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来自不同职业群体的受试者对牙科的恐惧和焦虑程度相同吗?

Do Subjects from Different Occupational Groups Experience Dental Fear and Anxiety Equally?

作者信息

Slabšinskienė Eglė, Radlinskaitė Karolina, Kavaliauskienė Aistė, Vasiliauskienė Ingrida, Zūbienė Jūratė, Saldūnaitė-Mikučionienė Kristina, Zaborskis Apolinaras

机构信息

Department of Oral Health and Paediatric Dentistry, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus 9, LT-44307 Kaunas, Lithuania.

Department of Orthodontics, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus 9, LT-44307 Kaunas, Lithuania.

出版信息

Medicina (Kaunas). 2024 Apr 21;60(4):674. doi: 10.3390/medicina60040674.

Abstract

Research into the relationship between occupation and dental fear and anxiety (DFA) is scarce. This exploratory study aimed to compare the level of DFA and its association with its predictors amongst adults from different occupational groups. A cross-sectional study with 422 respondents from four occupational groups (physicians, teachers, industry workers, and artists) was carried out. A questionnaire on previous dental experience using the Dental Anxiety Scale (DAS), Dental Fear Survey (DFS), and Self-Esteem Scale was self-administered electronically. The data analysis involved descriptive statistics and structural equation modeling (SEM). The DFA levels differed significantly across the occupational groups, with the lowest mean scores among physicians (DAS = 9.29 (SE 0.39); DFS-1 = 14.67 (0.63); DFS-2 = 33.94 (1.69)) and the highest mean scores among artists (DAS = 10.74 (0.38); DFS-1 = 17.19 (0.71); DFS-2 = 41.34 (1.92)). A significant impact of self-esteem on DFA was observed among physicians, teachers, and artists, but not among industry workers. Multi-group analysis with SEM revealed differences in the variable association (Chi-squared = 53.75; df = 21; < 0.001), thus rejecting the hypothesis of the same mechanism underlying DFA across occupational groups. Individuals from various occupations experience DFA at different levels, and there are different mechanisms underlying their DFA. These findings can provide valuable insights for dental practitioners in developing tailored approaches to reduce the feeling of DFA of their patients.

摘要

关于职业与牙科恐惧和焦虑(DFA)之间关系的研究很少。这项探索性研究旨在比较不同职业群体成年人的DFA水平及其与预测因素的关联。对来自四个职业群体(医生、教师、产业工人和艺术家)的422名受访者进行了一项横断面研究。使用牙科焦虑量表(DAS)、牙科恐惧调查(DFS)和自尊量表对既往牙科经历进行问卷调查,由受访者通过电子方式自行填写。数据分析包括描述性统计和结构方程模型(SEM)。不同职业群体的DFA水平存在显著差异,医生的平均得分最低(DAS = 9.29(标准误0.39);DFS - 1 = 14.67(0.63);DFS - 2 = 33.94(1.69)),艺术家的平均得分最高(DAS = 10.74(0.38);DFS - 1 = 17.19(0.71);DFS - 2 = 41.34(1.92))。在医生、教师和艺术家中观察到自尊对DFA有显著影响,但在产业工人中未观察到。SEM多组分析显示变量关联存在差异(卡方 = 53.75;自由度 = 21;P < 0.001),因此拒绝了不同职业群体DFA存在相同潜在机制的假设。不同职业的个体经历DFA的程度不同,其DFA背后存在不同机制。这些发现可为牙科从业者制定针对性方法以减轻患者的DFA感受提供有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa31/11051849/b2ed98646a80/medicina-60-00674-g001.jpg

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