Haukebø Kristin, Skaret Erik, Ost Lars-Göran, Raadal Magne, Berg Einar, Sundberg Håkan, Kvale Gerd
Department of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway.
J Behav Ther Exp Psychiatry. 2008 Sep;39(3):381-90. doi: 10.1016/j.jbtep.2007.09.006. Epub 2007 Oct 6.
Forty participants fulfilling the DSM-IV criteria for dental phobia were randomly assigned to a waitlist group, one-session or five-session exposure treatment. Assessment occurred pre-, post-waitlist/treatment, and after 1 year. Mean avoidance of dental care before treatment was 11.4 years. A total of 77% sought dental care in the follow-up year. Both treatments were equally effective at reducing avoidance behavior and changing cognitions during the feared situation. Post-treatment, the five-session group scored lower on the dental anxiety scales, but at follow-up, both groups reported the same level of dental anxiety.
Both treatment conditions enable a return to ordinary dental treatment.
40名符合《精神疾病诊断与统计手册第四版》(DSM-IV)牙科恐惧症标准的参与者被随机分配到候补名单组、单次暴露治疗组或五次暴露治疗组。在候补名单/治疗前、治疗后以及1年后进行评估。治疗前平均回避牙科护理的时间为11.4年。在随访年中,共有77%的人寻求牙科护理。两种治疗在减少回避行为和改变恐惧情境中的认知方面同样有效。治疗后,五次治疗组在牙科焦虑量表上得分较低,但在随访时,两组报告的牙科焦虑水平相同。
两种治疗条件都能使患者恢复到普通牙科治疗。