Lee Dae-Woo, Kim Jae-Gon, Yang Yeon-Mi
Assistant professor, in the Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Research Institute of Clinical Medicine, and Biomedical Research Institute, Chonbuk National University Hospital, Jeonju, Republic of Korea.
Professor, in the Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Research Institute of Clinical Medicine, and Biomedical Research Institute, Chonbuk National University Hospital, Jeonju, Republic of Korea.
Pediatr Dent. 2018 Sep 15;40(5):327-333.
Previous studies provide mixed and inconclusive evidence for an effect of parenting style on children's dental anxiety and behavior. The purpose of this study was to analyze the association between parenting style and children's dental anxiety and behavior and assess the methodological quality of published literature. PubMed, EMBASE, Web of Science, and the Cochrane Central Register of Controlled Trials were searched for articles published up to November 1, 2017. The children's dental anxiety score and behavior score were the primary outcomes. The modified Newcastle-Ottawa score was used to assess methodological quality. Of the 983 articles identified, eight cross-sectional studies, with a total of 1,611 participants, met our inclusion criteria. We observed significant differences in children's dental anxiety and behavior, according to parenting style, in studies of preschool children without dental experience or a history of dental phobia. Conversely, no differences were seen in studies of school-aged children with previous dental experience or who were referred to a dentist. The evidence supports a relationship between parenting style and children's dental anxiety and behavior. However, this association was limited to preschool children with no dental experience or dental phobia.
先前的研究对于养育方式对儿童牙科焦虑和行为的影响提供了混杂且不确定的证据。本研究的目的是分析养育方式与儿童牙科焦虑和行为之间的关联，并评估已发表文献的方法学质量。检索了PubMed、EMBASE、科学网和Cochrane对照试验中心注册库，以查找截至2017年11月1日发表的文章。儿童牙科焦虑评分和行为评分是主要结局指标。采用改良的纽卡斯尔-渥太华评分来评估方法学质量。在识别出的983篇文章中，有8项横断面研究，共1611名参与者，符合我们的纳入标准。在没有牙科经历或牙科恐惧症病史的学龄前儿童研究中，我们观察到根据养育方式不同，儿童的牙科焦虑和行为存在显著差异。相反，在有既往牙科经历或被转诊至牙医处的学龄儿童研究中未观察到差异。证据支持养育方式与儿童牙科焦虑和行为之间存在关联。然而，这种关联仅限于没有牙科经历或牙科恐惧症的学龄前儿童。
