Vanhée Tania, Dadoun Farah, Vanden Abbeele Astrid, Bottenberg Peter, Jacquet Wolfgang, Loeb Isabelle
Department of Dentistry, Faculty of Medicine, Université Libre de Bruxelles, 1070 Brussels, Belgium.
Department of Surgical Clinical Sciences CHIR-ORHE, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, 1090 Brussels, Belgium.
Children (Basel). 2023 Jan 30;10(2):249. doi: 10.3390/children10020249.
Children's treatment means a triangular relationship between the child, practitioner, and parent, with specific interactions influencing the procedure. The objective was to create and validate a hetero-rating scale of parental behavior and verify the correlation between child and parental behavior during pediatric dentistry sessions. Treatment sessions were recorded and evaluated, including 60 children representing three age groups. Two raters interpreted the resulting video clips using the modified Venham scale for children and the new hetero-rating scale for parents. They analyzed the videos twice and attributed scores at different time points of the appointment. The correlation between parental behavior upon entrance and the children's behavioral at the dental office in the treatment stage was significantly positive in both raters (Kendall Tau: 0.20-0.30). Furthermore, a panel of 20 dental practitioners scored a randomized selection of five recordings per age group. The level of agreement between the two experts was higher than that between the 20 clinicians. Venham types of scale involving multiple aspects can be used in research, but their application in dental practice requires further development. The link between parental anxiety and child anxiety is confirmed, but further research is required to incorporate specific aspects of treatment and parental behavior.
儿童治疗意味着儿童、从业者和家长之间的三角关系，特定的互动会影响治疗过程。目的是创建并验证一种家长行为的他人评定量表，并验证儿童牙科治疗期间儿童行为与家长行为之间的相关性。对治疗过程进行了记录和评估，其中包括代表三个年龄组的60名儿童。两名评分者使用针对儿童的改良韦纳姆量表和针对家长的新他人评定量表对所得视频片段进行解读。他们对视频进行了两次分析，并在预约的不同时间点给出分数。在两位评分者中，家长进入时的行为与治疗阶段儿童在牙科诊所的行为之间的相关性均呈显著正相关（肯德尔tau系数：0.20 - 0.30）。此外，一组20名牙科从业者对每个年龄组随机抽取的五段记录进行评分。两位专家之间的一致性水平高于20名临床医生之间的一致性水平。涉及多个方面的韦纳姆量表类型可用于研究，但它们在牙科实践中的应用需要进一步发展。家长焦虑与儿童焦虑之间的联系得到了证实，但需要进一步研究以纳入治疗和家长行为的具体方面。
