Najafpour Ebrahim, Asl-Aminabadi Naser, Nuroloyuni Sara, Jamali Zahra, Shirazi Sajjad
Assistant Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
J Clin Exp Dent. 2017 Mar 1;9(3):e377-e383. doi: 10.4317/jced.53419. eCollection 2017 Mar.
Assessment of procedural distress is essential at assisting children during invasive dental treatments. This study aimed to determine the validity and reliability of galvanic skin response as a measure for assessment of dental anxiety in children.
151 children, aged 5-7 years, participated in this study. Similar dental treatments were rendered to all subjects. At the beginning and end of the session, modified child dental anxiety scale (MCDAS), clinical anxiety rating scale (CARS) and galvanic skin response (GSR) were used to determine children's anxiety.
GSR was significantly correlated with both MCDAS (rs=0.62, =0.02) and CARS (rs=0.44, =0.032). The correlation between MCDAS and CARS was also significant (rs = 0.9, <0.001). Anxiety decreased during the session in both GSR (rs=0.52, =0.001) and MCDAS scales (rs=0.77, =0.001). CARS also showed a reduction between the initial and second assessment, but it was not statistically significant (rs=0.12, =0.36).
The findings suggest that GSR is a reliable and valid measure for assessment of children's dental anxiety in the clinical context. GSR may help to identify clinically anxious children before dental treatment to provide appropriate interventions. Dental anxiety, reliability, validity, galvanic skin response.
在侵入性牙科治疗过程中评估程序痛苦对于帮助儿童至关重要。本研究旨在确定皮肤电反应作为评估儿童牙科焦虑指标的有效性和可靠性。
151名5至7岁的儿童参与了本研究。所有受试者均接受了类似的牙科治疗。在治疗开始和结束时，使用改良儿童牙科焦虑量表（MCDAS）、临床焦虑评定量表（CARS）和皮肤电反应（GSR）来确定儿童的焦虑程度。
GSR与MCDAS（rs = 0.62，P = 0.02）和CARS（rs = 0.44，P = 0.032）均显著相关。MCDAS与CARS之间的相关性也很显著（rs = 0.9，P < 0.001）。在治疗过程中，GSR（rs = 0.52，P = 0.001）和MCDAS量表（rs = 0.77，P = 0.001）中的焦虑程度均有所下降。CARS在初次评估和第二次评估之间也有所降低，但差异无统计学意义（rs = 0.12，P = 0.36）。
研究结果表明，在临床环境中，GSR是评估儿童牙科焦虑的可靠且有效的指标。GSR可能有助于在牙科治疗前识别临床上焦虑的儿童，以便提供适当的干预措施。牙科焦虑、可靠性、有效性、皮肤电反应。
