Predictors of behavioral avoidance in dental phobia:: The role of gender, dysfunctional cognitions and the need for control
Predictors of behavioral avoidance in dental phobia:: The role of gender, dysfunctional cognitions and the need for control
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DOI：
10.1080/10615800600841240
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发表时间：
2006-09-01
影响因子：
3.7
通讯作者：
Joehren, Peter
中科院分区：
文献类型：
--
作者：
Sartory, Gudrun;Heinen, Richard;Joehren, Peter
牙科焦虑症和相关的避免牙科治疗可能会导致严重损害健康。本研究探讨了恐怖的严重程度、性别、广泛性焦虑和抑郁的相关特征（如功能失调认知和躯体症状敏感性）以及自我效能和心理控制源的人格特征对回避行为的影响。48名牙科恐惧症患者进行了初步评估，并通过随后三次牙科预约的遵守程度来确定回避行为。主成分分析揭示了特质和恐惧焦虑以及回避和功能失调的认知的单独因素。女性比男性表现出更高程度的回避。回归分析显示，对牙科治疗的控制欲望很高，结合低水平的感知控制作为唯一显着的预测变量的回避。结果表明，牙科恐惧症的回避行为可以通过扩大患者对治疗条件的控制来减少。
Dental anxiety and the related avoidance of dental treatment can result in severe impairment of health. We investigated the influence on avoidance behavior of phobic severity, gender, characteristics related to generalized anxiety and depression, such as dysfunctional cognitions and sensitivity of bodily symptoms, as well as personality traits of self-efficacy and locus of control. Forty-eight dental phobics were given an initial assessment and avoidance behavior was determined by the degree of observance of three subsequent dental appointments. Principal component analysis revealed separate factors for trait and phobic anxiety as well as for avoidance and dysfunctional cognitions. Women showed a higher degree of avoidance than men. Regression analysis revealed a high desire for control over dental treatment combined with a low level of perceived control as the only significant predictor variable of avoidance. The results suggest that avoidance behavior in dental phobia could be reduced by extending patients' control over treatment conditions.