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牙科恐惧的减轻:心理生理相关性

Reduction of dental fear: psychophysiological correlates.

作者信息

Carlsson S G, Linde A, Berggren U, Harrison J A

出版信息

Community Dent Oral Epidemiol. 1986 Oct;14(5):253-7. doi: 10.1111/j.1600-0528.1986.tb01066.x.

DOI:10.1111/j.1600-0528.1986.tb01066.x
PMID:2878764
Abstract

EMG, HR and SCR were continuously recorded during two Standardized Dental Examinations (SDE) of 15 dental phobics. Following the first SDE, the patients were assigned to two treatment groups, one receiving systematic desensitization followed by two separate amalgam restorations and one premedicated with Valium for the two restorations. The dentist rated the patients' behavior on a 5-point scale. Corah's Dental Anxiety Scale (DAS) was used prior to the first SDE and following the second SDE. The second SDE was conducted on a separate occasion following the second restoration. No significant correlations were found between any of the physiological measures and either the dentist's ratings or the second DAS or DAS change scores. Significant differences found between the two treatment groups on the dentist's ratings, second DAS, and change scores were not reflected by the physiological measures.

摘要

在对15名牙科恐惧症患者进行的两次标准化牙科检查(SDE)期间,持续记录肌电图(EMG)、心率(HR)和皮肤电反应(SCR)。在第一次SDE之后,患者被分为两个治疗组,一组接受系统脱敏治疗,随后进行两次单独的汞合金修复,另一组在进行两次修复前服用安定进行预处理。牙医以5分制对患者的行为进行评分。在第一次SDE之前和第二次SDE之后使用科拉牙科焦虑量表(DAS)。第二次SDE在第二次修复后的另一个时间进行。在任何生理指标与牙医评分、第二次DAS或DAS变化分数之间均未发现显著相关性。两个治疗组在牙医评分、第二次DAS和变化分数上发现的显著差异并未在生理指标中体现出来。

相似文献

1
Reduction of dental fear: psychophysiological correlates.牙科恐惧的减轻:心理生理相关性
Community Dent Oral Epidemiol. 1986 Oct;14(5):253-7. doi: 10.1111/j.1600-0528.1986.tb01066.x.
2
Research in clinical process and outcome methodology: psychophysiology, systematic desensitization and dental fear.
J Behav Ther Exp Psychiatry. 1985 Sep;16(3):201-9. doi: 10.1016/0005-7916(85)90064-3.
3
A 10-year follow-up of patients treated for dental fear.
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Psychophysiological reactions in dental phobic patients during video stimulation.牙科恐惧症患者在视频刺激过程中的心理生理反应。
Eur J Oral Sci. 2001 Jun;109(3):172-7. doi: 10.1034/j.1600-0722.2001.00985.x.
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Pharmacologic desensitization for dental phobias: clinical observations.牙科恐惧症的药物脱敏:临床观察
Anesth Prog. 1990 Nov-Dec;37(6):308-11.
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Dental phobia. Conquering fear with trust.牙科恐惧症。用信任战胜恐惧。
J Am Dent Assoc. 1989 Nov;119(5):593-8. doi: 10.1016/s0002-8177(89)95010-1.
7
The clinical treatment of fear, anxiety and phobias as they relate to the dental visit (II).
Quintessence Int Dent Dig. 1980 Oct;11(10):69-78.
8
Reduction of tension in fearful dental patients.
J Am Dent Assoc. 1980 Oct;101(4):638-41. doi: 10.14219/jada.archive.1980.0376.
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J Behav Ther Exp Psychiatry. 1982 Dec;13(4):287-92. doi: 10.1016/0005-7916(82)90072-6.
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Dental phobia. A case report.牙科恐惧症。病例报告。
CDA J. 1985 Sep;13(9):38-9.

引用本文的文献

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Treating dental anxiety for patients with a trauma history or severe dental anxiety: A scoping review.治疗有创伤史或严重牙科焦虑症患者的牙科焦虑症:一项范围综述。
Eur J Oral Sci. 2025 Aug;133(4):e70018. doi: 10.1111/eos.70018. Epub 2025 Jun 6.
2
Real-life dental examination elicits physiological responses different to visual and auditory dental-related stimuli.真实的牙科检查会引起不同于视觉和听觉牙科相关刺激的生理反应。
PLoS One. 2021 Jun 3;16(6):e0252128. doi: 10.1371/journal.pone.0252128. eCollection 2021.
3
Maximum opening of the mouth by mouth prop during dental procedures increases the risk of upper airway constriction.
口腔操作期间,口外唇弓最大张口度增加了上呼吸道狭窄的风险。
Ther Clin Risk Manag. 2010 May 25;6:239-48. doi: 10.2147/tcrm.s10187.
4
Willingness to pay for dental fear treatment. Is supplying dental fear treatment socially beneficial?
Eur J Health Econ. 2004 Dec;5(4):299-308. doi: 10.1007/s10198-004-0238-1.
5
Summary of the scientific literature for pain and anxiety control in dentistry journal literature, January 1986-December 1987.1986年1月至1987年12月牙科杂志文献中疼痛与焦虑控制的科学文献综述。
Anesth Prog. 1988 Nov-Dec;35(6):247-65.