The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model.

The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model.
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DOI:
10.3390/ijerph19042380
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发表时间:
2022-02-18
影响因子:
--
通讯作者:
Polido JC
Polido JC
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Stein Duker LI;Grager M;Giffin W;Hikita N;Polido JC

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牙科恐惧和焦虑(DFA)在整个生命周期中很常见,是正确的口腔健康行为和结果的障碍。本研究的目的是提出一个概念模型的DFA,一般性焦虑/恐惧,感觉过度反应(SOR),和/或口腔健康行为和结果之间的关系。使用PubMed数据库进行了两轮文献检索。纳入的文章检查了DFA,一般性焦虑/恐惧,SOR,灾难化和/或口腔健康行为和结果在典型的发展人群的整个生命周期。结构之间的关系被记录并组织成一个概念模型。共纳入188篇文章。结果为DFA与模型中包含的所有其他结构(一般性焦虑/恐惧、SOR、口腔健康不良、不规律的牙科就诊、牙科行为管理问题[DBMP]和需要药物治疗)之间的关系提供了支持性证据。此外,SOR与一般性焦虑/恐惧和DBMP相关;一般性焦虑/恐惧与口腔健康不良、不规律就诊和DBMP相关。该模型提供了人员因素之间关系的全面视图(例如,一般性焦虑/恐惧、SOR和DFA)和口腔健康行为和结果。这是有价值的,以突出结构之间的联系,可能是有针对性的新的干预措施,以改善口腔健康行为和结果,以及DFA的经验的发展。
Dental fear and anxiety (DFA) is common across the lifespan and represents a barrier to proper oral health behaviors and outcomes. The aim of this study is to present a conceptual model of the relationships between DFA, general anxiety/fear, sensory over-responsivity (SOR), and/or oral health behaviors and outcomes. Two rounds of literature searches were performed using the PubMed database. Included articles examined DFA, general anxiety/fear, SOR, catastrophizing, and/or oral health behaviors and outcomes in typically developing populations across the lifespan. The relationships between the constructs were recorded and organized into a conceptual model. A total of 188 articles were included. The results provided supporting evidence for relationships between DFA and all other constructs included in the model (general anxiety/fear, SOR, poor oral health, irregular dental attendance, dental behavior management problems [DBMP], and need for treatment with pharmacological methods). Additionally, SOR was associated with general anxiety/fear and DBMP; general anxiety/fear was linked to poor oral health, irregular attendance, and DBMP. This model provides a comprehensive view of the relationships between person factors (e.g., general anxiety/fear, SOR, and DFA) and oral health behaviors and outcomes. This is valuable in order to highlight connections between constructs that may be targeted in the development of new interventions to improve oral health behaviors and outcomes as well as the experience of DFA.
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