한국콘텐츠학회논문지 (The Journal of the Korea Contents Association)

  • 제17권9호
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  • Pages.203-211
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  • 2017
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  • 1598-4877(pISSN)
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  • 2508-6723(eISSN)
한국콘텐츠학회 (The Korea Contents Association)
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일부 성인의 치과공포가 우울 증상과 스트레스에 미치는 영향

Effects of Dental Fear on Depression Symptom and Stress in Adults

  • 박은선 (혜전대학교 치위생학과)
  • 투고 : 2017.06.19
  • 심사 : 2017.06.28
  • 발행 : 2017.09.28
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초록

본 연구의 목적은 일부 성인의 치과공포증과 우울 증상, 스트레스의 연관성을 파악하는 것이다. 치주치료를 받기 위해 치과에 내원한 환자 중 연구 참여에 동의하고 선정 기준에 적합한 68명을 대상으로 하였다. 치과공포, 우울 증상 설문조사와 혈압, 맥박, 그리고 정신적 스트레스를 객관적으로 평가할 수 있는 타액코티졸을 측정하여 분석하였다. 분석 결과, 우울 증상은 '치료약속을 연기', '치료약속을 취소', '근육의 긴장이 증가', '치과에 들어서면 호흡이 빨라짐', '치과에서 진땀이 난 적이 있음', '구역질이 난 적이 있음', '다음 치료약속 시 두려움', '대기실에서 기다릴 때 두려움', '병원 냄새를 맡았을 때 두려움', '치과의사를 쳐다볼 때 두려움', '마취 주사바늘을 볼 때 두려움', '치아 삭제용 기구가 돌아가는 소리를 들을 때 두려움', '치아가 삭제되는 느낌을 받을 때 두려움', '치과에 대한 전체적인 두려움'에서 우울 정도가 높게 나타났다(p<0.05). 스트레스 증상은 '치과에서 진땀이 난 적이 있음', '맥박이 빨라짐', '치과에 들어설 때 두려움', '치과에 대한 전체적인 두려움'에서 높게 나타났다(p<0.05). 이와 같은 결과를 바탕으로 치과에 내원한 환자의 우울 증상과 스트레스를 조절할 수 있는 효과적인 방법에 대한 연구가 필요하며 치과공포 환자를 위한 이완요법 등의 방안 마련을 하는 지속적인 관리가 필요하다고 사료된다.

The purpose of this study was to determine the association of some adult dental fear and depression, and stress. Among the patients who came to the dental clinic for periodontal treatment, 68 patients who agreed to participate in the study and who met the selection criteria were included. Dental fear, depression symptom questionnaire, salivary cortisol, which can objectively evaluate blood pressure, pulse, and stress. The results of the analysis showed that depressive symptom was related to 'delayed treatment promise', 'cancellation of treatment appointment', 'increased muscle tension', 'rapid breathing when entering dentistry', 'fear when waiting in the waiting room', 'fear when you smell the hospital', 'fear when looking at the dental clinic', 'fear when seeing the anesthetic needle', 'fear when tooth whistle was heard', 'fear when teeth were removed', and 'total fear of dentistry'(p<0.05). Stress symptoms were higher in 'having sweated in the dentist', 'faster pulse', 'fear of entering the dentist' and 'total fear of the dentist'(p<0.05). Based on these results, it is necessary to study the effective methods to control the depressive symptoms and stress of patients who visit dental clinics, and it seems that continuous management is needed to prepare methods such as relaxation therapy for dental fear patients.

키워드

참고문헌

  1. D. Appukukkan, S. Subramanian, A. Tadepalli, and L. K. Damodaran, "Dental anxiety among adults: an epidemiological study in South India," N Am J Med Sci, Vol.7, No.1, pp.13-18, 2015. https://doi.org/10.4103/1947-2714.150082
  2. 정미애, 하정은, 김민지, "구강보건교육 진행 방식에 따른 초등학생의 치과공포지수 차이," 한국콘텐츠학회논문지, 제16권, 제5호, pp.96-103, 2016. https://doi.org/10.5392/JKCA.2016.16.05.096
  3. 김수경, 김미희, 최현지, 황정근, "일부 성인의 치과 공포감 관련 요인," 한국치위생학회, 제14권, 제6호, pp.881-886, 2016. https://doi.org/10.13065/jksdh.2014.14.06.881
  4. M. Tellez, C. M. Potter, D. G. Kinner, D. Jensen, E. Waldron, R. G. Heimberg, S. Myers Virtue, H. Zhao, and A. I. Ismail, "Computerized tool to manage dental anxiety: a randomized clinical trial," J Dent Res, pp.174s-180s, 2015.
  5. M. Blomqvist, G. Dahllof, and S. Bejerot, "Experiences of Dental care and dental anxiety in adults with autism spectrum disorder," Autism Res Treat, pp.1-9, 2014.
  6. M. Lenk, H. Berth, P. Joraschky, K. Petrowski, K. Weidner, and C. Hannig. "Fear of dental treatment an underrecognized symptom in people with impaired mental health," Dtsch Arztebl Int, Vol.110, No.31-32, pp.517-522, 2013.
  7. V. Pohjola, A. K. Mattila, M. Joukamaa, and M. Lahti, "Anxiety and depressive disorders and dental fear among adults in Finland," Eur J Oral Sci, Vol.119, pp.55-60, 2011.
  8. 윤현서, 박지현, "치과내원환자의 주관적 구강건강인식과 치과공포의 관련성," 한국콘텐츠학회논문지, 제12권, 제6호, pp.321-379, 2012.
  9. R. Moore, H. Birn, E. Kirekegaard, and I. Broedsgaard, "Prevalence and characteristics of dental anxiety in danish adults," Community Dent and Oral Epid, Vol.21, No.5, pp.292-296, 1993. https://doi.org/10.1111/j.1600-0528.1993.tb00777.x
  10. 심연수, 김아현, 안소연, "청주시 일부 중학생들의 치과공포도와 치과공포 요인," 한국콘텐츠학회논문지, 제13권, 제9호, pp.295-304, 2013. https://doi.org/10.5392/JKCA.2013.13.09.295
  11. J. P. Sharmila, P. S. Preetam, A. P. Jayakumar, S. Anand, T. P. Anil, and B. T. Sridevi, "Assessment of the changes in the stress-related salivary cortisol levels to the various dental procedures in children," Journal of Indian Society of Pedodontics and Preventive Dentistry, Vol.33, No.2, pp.94-99, 2015. https://doi.org/10.4103/0970-4388.155116
  12. R. A. Kleinknecht, R. K. Klepac, and L. D. Alexander, "Origins and characteristics of fear of dentistry," J Am Dent Assoc, Vol.86, pp.842-848, 1973. https://doi.org/10.14219/jada.archive.1973.0165
  13. L. L. Matharu, A. P. Mcintosh, and J. W. Lo, "Predicting children's behaviour during dental treatment," Arch Paediatr Dent, Vol.17, No.3, pp.157-163, 2015.
  14. A. T. Beck, C. H. Ward, M. Mendelson, J. Mock, and J. Erbaugh, "An inventory for measuring depression," Arch Gen Psychiatry, Vol.4, pp.561-571, 1961. https://doi.org/10.1001/archpsyc.1961.01710120031004
  15. 이영호, 송종용, "BDI, SDS, MMPI-D 척도의 신뢰도 및 타당도에 대한 연구," 한국심리학회지, 제10권, pp.98-113, 1991.
  16. J. W. Hughes, D. M. Fresco, R. Myerscough, M. H. van Dulmen, M. H. Carlson, and R. Josephson, "Randomized controlled trial of mindfulness-based stress reduction for prehypertension," Psychosom Med, Vol.75, pp.721-728, 2013. https://doi.org/10.1097/PSY.0b013e3182a3e4e5
  17. B. W. Maclaughlin, D. Wang, A. M. Noone, N. Liu, N. Harazduk, M. Lumpkin, A. Haramati, P. Saunders, M. Dutton, and H. Amri, "Stress biomarkers in medical students participating in a mind body medicine skills program," Evid Based Complement Alternat Me, pp.1-8, 2011.
  18. H. Jeong, J. Y. Jeong, and D. W. Lee, Dental sedation methods that dentists should know before opening an office, Myeongmun Publishing, 2011.
  19. R. W. de Carvalho, P. G. de Carvalho Bezerra Falcao, G. J. de Luna Campos, E. S. de Souza Andrade, B. C. do Egito Vasconcelos, and M. A. da Silva Pereira, "Prevalence and Predictive Factors of Dental Anxiety in Brazilian Adolescents," Journal of Dentistry for children, Vol.80, No.1, pp.41-46, 2013.
  20. E. Skaret, M. Raadal, E. Berg, and G. Kvale, "Dental anxiety and dental avoidance among 12 to 18 years olds in Norway," Eur J Oral Sci, Vol.107, No.6, pp.422-428, 1999. https://doi.org/10.1046/j.0909-8836.1999.eos107602.x
  21. C. K. Lalabonova, "Impact of dental anxiety on the decision to have implant treatment," Folia Med (Plovdiv), Vol.57, No.2, pp.116-121, 2015. https://doi.org/10.1515/folmed-2015-0029
  22. Y. Liu, X. Huang, X. Yan, H. Lin, J. Zhang, and D. Xuan, "Dental fear and its possible relationship with periodontal status in Chinese adults: a preliminary study," BMC Oral Health, Vol.15, pp.1-7, 2015. https://doi.org/10.1186/1472-6831-15-1
  23. F. Kebriaee, A. Sarraf Shirazi, K. Fani, F. Moharreri, A. Soltanifar, Y. Khaksar, and F. Mazhari, "Comparison of the effects of cognitive behavioural therapy and inhalation sedation on child dental anxiety," Eur Arch Paediatr Dent, Vol.16, pp.173-179, 2015. https://doi.org/10.1007/s40368-014-0152-x
  24. S. Bina, L. Ashok, and G. P. Sujatha, "Evaluation of salivary cortisol and psychological factors in patients with oral lichen planus," Indian J Dent Res, Vol.20, No.3, pp.288-292, 2015. https://doi.org/10.4103/0970-9290.57361
  25. P. A. Doerr, W. P. Lang, L. V. Nyquist, and D. L. Ronis, "Factors associated with dental anxiety," J Am Dent Assoc, Vol.129, No.8, pp.1111-1119, 1998. https://doi.org/10.14219/jada.archive.1998.0386
  26. H. W. Tsang, W. M. Cheung, A. H. Chan, K. M. Fung, A. Y. Leung, and D. W. Au, "A pilot evaluation on a stress management programme using a combined approach of cognitive behavioural therapy (CBT) and complementary and alternative medicine (CAM) for elementary school teachers," Stress Health, Vol.31, pp.35-43, 2015. https://doi.org/10.1002/smi.2522
  27. A. K. Artemiadis, A. A. Vervainioti, E. C. Alexopoulos, A. Rombos, M. C. Anagnostouli, and C. Darviri, "Stress management and multiple sclerosis: a randomized controlled trial," Arch Clin Neuropsychol, Vol.27, pp.406-416, 2012. https://doi.org/10.1093/arclin/acs039
  28. A. Jones, P. M. Bentler, and G. Petry, "The reduction of uncertainty concerning future pain," J Abnorm Psychol, Vol.71, pp.87-94, 1966. https://doi.org/10.1037/h0023115