澳大利亚牙科恐惧和恐惧症的程度和性质。

The extent and nature of dental fear and phobia in Australia.

机构信息

Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, South Australia, Australia.

出版信息

Aust Dent J. 2010 Dec;55(4):368-77. doi: 10.1111/j.1834-7819.2010.01256.x.

DOI:10.1111/j.1834-7819.2010.01256.x

PMID:21174906

Abstract

BACKGROUND

For the general dental practitioner, fearful patients are harder and more stressful to treat and are most likely to attend irregularly. This study presents updated and refined dental fear and phobia prevalence estimates in Australia as well as information on the nature of dental fear and phobia.

METHODS

A total of 1084 Australian adults (response rate = 71.7%) completed a mailed questionnaire. The survey contained four measures of dental fear and phobia, as well as questions regarding potentially anxiety-eliciting dental stimuli and past aversive dental experiences.

RESULTS

The prevalence of high dental fear ranged from 7.8% to 18.8%, and more incapacitating dental phobia from 0.9% to 5.4%, depending upon the scale, cut-point and specific criteria used. Dental phobia was significantly associated with blood-injection-injury (BII) concerns. The cost of dental treatment was endorsed as the most anxiety-eliciting dental situation (64.5%), followed by fear of needles/injections (46.0%) and painful or uncomfortable procedures (42.9%). Anxiety-eliciting stimuli and the type of aversive dental experiences varied significantly by gender, age, income, education, language spoken at home and dental visiting frequency.

CONCLUSIONS

High dental fear and dental phobia are common in Australia although prevalence estimates are highly dependent on both the scale and cut-points used.

摘要

背景

对于一般的牙科医生来说，恐惧的患者更难治疗，压力也更大，而且他们最有可能不定期就诊。本研究提供了澳大利亚更新和精炼的牙科恐惧和恐惧症患病率估计，以及有关牙科恐惧和恐惧症性质的信息。

方法

共有 1084 名澳大利亚成年人（回应率=71.7%）完成了邮寄问卷。该调查包含四项牙科恐惧和恐惧症的衡量标准，以及有关可能引起焦虑的牙科刺激物和过去不愉快的牙科经历的问题。

结果

高牙科恐惧的患病率在 7.8%至 18.8%之间不等，更严重的牙科恐惧症患病率在 0.9%至 5.4%之间不等，具体取决于使用的量表、切点和特定标准。牙科恐惧症与血液-注射-损伤（BII）的担忧显著相关。牙科治疗费用被认为是最能引起焦虑的牙科情况（64.5%），其次是害怕针/注射（46.0%）和疼痛或不适的程序（42.9%）。引起焦虑的刺激物和不愉快的牙科经历类型因性别、年龄、收入、教育程度、在家中所说的语言和看牙频率而有显著差异。