Pohjola Vesa, Mattila Aino K, Joukamaa Matti, Lahti Satu
Department of Community Dentistry, Institute of Dentistry, University of Oulu, Oulu, Finland.
Eur J Oral Sci. 2011 Feb;119(1):55-60. doi: 10.1111/j.1600-0722.2010.00795.x.
We studied the association between dental fear and anxiety or depressive disorders, as well as the comorbidity of dental fear with anxiety and depressive disorders, controlling for socio-demographic characteristics, dental attendance, and dental health. Nationally representative data on Finnish adults, ≥ 30 yr of age (n = 5,953), were gathered through interviews and clinical examination. Dental fear was measured using the question: 'How afraid are you of visiting a dentist?' Anxiety and/or depressive disorders were assessed using a standardized structured psychiatric interview according to criteria presented in the Diagnostic and Statistical Manual of Mental Disorders (4th edition) (DSM-IV).Those with depressive disorders, generalized anxiety disorder or social phobia more commonly reported high dental fear than did those without these disorders. When age, gender, education, dental attendance, and the number of decayed, missing, and restored teeth were considered, those with generalized anxiety disorder were more likely to have high dental fear than were participants with neither anxiety nor depressive disorders. The comorbidity of depressive and anxiety disorders also remained statistically significantly associated with dental fear; those with both depressive and anxiety disorders were more likely to have high dental fear than were those without these disorders. Our findings support the suggestion that some individuals may have a personality that is vulnerable to dental fear.
我们研究了牙科恐惧与焦虑症或抑郁症之间的关联，以及牙科恐惧与焦虑症和抑郁症的共病情况，并对社会人口学特征、看牙就诊情况和口腔健康状况进行了控制。通过访谈和临床检查收集了芬兰30岁及以上成年人（n = 5,953）具有全国代表性的数据。牙科恐惧通过以下问题进行测量：“你对看牙医有多害怕？”焦虑症和/或抑郁症根据《精神疾病诊断与统计手册》（第4版）（DSM-IV）中提出的标准，使用标准化的结构化精神科访谈进行评估。患有抑郁症、广泛性焦虑症或社交恐惧症的人比没有这些疾病的人更常报告高度牙科恐惧。当考虑年龄、性别、教育程度、看牙就诊情况以及龋坏、缺失和修复牙齿的数量时，患有广泛性焦虑症的人比既没有焦虑症也没有抑郁症的参与者更有可能有高度牙科恐惧。抑郁症和焦虑症的共病在统计学上也与牙科恐惧显著相关；同时患有抑郁症和焦虑症的人比没有这些疾病的人更有可能有高度牙科恐惧。我们的研究结果支持这样一种观点，即一些人可能具有易患牙科恐惧的人格。
