牙科畏惧症发病因素的初步探讨

A Survey of the Etiology of Dental Anxiety

1988年对920名大学生进行了牙科畏惧症发病因素的流行病学研究,同时采用Corah’s 问卷(CDAS)测量了525人的牙科畏惧水平,结果显示我国大学生的牙科畏惧水平高于国外同类报导。女性的 DAS 均值比男性高,差别有显著性(P<0.001)。随着近20年来我国龋齿发病率的上升,儿童时期的创伤性牙科经历相应增加。因此,这种直接的创伤性经历,牙科环境的影响,来自于家庭或同龄人对牙科的间接经验,以及居民对口腔保健的认识等,是牙科畏惧症的多种发病因素。

In an epidemiological survey comprising 920 college students in 1988, dental anxiety was measured with CDAS.The data were analyzed in an atte-mpt to evaluate the level of dental anxiety and analyse the cause of dental anxiety.Results indicated that the level of dental anxiety in Chinese college students was significantly higher than that in foreign college students.The difference of CDAS score between female and male was highly significant (P<0.001).With the increase of the incidence of dental caries over the last 20 years in China,the childhood traumatic dental experience has increased. Therefore,the immediate antecedents of dental anxiety,the influence of dental environments,the indirect experiences from the attitudes of family or peer group,and the knowledge of oral health were discussed as a multifacto- rial aetiology for dental anxiety.