Mitchual Serena, da Fonseca Marcio A, Raja Sheela, Weatherspoon Darien, Koerber Anne
Pediatric dentist in private practice, Phoenix, Ari., USA.
Associate professor and head, in the Department of Pediatric Dentistry, in the College of Dentistry, University of Illinois at Chicago, Chicago, Ill., USA;, Email:
Pediatr Dent. 2017 May 15;39(3):203-208.
The purpose of this study was to examine the relationship between a history of potentially traumatic events (PTE) and a child's behavior during dental treatment.
Parents of healthy children, age four years and older and attending their initial dental appointment at a university pediatric dental clinic, were asked to complete the Traumatic Events Screening Inventory-Parent Report Revised and a demographic survey. Following the dental appointment, a pediatric dental resident reported the child's behavior using the Frankl scale.
A total of 170 parent-child pairs participated; 53 percent of parents indicated their child had experienced at least one PTE; 44 percent reported their child had a prior negative experience at the dentist. Adjusted multivariable logistic regression analysis showed no significant association between PTE history and poor dental behavior (P=0.994), but a significant association was observed between a previous negative dental experience and poor dental behavior (P=0.000) as well as between age (younger than five years old) and poor behavior (P=0.006).
Children with a history of potentially traumatic events did not exhibit uncooperative behavior more often than those who did not. A previous negative dental experience and the child's young age were significantly associated with uncooperative behavior.
本研究旨在探讨潜在创伤性事件（PTE）史与儿童牙科治疗期间行为之间的关系。
邀请年龄在4岁及以上、首次到大学儿科牙科诊所就诊的健康儿童的家长，完成修订版创伤性事件筛查量表家长报告及一项人口统计学调查。牙科就诊后，一名儿科牙科住院医师使用弗兰克尔量表报告儿童的行为。
共有170对亲子参与；53%的家长表示其孩子经历过至少一次PTE；44%的家长报告其孩子之前在牙医处有过负面经历。调整后的多变量逻辑回归分析显示，PTE史与不良牙科行为之间无显著关联（P = 0.994），但之前的负面牙科经历与不良牙科行为之间存在显著关联（P = 0.000），年龄（5岁以下）与不良行为之间也存在显著关联（P = 0.006）。
有潜在创伤性事件史的儿童并不比没有此类事件史的儿童更常表现出不合作行为。之前的负面牙科经历和儿童的年幼与不合作行为显著相关。
