黎巴嫩成年人的牙科焦虑和牙科恐惧症评估。
Assessment of dental anxiety and dental phobia among adults in Lebanon.
机构信息
Neuroscience Research Center, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
出版信息
BMC Oral Health. 2021 Feb 4;21(1):48. doi: 10.1186/s12903-021-01409-2.
BACKGROUND
Dental anxiety continues to be a widespread problem affecting adult populations. The primary aim of our study was to evaluate the psychometric properties of the Lebanese Arabic version of the Modified Dental Anxiety Scale (MDAS-A) and to identify the optimal cut-off for assessing dental anxiety and dental phobia among adults in Lebanon. In addition, we sought to assess dental anxiety and phobia as well as their correlates among Lebanese adult patients.
METHODS
A cross-sectional study was carried out on a sample of 451 dental adult patients aged between 18 and 65 years old. Information about demographic characteristics, previous bad dental experience, trauma's experience period, perception of a periodontal problem, sensation of nausea during dental treatment, the MDAS-A scale, and the Visual Analogue Scale for anxiety (VAS-A) were collected.
RESULTS
MDAS-A exhibited evidence of adequate psychometric properties. The optimal cut-off was 12 for dental anxiety and 14 for dental phobia. Out of the total sample, 31.5% suffered from dental anxiety while 22.4% had a dental phobia. Multivariable analysis showed that the odds of dental anxiety and phobia were higher among females compared to males. Also, patients suffering from periodontal problem perceptions, bad dental experiences during childhood and adolescence, and the sensation of nausea during dental treatment were at a higher risk of developing dental anxiety and phobia compared to their counterparts. However, a higher level of education was found to be a protective factor against dental phobia among Lebanese adult patients.
CONCLUSION
The MDAS-A scale is a suitable tool for the routine assessment of dental anxiety and phobia among Lebanese adult patients. Identifying patients with dental anxiety at the earliest opportunity is of utmost importance for delivering successful dental care.
背景
牙科焦虑仍然是影响成年人群的普遍问题。我们研究的主要目的是评估黎巴嫩阿拉伯语版改良牙科焦虑量表（MDAS-A）的心理测量特性，并确定评估黎巴嫩成年人牙科焦虑和牙科恐惧症的最佳临界点。此外，我们还试图评估黎巴嫩成年患者的牙科焦虑和恐惧症及其相关因素。
方法
对 451 名年龄在 18 至 65 岁之间的成年牙科患者进行横断面研究。收集了人口统计学特征、以前不良牙科经历、创伤经历期、牙周问题感知、牙科治疗期间恶心感、MDAS-A 量表和焦虑视觉模拟量表（VAS-A）等信息。
结果
MDAS-A 表现出足够的心理测量特性证据。最佳临界点为 12 分用于评估牙科焦虑，14 分用于评估牙科恐惧症。在总样本中，31.5%的人患有牙科焦虑症，22.4%的人患有牙科恐惧症。多变量分析显示，与男性相比，女性患牙科焦虑症和恐惧症的几率更高。此外，与同龄人相比，患有牙周问题感知、儿童和青少年时期不良牙科经历以及牙科治疗期间恶心感的患者患牙科焦虑症和恐惧症的风险更高。然而，较高的教育水平被发现是黎巴嫩成年患者预防牙科恐惧症的保护因素。
结论
MDAS-A 量表是评估黎巴嫩成年患者牙科焦虑症和恐惧症的常用工具。尽早识别患有牙科焦虑症的患者对于提供成功的牙科护理至关重要。
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