Dailey Y-M, Humphris G M, Lennon M A
Department of Clinical Dental Sciences, The University of Liverpool, School of Dentistry, Liverpool, L69 3GN UK.
J Dent Res. 2002 May;81(5):319-22. doi: 10.1177/154405910208100506.
Anxiety assessment by questionnaire provides information for the dentist and may also confer a psychological benefit on patients. This study tested the hypothesis that informing dentists about patients' dental anxiety prior to commencement of treatment reduces patients' state anxiety. A randomized controlled trial was conducted involving eight General Dental Practitioners in North Wales. Participants included patients attending their first session of dental treatment, and accumulating a score of 19 or above, or scoring 5 on any one question, of the Modified Dental Anxiety Scale (MDAS). Patients (n = 119) completed Spielberger's state anxiety inventory (STAI-S) pre- and post-treatment and were randomly allocated to intervention (dentist informed of MDAS score) and control (dentist not informed) groups. Intervention patients showed greater reduction in mean change STAI-S scores (F[1,119] = 8.74, P < 0.0001). Providing the dentist with information of the high level of a patient's dental anxiety prior to treatment, and involving the patient in this, reduced the patient's state anxiety.
通过问卷进行焦虑评估可为牙医提供信息，也可能给患者带来心理益处。本研究检验了这样一个假设：在治疗开始前告知牙医患者的牙科焦虑情况可降低患者的状态焦虑。在北威尔士对8名普通牙科医生进行了一项随机对照试验。参与者包括首次接受牙科治疗且在改良牙科焦虑量表（MDAS）上得分19分及以上或在任何一个问题上得分为5分的患者。患者（n = 119）在治疗前和治疗后完成了斯皮尔伯格状态焦虑量表（STAI - S），并被随机分配到干预组（牙医被告知MDAS评分）和对照组（牙医未被告知）。干预组患者的STAI - S平均变化得分降低幅度更大（F[1,119] = 8.74，P < 0.0001）。在治疗前向牙医提供患者高度牙科焦虑的信息，并让患者参与其中，可降低患者的状态焦虑。
