Aarvik Regina Skavhellen, Berge Karin Goplerud, Agdal Maren Lillehaug, Bryne Emilie
Oral Health Centre of Expertise in Western Norway, Bergen, Norway.
Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
Eur J Oral Sci. 2025 Aug;133(4):e70018. doi: 10.1111/eos.70018. Epub 2025 Jun 6.
Dental anxiety can impact the ability of dental services to cater to specific patient groups. The aim of this review was to map existing psychological interventions used to treat dental anxiety for patients with a history of torture, abuse, or dental anxiety/phobia. The review was prospectively registered (Open Science Framework). Following the Joanna Briggs Institute (JBI) scoping review methodology, six databases (MEDLINE ALL [Ovid], Embase [Ovid], PsycInfo [Ovid], Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Cumulative Index to Nursing and Allied Health (CINAHL) [EBSCO]) were systematically searched. A total of 1743 studies from 1984 to 2024 were retrieved and screened, resulting in 39 articles meeting the predefined inclusion criteria. This review reveals a notable gap: Minimal research exists on psychological interventions treating dental anxiety for patients with a history of torture or abuse. In contrast, studies on patients with dental anxiety or phobia highlight a range of effective treatments demonstrating positive outcomes. However, many of these studies lacked detailed reporting on patient comorbidities and dropout rates, limiting a comprehensive understanding of their findings. Therefore, further research is needed to explore psychological interventions for survivors of torture and abuse.
牙科焦虑会影响牙科服务满足特定患者群体需求的能力。本综述的目的是梳理现有的用于治疗有酷刑、虐待史或牙科焦虑/恐惧症患者的牙科焦虑的心理干预措施。该综述已进行前瞻性注册（开放科学框架）。遵循乔安娜·布里格斯研究所（JBI）的范围综述方法，对六个数据库（MEDLINE ALL [Ovid]、Embase [Ovid]、PsycInfo [Ovid]、Cochrane对照试验中央注册库、Cochrane系统评价数据库以及护理与联合健康累积索引（CINAHL）[EBSCO]）进行了系统检索。共检索并筛选了1984年至2024年的1743项研究，最终有39篇文章符合预先设定的纳入标准。本综述揭示了一个显著差距：针对有酷刑或虐待史患者的牙科焦虑的心理干预研究极少。相比之下，关于牙科焦虑或恐惧症患者的研究突出了一系列显示出积极效果的有效治疗方法。然而，这些研究中有许多缺乏关于患者合并症和脱落率的详细报告，限制了对其研究结果的全面理解。因此，需要进一步研究以探索针对酷刑和虐待幸存者的心理干预措施。
