Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Pampulha Campus, Belo Horizonte-MG, Brazil.
Int J Environ Res Public Health. 2012 Dec 17;9(12):4676-87. doi: 10.3390/ijerph9124676.
The aim of the present study was to evaluate the association between childhood dental experiences and dental fear in adulthood among dentistry, psychology and mathematics undergraduate students. A cross-sectional study of 1,256 students from the city of Belo Horizonte, Brazil, was performed. Students responded to the Brazilian version of the Dental Fear Survey (DFS) and a questionnaire regarding previous dental experiences. Both the DFS and the questionnaire were self-administered. Association was tested using descriptive, bivariate and multivariate linear regression analysis, with a 5% significance level. Dentistry undergraduates reported lower scores than psychology (p < 0.001) and mathematics undergraduates (p < 0.05) for all three dimensions of the DFS. Negative dental experiences in childhood was associated with dimensions of Avoidance (B = 2.70, p < 0.001), Physiological arousal (B = 1.42, p < 0.001) and Fears of specific stimuli/situations (B = 3.44, p < 0.001). The reason for first visit to dentist was associated with dimensions of Physiological arousal (B = 0.76, p < 0.01) and Fears of specific stimuli/situations (B = 1.29, p < 0.01). Dentists should be encouraged to evaluate the dental fear of their patients before treatment. The DFS has been found to be an effective instrument for this purpose.
本研究旨在评估牙科学、心理学和数学专业本科生的童年期牙科经历与成年后牙科恐惧之间的关系。在巴西贝洛奥里藏特市进行了一项横断面研究,共纳入了 1256 名学生。学生们回答了巴西版牙科恐惧量表(DFS)和一份关于既往牙科经历的问卷。DFS 和问卷均为自填式。采用描述性、双变量和多变量线性回归分析来检验相关性,显著性水平为 5%。所有三个 DFS 维度,牙科学本科生的得分均低于心理学(p<0.001)和数学(p<0.05)本科生。童年期的负面牙科经历与回避(B=2.70,p<0.001)、生理唤醒(B=1.42,p<0.001)和特定刺激/情境恐惧(B=3.44,p<0.001)维度相关。首次看牙医的原因与生理唤醒(B=0.76,p<0.01)和特定刺激/情境恐惧(B=1.29,p<0.01)维度相关。牙医应鼓励在治疗前评估患者的牙科恐惧。DFS 已被证明是一种有效的评估工具。