaviour and behaviours related to eating, oral hygiene, and self-medication; and other manifestations of anxiety in the dental environment including muscular tension, crying and aggression were all identified. Dental anxiety was also found to disturb sleep and to have a profound affect socially, interfering with work and personal relationships.
The impact that dental anxiety can have on people's lives is wide-ranging and dynamic.
探讨牙科焦虑对日常生活的影响。
20名前往牙科镇静诊所就诊的患者完成了改良牙科焦虑量表，并采用反思性深入访谈技术进行单独访谈。所有访谈均进行录音并转录。对转录文本进行分析，以确定牙科焦虑对参与者日常生活的影响。25%的定性数据由一名独立研究人员进行审核，以确保分析的可靠性。
参与者的平均年龄为41岁（范围为23至60岁）。改良牙科焦虑量表的平均得分为21.5（范围为14至25）。确定了牙科焦虑的五个主要影响方面：生理方面；认知方面；行为方面；健康方面；以及社交方面。在这些宽泛的类别中包括：恐惧反应；大量的负面想法、感受和恐惧；回避行为以及与饮食、口腔卫生和自我用药相关的行为；以及牙科环境中焦虑的其他表现，包括肌肉紧张、哭泣和攻击行为等都被识别出来。还发现牙科焦虑会干扰睡眠，并在社交方面产生深远影响，干扰工作和个人关系。
牙科焦虑对人们生活的影响广泛且具有动态性。
