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评估儿童与看牙/牙科治疗相关的焦虑水平及其父母的牙科恐惧。

Evaluation of Children's Anxiety Level in Relation to a Dental Visit/Treatment and Their Parents' Dental Fear.

作者信息

Jervøe-Storm Pia-Merete, Peters Lisa Patricia, Bekes Katrin, Fricke Miriam, Jepsen Søren

机构信息

Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Welschnonnenstrasse 17, 53111 Bonn, Germany.

Independent Researcher, Lortzingstraße 38, 53332 Bornheim, Germany.

出版信息

J Clin Med. 2023 Oct 23;12(20):6691. doi: 10.3390/jcm12206691.

DOI:10.3390/jcm12206691
PMID:37892828
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10607096/
Abstract

The patients' fear of the dentist plays an important role in the everyday life of a dentist. The anxiety level of children in relation to dental treatment/visits and to their parents' dental fear was evaluated in three different centers. Assessments of a modified CFSS-DS (mCFSS-DS) were performed by questionnaire with 60 children and their parents. Children's dmft/DMFT scores, age and gender were evaluated in relation to the parents' perception of their child's anxiety levels. For statistical evaluation, Kruskal-Wallis and Wilcoxon tests as well as Spearman's correlation coefficient (Spearman) were used. The significance level was set at 0.05. There were no significant differences regarding children's mCFSS-DS between the three centers ( = 0.398, Kruskal-Wallis). The parents' mCFSS-DS scores correlated significantly with their children's mCFSS-DS scores ( = 0.004, Spearman). However, the mean mCFSS-DS score of the children was significantly higher than the mean score of parents' perception of their child's anxiety ( = 0.000, Wilcoxon). The age of the child had an influence on the mCFSS-DS score ( = 0.02, Kruskal-Wallis) but neither the children's gender ( = 0.170, Kruskal-Wallis), nor the dmft/DMFT showed an impact ( < 0.725, Spearman). Although a positive correlation was found between the results of the children's and parents' questionnaire, many parents underestimated the anxiety level of their children.

摘要

患者对牙医的恐惧在牙医的日常工作中起着重要作用。在三个不同的中心评估了儿童对牙科治疗/就诊以及对其父母牙科恐惧的焦虑程度。通过对60名儿童及其父母进行问卷调查来评估改良的儿童恐惧调查量表-牙科分量表(mCFSS-DS)。根据父母对孩子焦虑程度的认知,评估了儿童的乳牙龋失补牙面/恒牙龋失补牙面(dmft/DMFT)得分、年龄和性别。为进行统计评估,使用了Kruskal-Wallis检验、Wilcoxon检验以及Spearman相关系数(Spearman)。显著性水平设定为0.05。三个中心之间儿童的mCFSS-DS没有显著差异(Kruskal-Wallis检验,P = 0.398)。父母的mCFSS-DS得分与孩子的mCFSS-DS得分显著相关(Spearman检验,P = 0.004)。然而,儿童的mCFSS-DS平均得分显著高于父母对孩子焦虑程度认知的平均得分(Wilcoxon检验,P = 0.000)。孩子的年龄对mCFSS-DS得分有影响(Kruskal-Wallis检验,P = 0.02),但孩子的性别(Kruskal-Wallis检验,P = 0.170)和dmft/DMFT均未显示出影响(Spearman检验,P < 0.725)。尽管在儿童和父母的问卷调查结果之间发现了正相关,但许多父母低估了孩子的焦虑程度。

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本文引用的文献

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How Can We Reduce Dental Fear in Children? The Importance of the First Dental Visit.我们如何减少儿童的牙科恐惧?首次看牙的重要性。
Children (Basel). 2021 Dec 9;8(12):1167. doi: 10.3390/children8121167.
2
Reciprocal longitudinal relationship between dental fear and oral health in schoolchildren.儿童的牙科恐惧与口腔健康之间的相互纵向关系。
Int J Paediatr Dent. 2020 May;30(3):286-292. doi: 10.1111/ipd.12598. Epub 2019 Dec 10.
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Dental fear in primary school children and its relation to dental caries.小学生的牙科恐惧及其与龋齿的关系。
Niger J Clin Pract. 2018 Nov;21(11):1454-1460. doi: 10.4103/njcp.njcp_160_18.
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Effect of Dentists' Appearance Related with Dental Fear and Caries aStatus in 6-12 Years Old Children.牙医外貌对6至12岁儿童牙科恐惧及龋齿状况的影响
J Clin Pediatr Dent. 2018;42(4):262-268. doi: 10.17796/1053-4628-42.4.4. Epub 2018 May 11.
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Effects of child characteristics and dental history on dental fear: cross-sectional study.儿童特征和牙科病史对牙科恐惧的影响:横断面研究。
BMC Oral Health. 2018 Mar 7;18(1):33. doi: 10.1186/s12903-018-0496-4.
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Dental fear/anxiety among children and adolescents. A systematic review.儿童和青少年的牙科恐惧/焦虑。系统评价。
Eur J Paediatr Dent. 2017 Jun;18(2):121-130. doi: 10.23804/ejpd.2017.18.02.07.
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Development of dental anxiety in schoolchildren: A 2-year prospective study.学龄儿童牙科焦虑症的发展:一项为期2年的前瞻性研究。
Community Dent Oral Epidemiol. 2017 Jun;45(3):281-288. doi: 10.1111/cdoe.12290. Epub 2017 Mar 7.
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Relationship between Child and Parental Dental Anxiety with Child's Psychological Functioning and Behavior during the Administration of Local Anesthesia.局部麻醉给药期间儿童与父母的牙科焦虑与儿童心理功能及行为之间的关系
J Clin Pediatr Dent. 2016;40(6):431-437. doi: 10.17796/1053-4628-40.6.431.
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