Schwarz E
Department of Periodontology and Public Health, Faculty of Dentistry, University of Hong Kong.
Scand J Dent Res. 1990 Oct;98(5):442-50. doi: 10.1111/j.1600-0722.1990.tb00996.x.
The purpose of the present report is to establish to what extent dental anxiety is expressed by young adults with a long history of regular dental care, to analyze whether expressions of dental anxiety vary during young adulthood in response to different dental care delivery programs, and to study which factors might account for existing expressions of dental anxiety. The study comprised 697 persons who participated in a longitudinal study on alternative dental care programs, running from the youngsters' 16th to their 19th yr. At the end, Corah Dental Anxiety Scale (DAS) was applied through self-completed questionnaires. Overall DAS-mean was 7.26; women expressed more anxiety than men (7.73; 6.78). Significant association between anxiety expressed at the end and at the start of the study indicated that dental anxiety was probably present at an early age. No association was found with utilization of dental services. A multiple regression analysis indicated early expressed dental anxiety and negative self assessment of dental health as important predictors for dental anxiety, while sex, negative assessment of gingival health, and dental program were of less importance, altogether explaining 22% of the DAS score variation. The risk group concept currently employed by the Public Child Dental Health Services might be extended to include expressions of dental anxiety.
本报告的目的是确定有长期定期牙科护理史的年轻人表现出牙科焦虑的程度，分析在青年期牙科焦虑的表现是否因不同的牙科护理提供方案而有所不同，并研究哪些因素可能导致现有的牙科焦虑表现。该研究包括697人，他们参与了一项关于替代牙科护理方案的纵向研究，从青少年16岁持续到19岁。最后，通过自我填写问卷应用科拉牙科焦虑量表（DAS）。总体DAS均值为7.26；女性比男性表现出更多焦虑（7.73；6.78）。研究结束时和开始时所表现出的焦虑之间存在显著关联，表明牙科焦虑可能在早年就已存在。未发现与牙科服务利用情况有关联。多元回归分析表明，早期表现出的牙科焦虑和对牙齿健康的负面自我评估是牙科焦虑的重要预测因素，而性别、对牙龈健康的负面评估和牙科方案的重要性较低，总共解释了DAS得分变化的22%。公共儿童牙科保健服务目前采用的风险群体概念可能需要扩展，以纳入牙科焦虑的表现。
