Moore R, Birn H, Kirkegaard E, Brødsgaard I, Scheutz F
Dept. of Oral Epidemiology and Public Health, Royal Dental College, Faculty of Health Sciences, Arhus University, Denmark.
Community Dent Oral Epidemiol. 1993 Oct;21(5):292-6. doi: 10.1111/j.1600-0528.1993.tb00777.x.
Prevalence, characteristics and consequences of dental anxiety in a randomly selected sample of 645 Danish adults were explored in telephone interviews. Participation rate was 88%. Demographics, fear of specific procedures, negative dentist contacts, general fear tendency, treatment utilization and perceived oral conditions were explored by level of dental anxiety using a modified Dental Anxiety Scale (DAS). A Seattle fear survey item and a summary item from the Dental Fear Survey (DFS) were also included for fear description comparisons. Correlation between these indices (DAS-DFS: rs = 0.72; DAS-Seattle item: rs = 0.68) aided semantic validation of DAS anxiety intensity levels. Extreme dental anxiety (DAS > or = 15) was found in 4.2% of the sample and 6% reported moderate anxiety (DAS scores 14-12). Bivariate (B) and logistic regression (L) odds ratios (OR) showed that high dental anxiety was associated with gender, education and income, but not with age. Extreme dental anxiety for dentate subjects was characterized by fear of drilling (ORL = 38.7), negative dentist contacts (ORL = 9.3), general fear tendency (ORL = 3.4), avoidance of treatment (ORL = 16.8) and increased oral symptoms (ORB = 4.4). Moderate dental anxiety was also related to drilling (ORL = 22.3), but with less avoidance due to anxiety (ORL = 6.8) compared with low fear subjects.
通过电话访谈对随机抽取的645名丹麦成年人样本中牙科焦虑症的患病率、特征及后果进行了探究。参与率为88%。使用改良的牙科焦虑量表（DAS），按牙科焦虑水平对人口统计学、对特定治疗程序的恐惧、与牙医的负面接触、一般恐惧倾向、治疗利用情况及感知到的口腔状况进行了探究。还纳入了一项西雅图恐惧调查问卷项目以及牙科恐惧调查问卷（DFS）中的一个总结项目，用于恐惧描述比较。这些指标之间的相关性（DAS - DFS：rs = 0.72；DAS - 西雅图项目：rs = 0.68）有助于对DAS焦虑强度水平进行语义验证。在样本中，4.2%的人存在极度牙科焦虑（DAS≥15），6%的人报告有中度焦虑（DAS得分14 - 12）。双变量（B）和逻辑回归（L）比值比（OR）显示，高度牙科焦虑与性别、教育程度和收入有关，但与年龄无关。有牙受试者的极度牙科焦虑表现为对钻孔的恐惧（ORL = 38.7）、与牙医的负面接触（ORL = 9.3）、一般恐惧倾向（ORL = 3.4）、避免治疗（ORL = 16.8）以及口腔症状增加（ORB = 4.4）。中度牙科焦虑也与钻孔有关（ORL = 22.3），但与低恐惧受试者相比，因焦虑而避免治疗的情况较少（ORL = 6.8）。
