Corkey B, Freeman R
Paediatric and Preventive Dentistry Department, Queen's University of Belfast.
ASDC J Dent Child. 1994 Jul-Aug;61(4):267-71.
The pilot study reported here is based on interviews with sixty, 6-year-old children randomly selected from a school population (and their mothers), to investigate predictors of dental anxiety in this age-group. The results demonstrated that child dental anxiety status was significantly related to dental factors, psychological developmental factors, and maternal factors. When all sixty data sets were entered into a regression analysis, 92 percent of the variance of the relationship of child dental anxiety could be predicted by eight factors in the three categories (F = 7.39, P < 0.001). The study demonstrated that the child's ability to cope with dental treatment (as reflected in reported disruptive behaviors) was based upon his/her degree of psychological development together with the mother's fear of dental treatment. It seems that an interaction exists, in which the role of the mother plays a central part influencing on the one hand the child's degree of psychological development and on the other the child's ability to cope with dental treatment. The findings from this preliminary study suggest that factors such as these should be considered by dentists when assessing their child patients, in order to identify and help the anxious child cope with dental care.
本文所报告的初步研究基于对从学校人群中随机抽取的60名6岁儿童（及其母亲）的访谈，旨在调查该年龄组儿童牙科焦虑的预测因素。结果表明，儿童牙科焦虑状况与牙科因素、心理发育因素和母亲因素显著相关。当将所有60个数据集纳入回归分析时，儿童牙科焦虑关系的92%的方差可由这三个类别中的八个因素预测（F = 7.39，P < 0.001）。该研究表明，儿童应对牙科治疗的能力（如报告的破坏性行为所反映）基于其心理发育程度以及母亲对牙科治疗的恐惧。似乎存在一种相互作用，其中母亲的角色起着核心作用，一方面影响儿童的心理发育程度，另一方面影响儿童应对牙科治疗的能力。这项初步研究的结果表明，牙医在评估儿童患者时应考虑这些因素，以便识别并帮助焦虑的儿童应对牙科护理。
