Reducing patients' state anxiety in general dental practice: A randomized controlled trial

Reducing patients' state anxiety in general dental practice: A randomized controlled trial
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DOI:
10.1177/154405910208100506
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发表时间:
2002-05-01
影响因子:
7.6
通讯作者:
Lennon, MA
Lennon, MA
中科院分区:
医学1区
文献类型:
--
作者:
Dailey, YM;Humphris, GM;Lennon, MA

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通过问卷的焦虑评估为牙医提供了信息,也可能给病人带来心理上的好处。本研究验证了一个假设,即在治疗开始前告知牙医患者的牙科焦虑可以减少患者的状态焦虑。在北威尔士进行了一项随机对照试验,涉及8名普通牙科医生。参与者包括第一次参加牙科治疗的患者,在改良牙科焦虑量表(MDAS)中累积得分为19分或以上,或在任何一个问题上得分为5分。患者(n = 119)在治疗前后完成了Spielberger状态焦虑量表(STAI-S),随机分为干预组(告知牙医MDAS评分)和对照组(未告知牙医)。干预组患者的平均变化STAI-S评分降低幅度更大(F[1,119] = 8.74, P < 0.0001)。在治疗前向牙医提供患者牙科焦虑的高水平信息,并让患者参与其中,减少了患者的焦虑状态。
Anxiety assessment by questionnaire provides information for the dentist and may also confer a psychological benefit on patients. This study tested the hypothesis that informing dentists about patients' dental anxiety prior to commencement of treatment reduces patients' state anxiety. A randomized controlled trial was conducted involving eight General Dental Practitioners in North Wales. Participants included patients attending their first session of dental treatment, and accumulating a score of 19 or above, or scoring 5 on any one question, of the Modified Dental Anxiety Scale (MDAS). Patients (n = 119) completed Spielberger's state anxiety inventory (STAI-S) pre- and post-treatment and were randomly allocated to intervention (dentist informed of MDAS score) and control (dentist not informed) groups. Intervention patients showed greater reduction in mean change STAI-S scores (F[1, 119] = 8.74, P < 0.0001). Providing the dentist with information of the high level of a patient's dental anxiety prior to treatment, and involving the patient in this, reduced the patient's state anxiety.