Skaret E, Raadal M, Berg E, Kvale G
Center for Odontophobia, Faculty of Odontology, University of Bergen, Norway.
Eur J Oral Sci. 1998 Aug;106(4):835-43. doi: 10.1046/j.0909-8836.1998.eos106402.x.
The aims of this study were to determine the prevalence of dental anxiety at the time when adolescents are leaving the public dental service, and to explore the relationship at this stage between dental anxiety and some possible etiologic factors. The sample consisted of 571 18-yr-olds in high school who completed a questionnaire and three psychometric scales, the Dental Fear Scale (DFS), the Dental Beliefs Survey (DBS) and the Geer Fear Scale (GFS), in the classroom. The relationship between dental anxiety (DFS and DBS) and a total of nine possible etiologic factors was explored by the use of stepwise regression analyses, and risk estimates (odds ratio) were calculated in cross-tables. There were significant sex differences for DFS and for GFS, but not for DBS. Nineteen percent of the total sample were classified as having high dental anxiety (DFS > 59). Previous experiences of pain, phobic anxiety indexed by GFS and pain at the last dental visit entered into the stepwise regression models of both dental anxiety indices explaining 50% of the variance of DFS, but only 18% of DBS. Students who reported more than one previous experience of pain were 9.9 times more likely to report high dental anxiety as recorded by DFS than the rest of the group. The corresponding risk factor for DBS was 3.4.
本研究的目的是确定青少年离开公共牙科服务时牙科焦虑症的患病率，并探讨这一阶段牙科焦虑症与一些可能的病因之间的关系。样本包括571名18岁的高中生，他们在教室里完成了一份问卷以及三个心理测量量表，即牙科恐惧量表（DFS）、牙科信念调查（DBS）和吉尔恐惧量表（GFS）。通过逐步回归分析探讨了牙科焦虑（DFS和DBS）与总共九个可能的病因之间的关系，并在交叉表中计算了风险估计值（比值比）。DFS和GFS存在显著的性别差异，但DBS不存在。总样本中有19%被归类为患有高度牙科焦虑（DFS>59）。先前的疼痛经历、由GFS指数表示的恐惧焦虑以及上次牙科就诊时的疼痛进入了两个牙科焦虑指数的逐步回归模型，解释了DFS方差的50%，但仅解释了DBS方差的18%。报告有不止一次先前疼痛经历的学生报告高度牙科焦虑（如DFS所记录）的可能性是该组其他学生的9.9倍。DBS的相应风险因素为3.4。
