Aminabadi Naser Asl, Sohrabi Azin, Oskouei Sina Ghertasi, Aghaee Saba, Jamali Zahra, Ghojazadeh Morteza
Department of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
Pediatr Dent. 2013 Mar-Apr;35(2):E43-8.
The purpose of this study was to design and examine the validity of a scale that uses the verbal performance of children as an indicator of dental anxiety.
A total of 128 healthy 4- to 6-year-olds were included. The first sessions consisted of a dental examination; in the second session, identical dental treatment was provided to all subjects. In each session, a short communication was done for verbal assessment. During treatment, Frankl and clinical anxiety rating scales were utilized to assess the child's anxiety. Construct validity was assessed using Spearman's correlation coefficient; a factor analysis, concurrent validity, and inter-rater reliability were determined by kappa agreement statistics. Chi-square and Fisher's exact tests were used to assess the difference between sexes.
The agreement between the raters was high and significant (k=0.71, P<.001). Intraclass correlation coefficient of 50 same children (28 boys and 22 girls) across a 2-week period showed a strong correlation (correlation=0.8, P<.001). Spearman's correlation coefficient revealed a high and significant correlation between the measures (P<.001). The kappa values ranged from 0.58 to 0.67, suggesting moderate to good agreement between measures.
The verbal skill scale is a reliable and valid measure of assessing child dental anxiety in a clinical context.
本研究旨在设计并检验一种以儿童言语表现作为牙科焦虑指标的量表的有效性。
共纳入128名4至6岁的健康儿童。第一阶段包括一次牙科检查；在第二阶段，为所有受试者提供相同的牙科治疗。在每个阶段，进行简短交流以进行言语评估。治疗期间，使用弗兰克尔量表和临床焦虑评定量表评估儿童的焦虑程度。使用斯皮尔曼相关系数评估结构效度；通过kappa一致性统计确定因子分析、同时效度和评分者间信度。使用卡方检验和费舍尔精确检验评估性别差异。
评分者之间的一致性很高且具有显著性（k = 0.71，P <.001）。50名相同儿童（28名男孩和22名女孩）在两周内的组内相关系数显示出很强的相关性（相关性 = 0.8，P <.001）。斯皮尔曼相关系数显示各测量指标之间存在高度显著的相关性（P <.001）。kappa值范围为0.58至0.67，表明各测量指标之间存在中度至良好的一致性。
言语技能量表是在临床环境中评估儿童牙科焦虑的一种可靠且有效的测量方法。
