Association between Dental Fear and Anxious Thoughts and Tendencies and Dental Experience of Dental Patients

치과내원 환자의 불안취약사고 경향 및 치과경험과 치과공포의 관련성

  • 황혜림 (남서울대학교 치위생학과) ;
  • 최하나 (남서울대학교 치위생학과) ;
  • 조영식 (남서울대학교 치위생학과)
  • Received : 2011.01.18
  • Accepted : 2011.02.22
  • Published : 2011.02.28

Abstract

Introduction The aim of this study, personal trait and their dental care based on experience level of dental fear is to analyze the differences. Catastrophizing is an irrational belief that something is far worse than it actually is. Because it makes it possible to analyze patients' anxious thoughts and tendencies. Methods The Dental Fear Survey(DFS) and Anxious Thoughts and Tendencies(AT&T) were used as measuring tools, and the independent sample t-test and ANOVA were performed on the basis of the mean value of the summated scale scores and the standard deviation. On the factors to dental anxiety, the multiple regression analysis was performed. Results Demographically, the total DFS score was higher in women($25.73{\pm}8.27$) than in men. Also, AT&T was higher in women($31.01{\pm}7.05$) (p<0.05). Dental fear was intense in the group of patients who visited dental clinics only problems($25.29{\pm}8.57$) than in those regular visited($22.29{\pm}7.78$). In relation to dental experiences, the DFS score was significantly higher in children. In many cases, patients experienced therapeutic pains in children($26.40{\pm}9.54$) (p=0.004). Also in many patients, dental anxiety began to occur in adolescence(44.3%). The multiple regression analysis result, it was found that dental treatment pain and their AT&T wielded great influence upon dental fear.

치과치료와 관련된 공포감을 개인의 불안취약 사고와 치과치료의 경험을 통해 분석하기 위해 치과에 내원한 환자 431명을 대상으로 Dental Fear Survey(DFS)와 불안취약 사고경향(AT&T)을 측정도구로 사용하여 총합척도의 평균, 표준편차하여 독립표본 t검정과 일원분산분석(ANOVA)을 하였다. 치과공포에 미치는 요인에서 다중회귀분석 결과, 치과치료통증경험과 개인의 불안취약 사고경향이 큰 영향력을 미치는 것으로 분석되었다. 1. 연구대상자의 사회인구학적 특성은 치과공포 수준과 관련되어 DFS 점수가 여성($25.73{\pm}8.27$)이 남성($22.16{\pm}8.46$)보다 높았고, 불안취약 사고경향(AT&T) 역시 여성($31.01{\pm}7.05$)이 남성($28.93{\pm}8.15$)보다 높았다(p<0.05). 성별에 따라 여성이 치과공포감과 불안취약성이 크다는 것을 알 수 있다. 2. 치과의료이용 유형은 치과공포의 정도는 '문제가 발생했을 때 치과에 방문하는 집단'($25.29{\pm}8.57$)이 '정기적으로 치과 방문하는 집단'($22.29{\pm}7.78$)보다 높았다 (p=0.002). 3. 치과경험에 따라 처음 치과를 방문한 시기, 처음 통증을 경험한 시기, 치과불안이 시작된 시기를 치과공포수준에 따라 분석한 결과, 처음으로 치과치료를 받은 시기에 따라 유년기와 청소년기에 치과공포감을 많이 느끼고 성인에서는 그에 비해 덜 느낀다. 처음 치과치료시 통증을 경험한 집단 중 유년기($26.40{\pm}9.54$)에서 치과공포수준이 높았고(p=0.004), 치과불안이 시작된 시기에 따라 유년기($26.56{\pm}8.74$)에 시작된 치과불안이 높은 치과공포수준을 나타냈다(p=0.000). 또한 치과불안이 시작된 시기에서 청소년기(44.3%)가 높은 빈도수를 보였다. 따라서 이 시기에 치과의 인식 형성의 중요성을 알 수 있다. 4. 치과공포 수준에 미치는 요인으로 치과치료 시 통증경험(표준화계수=0.271)과 개인의 불안취약 사고경향(표준화계수=0.246)이 큰 영향력을 미치는 것으로 다중회귀분석결과 유의한 차이가 나타났다(p=0.001).

Keywords

References

  1. Berggren U: General and specific fears in referred and selfreferred adult dental patients with extreme dental anxiety. Behav Res Ther 30: 395-401, 1992. https://doi.org/10.1016/0005-7967(92)90051-H
  2. Eli I et al.: Antecedents of dental anxiety: learned responses versus personality traits. Comm Dent Oral Epid 25: 233-7, 1997. https://doi.org/10.1111/j.1600-0528.1997.tb00932.x
  3. Humphris GM, Morrison T, Lindsay SJE: The modified dental anxiety scale: validation and United Kingdom norms. Comm Dent Oral Epid 12: 143-150, 1995.
  4. Davey GCL, Levy S: Catastrophic worry: personal inadequacy and a pervasive iterative style features of catastrophizing process. J Abnorm Psychol 107: 576-586, 1998. https://doi.org/10.1037/0021-843X.107.4.576
  5. Uhlenhuth EH et al.: The revised anxious thoughts and tendencies(AT&T) scale: a general measure of anxiety-prone cognitive style. J Affect Disord 52: 51-58, 1999. https://doi.org/10.1016/S0165-0327(98)00061-5
  6. 임승락, 김지혜: 재앙화 사고의 평각 및 임상적 적용: '불안취약 사고경향 척도'의 표준화연구. 한국심리학회지 21(1): 189-206, 2002.
  7. Kleinknecht RA et al.: Factor analysis of the dental fear survey with cross-validation. J Am Dent Assoc 108: 59-61, 1984. https://doi.org/10.14219/jada.archive.1984.0193
  8. Cesa J et al.: Cross validation of a Brazilian version of the dental fear survey. Comm Dent Oral Epid 21: 148-150, 1993. https://doi.org/10.1111/j.1600-0528.1993.tb00740.x
  9. 정명희, 전성희: 치과내원 환자의 이용행태 및 공포와 구강악안면 통증. 치위생과학회지 9(3): 361-367, 2009.
  10. 이혜진 등: 치과내원환자의 치과치료시 공포감에 관한 연구. 치위생과학회지 7(3): 193-196, 2007.
  11. Coolidge T et al.: Psychometric properties of Greek version of the modified Corah dental anxiety scale and the dental fear survey. BMC Oral Health 8(29). Retrieved September 30, 2008, from http://www.biomedcentral.com/1472-6831/8/29.
  12. Coolidge T et al.: Psychometric properties of Spanish-language adult dental fear measures. BMC Oral Health 8(15). Retrieved May 12, 2008, from http://www.biomedcentral.com/1472-6831 /8/15.
  13. Dailey YM, Humphris GM, Lennon MA: The use of dental anxiety questionnaires: a survey of a group of UK dental practitioners. Br Dent J 190: 450-453, 2001.
  14. Cesar J et al.: Cross validation of a Brazilian version of the dental fear survey. Comm Dent Oral Epid 21: 148-150, 1993. https://doi.org/10.1111/j.1600-0528.1993.tb00740.x
  15. McGrath C, Bedi R: The association between dental anxiety and oral health-related quality of life in Britain. Comm Dent Oral Epid 32: 67-72, 2004. https://doi.org/10.1111/j.1600-0528.2004.00119.x
  16. 차문호 등: 행동치과학. 1st, 의치학사, 서울, pp. 47, 1991.
  17. Corah NL: Development of a dental anxiety scale. J Dent Res 48: 596, 1969. https://doi.org/10.1177/00220345690480041801
  18. Aartman HA: Reliability and validity of the short version of the dental anxiety inventory. Comm Dent Oral Epid 26: 350-354, 1998. https://doi.org/10.1111/j.1600-0528.1998.tb01972.x
  19. Yuan S et al.: Some psychometric properties of the Chinese version of the modified dental anxiety scale with cross validation. Health and Quality of life outcomes 6(22). Retrieved March 25, 2008, from http://www.hqlo.com/content/6/1/22.
  20. Hakeberg M, Berggren U: Dimension of the dental fear survey among patients with dental phobia. Acta Odontol Scand 55(5): 314-318, 1997. https://doi.org/10.3109/00016359709114970
  21. Sullivan MJL, Neish NR: Catastrophizing, anxiety and pain during dental hygiene treatment. Comm Dent Oral Epid 26: 344-349, 1998. https://doi.org/10.1111/j.1600-0528.1998.tb01971.x
  22. Armfield M, Stewart F, Spencer J: The vicious of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC oral health 7(1). Retrieved January 14, 2007, from http://www.biomedcentral.com/1472-6831/7/1.
  23. De Jongh et al.: Acquisition and maintenance of dental anxiety: the role of conditionong experiences and cognitive factors. Behav Res Ther 33(2): 205-210, 1995. https://doi.org/10.1016/0005-7967(94)P4442-W
  24. Rantavuori K et al.: Dental fear and oral health and family characteristics of Finnish children. Acta Odontol Scand 62: 207-213, 2004. https://doi.org/10.1080/00016350410001586
  25. Locker D et al.: Age of onset of dental anxiety. J Dent Res 78(3): 790-796, 1999. https://doi.org/10.1177/00220345990780031201