Armfield Jason M
Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, South Australia, Australia.
Community Dent Oral Epidemiol. 2008 Apr;36(2):128-36. doi: 10.1111/j.1600-0528.2007.00379.x.
People with dental fear often suffer from other psychological disorders, as well as from a number of other specific fears. Fear of going to the dentist may be associated not only with general fearfulness, but also with underlying personality dispositions. This exploratory study, therefore, investigated the associations between dental fear and 67 other specific fears, general fearfulness, disgust sensitivity and harm sensitivity.
Participants were 88 Australian adults who were administered the Fear Survey Schedule III (FSS-III), the Harm Sensitivity Index and the Disgust Sensitivity Index. Principle axis factor analysis with Promax rotation was used to examine how dental fear related to other specific fears as measured with the FSS-III.
Dental fear was significantly correlated with most of the other specific fears, with factor analysis indicating that it tended to load more with fears related to lack of control rather than with what have often been classed as 'medical' fears. Significant associations were found between dental fear and the personality dispositions of general fearfulness, harm sensitivity and disgust sensitivity, although these associations were not linear.
Findings reveal extensive co-occurrence of other specific fears with dental fear, while the associations of dental fear with personality traits suggest enduring aspects to dental fear which may translate into difficulties in fear alleviation. Dental fear was more related to a diverse range of fears relating to a loss of control than to medical-specific fears.
患有牙科恐惧症的人往往还患有其他心理障碍以及许多其他特定恐惧。害怕看牙医不仅可能与一般的恐惧有关,还可能与潜在的人格特质有关。因此,这项探索性研究调查了牙科恐惧与其他67种特定恐惧、一般恐惧、厌恶敏感性和伤害敏感性之间的关联。
研究对象为88名澳大利亚成年人,他们接受了恐惧调查量表III(FSS-III)、伤害敏感性指数和厌恶敏感性指数的测试。采用主成分因子分析和普罗麦克斯旋转法来检验牙科恐惧与FSS-III所测量的其他特定恐惧之间的关系。
牙科恐惧与大多数其他特定恐惧显著相关,因子分析表明,它往往与缺乏控制相关的恐惧负荷更高,而不是与通常被归类为“医疗”恐惧的恐惧相关。牙科恐惧与一般恐惧、伤害敏感性和厌恶敏感性的人格特质之间存在显著关联,尽管这些关联不是线性的。
研究结果显示其他特定恐惧与牙科恐惧广泛共存,而牙科恐惧与人格特质的关联表明牙科恐惧具有持久性,这可能转化为恐惧缓解的困难。牙科恐惧与与失去控制相关的各种恐惧的关系比与特定医疗恐惧的关系更大。