Uziel Nir, Meyerson Joseph, Kuskasy Moataz, Gilon Efrat, Eli Ilana
Unit of Medical Education, Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.
The Department of Master of Arts in Medical Psychology, The Max Stern Yezreel Valley College, Emeq Yezreel 1930600, Israel.
J Clin Med. 2023 Mar 10;12(6):2174. doi: 10.3390/jcm12062174.
Parents play a significant role in the development of dental anxiety in their adolescent children. This cross-sectional study aimed to evaluate the influence of family milieu on adolescents' dental anxiety. The level of dental anxiety (Dental Anxiety Scale-DAS) was evaluated in 100 adolescent dental patients (ages 13-18 years) and their parents. Parents supplied information about family demographics and their personal experiences of dental treatment. Concomitantly, the family's behavior was observed during the dental encounter. The adolescents' mean DAS score was 9.83 ± 2.05. Adolescents' DAS was higher when their parents' memories from their own dental encounters were negative. A positive correlation was found between adolescents' dental anxiety and that of their father (r = 0.52, < 0.001) and mother (r = 0.79, < 0.001). The following variables showed a significant ability to predict adolescents' dental anxiety (stepwise regression): mother's DAS (B = 0.57), adolescent's behavior at the dental visit (B = 0.87), being the firstborn child (B = -0.44), father's DAS (B = 0.13), and mother's level of education (B = -0.10). The results showed that intra-family relationships and behavior, parents' education, dental fear, and memories from previous treatments play an important role in defining the level of dental anxiety in their adolescent children.
父母在其青春期子女的牙科焦虑症发展过程中起着重要作用。这项横断面研究旨在评估家庭环境对青少年牙科焦虑症的影响。对100名青少年牙科患者（年龄在13 - 18岁之间）及其父母的牙科焦虑水平（牙科焦虑量表 - DAS）进行了评估。父母提供了有关家庭人口统计学信息以及他们个人的牙科治疗经历。同时，在牙科就诊过程中观察了家庭的行为。青少年的平均DAS得分为9.83±2.05。当父母自己牙科就诊的记忆为负面时，青少年的DAS得分更高。青少年的牙科焦虑与他们父亲的牙科焦虑（r = 0.52，<0.001）和母亲的牙科焦虑（r = 0.79，<0.001）之间存在正相关。以下变量显示出显著的预测青少年牙科焦虑的能力（逐步回归）：母亲的DAS（B = 0.57）、青少年在牙科就诊时的行为（B = 0.87）、作为长子（女）（B = -0.44）、父亲的DAS（B = 0.13）以及母亲的教育水平（B = -0.10）。结果表明，家庭内部关系和行为、父母的教育程度、牙科恐惧以及以往治疗的记忆在确定其青春期子女的牙科焦虑水平方面起着重要作用。
