Dumitrescu Alexandrina Lizica, Toma Carmen, Lascu Viorica
Institute of Clinical Dentistry, Faculty of Medicine, University of Tromsø, Norway.
Rom J Intern Med. 2011;49(3):207-15.
The present study focuses on the extent to which undergraduates use specific cognitive emotion regulation strategies in response to the experience of the gingival bleeding.
The present study sample consisted of 190 first year dental students. The questionnaire included information about socio-demographic factors, behavioral variables and self-reported oral health status. To measure the specific emotional cognitive strategies, the Cognitive Emotion Regulation Questionnaire (CERQ) was used.
Self-reported gingival bleeding was associated with statistical significant higher values of self-blame and rumination. Participants who evaluated their self-reported gingival condition as poor/very poor scored higher values on rumination, catastrophising and lower on positive reappraisal, when compared with students with excellent gingival condition. Multiple linear regression analyses revealed that presence of gingival bleeding was an independent determinant of self-blame, rumination and putting into perspective. Among participants with positive self-reported gingival bleeding, reason for dental visits was significantly correlated with positive refocusing, planning, positive reappraisal, putting into perspective and catrastrophizing. Positive reappraisal was found to be a mediating variable in the relationship between gingival status and reason for dental visits. Thus, positive reappraisal helps to explain the association between gingival status and reason for dental visits.
Helping patients to challenge these maladaptive cognitive emotion regulation strategies may therefore play an important role on the focus and content of (preventive) oral health behaviour interventions to be developed for patients with gingival and periodontal disease.
本研究聚焦于本科生在牙龈出血经历时使用特定认知情绪调节策略的程度。
本研究样本包括190名一年级牙科学生。问卷包含社会人口统计学因素、行为变量及自我报告的口腔健康状况等信息。为测量特定的情绪认知策略,使用了认知情绪调节问卷(CERQ)。
自我报告的牙龈出血与自责和沉思的统计学显著较高值相关。与牙龈状况极佳的学生相比,将自我报告的牙龈状况评估为差/非常差的参与者在沉思、灾难化方面得分较高,而在积极重新评价方面得分较低。多元线性回归分析显示,牙龈出血的存在是自责、沉思和正确看待问题的独立决定因素。在自我报告牙龈出血呈阳性的参与者中,看牙原因与积极重新关注、计划、积极重新评价、正确看待问题和灾难化显著相关。发现积极重新评价是牙龈状况与看牙原因之间关系的中介变量。因此,积极重新评价有助于解释牙龈状况与看牙原因之间的关联。
因此,帮助患者挑战这些适应不良的认知情绪调节策略可能在为牙龈和牙周疾病患者制定的(预防性)口腔健康行为干预的重点和内容方面发挥重要作用。