Porritt Jenny M, Rodd Helen D, Baker Sarah R
Department of Psychology, Sociology and Politics, Sheffield Hallam University, Sheffield, UK.
School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
Int J Paediatr Dent. 2015 Jul;25(4):267-81. doi: 10.1111/ipd.12139. Epub 2014 Oct 21.
There is a paucity of research examining how children and their families adapt to traumatic dental injuries.
This study examined how clinical and psychosocial factors influence adaptation to this oral stressor using a theoretical framework of resiliency and adaptation.
Children with traumatised permanent teeth, who were attending a UK dental hospital, completed questionnaires at baseline and at a 6 month follow-up. Child questionnaires assessed coping styles, social support, and quality of life outcomes. Parents were also asked to complete questionnaires, which assessed previous stressors/strains on the family, social support, healthcare satisfaction, and family impacts. Data related to the child's dental injury were collected from clinical notes. Structural equation modelling and regression analyses were employed to analyse data.
One hundred and eight children and 113 parents participated at baseline. Children's gender, coping style, social support, and family functioning significantly predicted children's oral health-related quality of life. Parents' satisfaction with their children's dental care significantly predicted parental quality of life outcomes. Children's close friend support and healthcare satisfaction remained significant predictors of positive outcomes at follow-up.
The findings revealed important psychosocial factors that influence child and family adaptation to childhood dental trauma.
关于儿童及其家庭如何适应创伤性牙损伤的研究匮乏。
本研究使用复原力和适应的理论框架，探讨临床和心理社会因素如何影响对这种口腔应激源的适应。
在英国一家牙科医院就诊的恒牙受创伤儿童在基线时和6个月随访时完成问卷。儿童问卷评估应对方式、社会支持和生活质量结果。还要求家长完成问卷，评估家庭先前的应激源/压力、社会支持、医疗保健满意度和家庭影响。从临床记录中收集与儿童牙损伤相关的数据。采用结构方程模型和回归分析来分析数据。
108名儿童和113名家长参与了基线研究。儿童的性别、应对方式、社会支持和家庭功能显著预测了儿童与口腔健康相关的生活质量。家长对其子女牙科护理的满意度显著预测了家长的生活质量结果。在随访时，儿童亲密朋友的支持和医疗保健满意度仍然是积极结果的重要预测因素。
研究结果揭示了影响儿童和家庭适应儿童期牙外伤的重要心理社会因素。
