Rouse R A, Hamilton M A
Department of Communication Sciences, University of Connecticut, Storrs 06268.
J Behav Med. 1990 Jun;13(3):307-19. doi: 10.1007/BF00846837.
Previous research has found that many factors influence patients' dental anxiety, many of which are related to the practitioner's technical and interpersonal skill. Unfortunately, a confirmatory factor analysis of scales used in dental anxiety research revealed numerous problems with the measurement devices. The Spielberger State-Trait Anxiety Inventory (STAI) split into two subscales: calmness and anxiety. The Corah Dental Anxiety Scale (CDAS) was unidimensional but was unable to detect relationships between anxiety and interpersonal or communication factors. Interestingly, patient satisfaction, dentist behavior, and empathy items did not load on independent scales, as previously reported in the literature. Instead, five clusters were detected: positive and negative communication, positive and negative interpersonalness, and perceived technical competence.
先前的研究发现，许多因素会影响患者的牙科焦虑，其中许多因素与从业者的技术和人际技能有关。不幸的是，对牙科焦虑研究中使用的量表进行的验证性因素分析揭示了测量工具存在的诸多问题。斯皮尔伯格状态-特质焦虑量表（STAI）分为两个子量表：平静和焦虑。科拉牙科焦虑量表（CDAS）是单维的，但无法检测焦虑与人际或沟通因素之间的关系。有趣的是，患者满意度、牙医行为和同理心项目并未如文献中先前报道的那样加载到独立量表上。相反，检测到了五个聚类：积极和消极沟通、积极和消极人际互动以及感知到的技术能力。
