注意差距：牙科和口腔卫生教育中心理合并症筛查实施情况的系统评价
Mind the Gap: A Systematic Review of Implementation of Screening for Psychological Comorbidity in Dental and Dental Hygiene Education.
作者信息
Häggman-Henrikson Birgitta, Ekberg EwaCarin, Ettlin Dominik A, Michelotti Ambra, Durham Justin, Goulet Jean-Paul, Visscher Corine M, Raphael Karen G
机构信息
Birgitta Häggman-Henrikson, DDS, PhD, is Associate Professor, Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden; EwaCarin Ekberg, DDS, Dr Odont, is Professor, Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden; Dominik A. Ettlin, MD, DMD, is Head of Interdisciplinary Orofacial Pain Unit, Center of Dental Medicine, University of Zurich, Switzerland; Ambra Michelotti, DDS, Orthod, is Professor, Department of Neurosciences, Reproductive Sciences, and Oral Sciences, Division of Orthodontics, University of Naples, Naples, Italy; Justin Durham, BDS, PhD, is Professor of Orofacial Pain, School of Dental Sciences and Centre for Oral Health Research, Newcastle University, and Hon. Consultant Oral Surgeon, Newcastle-Upon-Tyne Hospitals' NHS Foundation Trust, Newcastle-Upon-Tyne, UK; Jean-Paul Goulet, DDS, MSD, is Emeritus Professor, Faculty of Dental Medicine, Laval University, Quebec, Canada; Corine M. Visscher, PhD, is Professor, Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam, University of Amsterdam, and Vrije Universiteit Amsterdam, The Netherlands; and Karen G. Raphael, PhD, is Professor, Department of Oral and Maxillofacial Radiology, Pathology, and Medicine, New York University College of Dentistry, New York, USA.
出版信息
J Dent Educ. 2018 Oct;82(10):1065-1076. doi: 10.21815/JDE.018.104.
The biopsychosocial model is advocated as part of a more comprehensive approach in both medicine and dentistry. However, dentists have not traditionally been taught psychosocial screening as part of their predoctoral education. The aim of this systematic review was to provide an overview of published studies on the implementation of screening for psychological comorbidity in dental and dental hygiene education. The term "psychological comorbidity" refers to the degree of coexisting anxiety, depression, or other mental health problems in a patient presenting with a physical condition. The review followed a protocol registered in PROSPERO (CRD42016054083) and was carried out in accordance with the PRISMA guidelines. The methodological quality of the included studies was assessed using a ten-item tool developed for medical education. The electronic search in PubMed, Scopus, and PsycINFO from the inception of each database until December 31, 2016, together with a hand search, identified 1,777 articles. After abstracts were screened, 52 articles were reviewed in full text applying inclusion and exclusion criteria; four articles remained for the qualitative synthesis. Generally, the reported data on specific methods or instruments used for psychological screening were limited. Only one of the included articles utilized a validated screening tool. The results of this systematic review show that published data on the implementation of psychological patient assessment in dental and dental hygiene education are limited. To address this gap, the authors recommend short screening tools such as the Graded Chronic Pain Scale and the Patient Health Questionnaire for Depression and Anxiety. Educating dental and dental hygiene students about easy-to-use, reliable, and validated screening tools for assessing psychological comorbidity warrants more research attention and greater implementation in educational curricula.
生物心理社会模型被倡导为医学和牙科更全面方法的一部分。然而，传统上牙医在博士前教育中并未被教授心理社会筛查。本系统评价的目的是概述已发表的关于在牙科和口腔卫生教育中实施心理共病筛查的研究。术语“心理共病”是指在患有身体疾病的患者中焦虑、抑郁或其他心理健康问题共存的程度。该评价遵循在PROSPERO（CRD42016054083）注册的方案，并按照PRISMA指南进行。使用为医学教育开发的十项工具评估纳入研究的方法学质量。从每个数据库建立到2016年12月31日在PubMed、Scopus和PsycINFO中进行电子检索，并结合手工检索，共识别出1777篇文章。在筛选摘要后，根据纳入和排除标准对52篇文章进行了全文审查；四篇文章留作定性综合分析。一般来说，关于用于心理筛查的具体方法或工具的报告数据有限。纳入的文章中只有一篇使用了经过验证的筛查工具。本系统评价的结果表明，关于在牙科和口腔卫生教育中实施患者心理评估的已发表数据有限。为了弥补这一差距，作者推荐使用简短的筛查工具，如分级慢性疼痛量表和患者健康问卷抑郁焦虑版。对牙科和口腔卫生专业学生进行关于易于使用、可靠且经过验证的评估心理共病筛查工具的教育，值得更多的研究关注并在教育课程中得到更大程度的实施。
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