儿童牙科焦虑（自我和代理报告）及其与研究生牙科医院中牙科行为的关系。

Children's dental anxiety (self and proxy reported) and its association with dental behaviour in a postgraduate dental hospital.

机构信息

Paediatric Dentistry, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE.

Biostatistics, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE.

出版信息

Eur Arch Paediatr Dent. 2021 Feb;22(1):29-40. doi: 10.1007/s40368-020-00517-x. Epub 2020 Mar 13.

DOI:10.1007/s40368-020-00517-x

PMID:32170653

Abstract

PURPOSE

Child dental anxiety (CDA) and uncooperative dental behaviour are common. We aimed to assess the prevalence of CDA (self- and proxy- reported) in the United Arab Emirates (UAE) children related to their dental behaviour.

METHODS

Data were collected from 312 questionnaires obtained from 156 parent/child (mean age 9.95 ± 2.17 years) pairs attending a postgraduate dental hospital. Demographics, self/proxy- reported CDA scores via a six-question, five-point Likert scale, of the Modified CDA Scale-faces version (MCDAS-f: where ≥ 19 was severe CDA) and Frankl Behaviour Rating Scale (FBRS) scores were compared and analysed. Chi-square test, Pearson's correlation, Kappa- coefficient, one-way ANOVA and independent t test statistical analysis were used (p < 0.05).

RESULTS

The prevalence of self and proxy severe CDA was 22.4% (n = 35) and 33.3% (n = 52) respectively, with 9% (n = 14) being dentally- uncooperative. In both groups, extractions caused the highest CDA followed by injections and fillings (p < 0.001). The mean scores for self-reported/proxy-reported CDA were 15.02 (± 4.90)/15.70 (± 6.07) respectively. There was a positive linear correlation between self- and proxy- reported CDA scores and a negative linear correlation between self/proxy- reported CDA scores and the FBRS (p < 0.001). Self/proxy concordance of severe anxiety/none-to-moderate- anxiety was fair (68.6%, kappa = 0.23, p = 0.003). Both self/FBRS and proxy/FBRS concordance of severe anxiety/none-to-moderate- anxiety/behaviour was fair (78.8%, kappa = 0.23, p = 0.001) and (71.8%, kappa = 0.22, p < 0.001) respectively.

CONCLUSIONS

Considering the limitations of the present study in a UAE child population sample, the prevalence of CDA from extractions, injections and fillings was 22.4% (self- reported) and 33% (proxy reported). There was fair agreement between child- self and parent- proxy- reported CDA. Increased CDA led to uncooperative dental behaviour.

摘要

目的

儿童牙科焦虑症（CDA）和不合作的牙科行为较为常见。本研究旨在评估阿联酋儿童的 CDA（自我报告和代理报告）患病率与其牙科行为之间的关系。

方法

本研究从参加研究生牙科医院的 156 对父母/子女（平均年龄 9.95±2.17 岁）中收集了 312 份问卷的数据。比较并分析了人口统计学资料、使用改良 CDA 量表-面部版本（MCDAS-f：得分≥19 为严重 CDA）和 Frankl 行为评定量表（FBRS）的自我/代理报告的 CDA 评分（六题五分制 Likert 量表）。采用卡方检验、皮尔逊相关分析、Kappa 系数、单因素方差分析和独立 t 检验进行统计分析（p<0.05）。

结果

自我报告和代理报告的严重 CDA 患病率分别为 22.4%（n=35）和 33.3%（n=52），有 9%（n=14）的儿童表现出牙科不合作。在这两组中，拔牙引起的 CDA 最高，其次是注射和补牙（p<0.001）。自我报告/代理报告的 CDA 平均得分为 15.02（±4.90）/15.70（±6.07）。自我报告和代理报告的 CDA 评分之间呈正线性相关，自我/代理报告的 CDA 评分与 FBRS 之间呈负线性相关（p<0.001）。自我/代理报告的严重焦虑/无到中度焦虑的一致性为中度（68.6%，kappa=0.23，p=0.003）。自我/FBRS 和代理/FBRS 对严重焦虑/无到中度焦虑/行为的一致性均为中度（78.8%，kappa=0.23，p=0.001）和（71.8%，kappa=0.22，p<0.001）。