de Castro Morais Machado Geovanna, Van Wijk Arjen, van der Heijden Geert, Costa Luciane Rezende
Pediatric dentist, in the Department of Oral Health, Faculty of Dentistry, Universidade Federal de Goias, Goiania-GO, Brazil;, Email:
Associate professor, in the Department of Social Dentistry, Academic Centre for Dentistry Amsterdam, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Pediatr Dent. 2018 Sep 15;40(5):365-369.
Little is known about psychological factors associated with children's behavior during dental sedation. The purpose of this study was to investigate the associations between parental dental anxiety, coping style, pain catastrophizing (an exaggerated negative response to pain), and children's behavior during dental treatment under moderate sedation. Participants included 110 pairs consisting of mothers, fathers, or grandmothers and healthy children (60 boys, 50 girls; mean age equals 47.0 months, range equals 20 to 81 months) with a history of disruptive behavior during dental treatment. All children required one dental restoration under moderate sedation, using local anesthesia and rubber dam isolation. Children, s behavior was assessed using the Ohio State University Behavioral Rating Scale, based on the video files of the procedure. Parents completed the Dental Anxiety Scale, the Coping Orientation to Problems Experienced Scale, and the Pain Catastrophizing Scale-Parents. Parents of children with more positive behavior scored higher on planning (P=0.02) and acceptance (P=0.02) strategies than parents of children in the regular and negative behavior groups. No associations were found between parental dental anxiety or pain catastrophizing and children's behavior. Parental adaptive coping strategies can have a positive impact on children's behavior during dental treatment under moderate sedation.
关于牙科镇静期间与儿童行为相关的心理因素，人们了解甚少。本研究的目的是调查父母的牙科焦虑、应对方式、疼痛灾难化（对疼痛的过度负面反应）与中度镇静下牙科治疗期间儿童行为之间的关联。参与者包括110对由母亲、父亲或祖母以及有牙科治疗期间破坏行为史的健康儿童（60名男孩，50名女孩；平均年龄47.0个月，范围20至81个月）组成的对子。所有儿童在中度镇静下使用局部麻醉和橡皮障隔离进行一次牙齿修复。根据治疗过程的视频文件，使用俄亥俄州立大学行为评定量表对儿童行为进行评估。父母完成牙科焦虑量表、应对问题经历量表和疼痛灾难化量表（父母版）。行为更积极的儿童的父母在计划（P = 0.02）和接受（P = 0.02）策略方面的得分高于正常行为组和消极行为组儿童的父母。未发现父母的牙科焦虑或疼痛灾难化与儿童行为之间存在关联。父母的适应性应对策略可对中度镇静下牙科治疗期间儿童的行为产生积极影响。
