PDF(Pubmed)
Abstract：
BACKGROUND: The most known and commonly studied behavioral obstacle to dental care is dental anxiety. An obstacle that is less studied though no less problematic is excessive gag reflex, which can severely impede dental treatment. Another understudied and possibly related syndrome is emetophobia (a specific phobia of vomiting).
OBJECTIVE: The aim of this study was to examine possible comorbidity amongst self-reported emetophobia, dental anxiety, and excessive gagging in the dental office.
METHODS: A cross-sectional online survey was conducted using the following self-report questionnaires: Dental Anxiety Scale, Gagging Problem Assessment, Gagging Assessment Scale (GAS), and Specific Phobia of Vomiting Inventory (SPOVI).
RESULTS: In all, 164 participants fully completed the questionnaires (87.8% female; mean age, 34 ± 11.07 years). Positive correlations were found amongst all variables (P < .001). High gagging (GAS > 6) was associated with a 7.29 times (P < .000) greater risk of positive emetophobia (SPOVI ≥ 10). Linear regression analyses revealed that the intensity of the reflex and the experience of gagging upon encountering odours in the dental office as well as dental anxiety and vomiting phobia significantly predicted participants\' gagging scores as evaluated by GAS (R2 = 0.59; F = 21.16; P < .001).
CONCLUSIONS: The study shows that excessive gagging reflex in the dental office is closely related both to dental anxiety and to emetophobia.
OBJECTIVE: The aim of this study was to examine possible comorbidity amongst self-reported emetophobia, dental anxiety, and excessive gagging in the dental office.
METHODS: A cross-sectional online survey was conducted using the following self-report questionnaires: Dental Anxiety Scale, Gagging Problem Assessment, Gagging Assessment Scale (GAS), and Specific Phobia of Vomiting Inventory (SPOVI).
RESULTS: In all, 164 participants fully completed the questionnaires (87.8% female; mean age, 34 ± 11.07 years). Positive correlations were found amongst all variables (P < .001). High gagging (GAS > 6) was associated with a 7.29 times (P < .000) greater risk of positive emetophobia (SPOVI ≥ 10). Linear regression analyses revealed that the intensity of the reflex and the experience of gagging upon encountering odours in the dental office as well as dental anxiety and vomiting phobia significantly predicted participants\' gagging scores as evaluated by GAS (R2 = 0.59; F = 21.16; P < .001).
CONCLUSIONS: The study shows that excessive gagging reflex in the dental office is closely related both to dental anxiety and to emetophobia.
摘要：
背景：牙科护理最著名和最常用的行为障碍是牙科焦虑。一个较少研究的障碍是过度的呕吐反射，这会严重阻碍牙科治疗。另一个研究不足且可能相关的综合征是恐惧症（一种特定的呕吐恐惧症）。
目的：本研究的目的是检查自我报告的恐惧症中可能的共病，牙科焦虑,在牙科诊所过度作呕。
方法：使用以下自我报告问卷进行了横断面在线调查：牙科焦虑量表，呕吐问题评估，阻塞评估量表（GAS），和特定的呕吐恐惧症(SPOVI)。
结果：总而言之，164名参与者完全填写了问卷(87.8%为女性；平均年龄，34±11.07年）。所有变量之间均呈正相关(P<.001)。高阻塞（GAS>6）与7.29倍（P<.000）的阳性恐惧症（SPOVI≥10）风险相关。线性回归分析显示，反射强度和在牙科诊所遇到气味时的呕吐经历以及牙科焦虑和呕吐恐惧症显着预测了GAS评估的参与者的呕吐得分（R2=0.59；F=21.16；P<.001）。
结论：研究表明，牙科诊所的过度呕吐反射与牙科焦虑和恐惧症密切相关。
目的：本研究的目的是检查自我报告的恐惧症中可能的共病，牙科焦虑,在牙科诊所过度作呕。
方法：使用以下自我报告问卷进行了横断面在线调查：牙科焦虑量表，呕吐问题评估，阻塞评估量表（GAS），和特定的呕吐恐惧症(SPOVI)。
结果：总而言之，164名参与者完全填写了问卷(87.8%为女性；平均年龄，34±11.07年）。所有变量之间均呈正相关(P<.001)。高阻塞（GAS>6）与7.29倍（P<.000）的阳性恐惧症（SPOVI≥10）风险相关。线性回归分析显示，反射强度和在牙科诊所遇到气味时的呕吐经历以及牙科焦虑和呕吐恐惧症显着预测了GAS评估的参与者的呕吐得分（R2=0.59；F=21.16；P<.001）。
结论：研究表明，牙科诊所的过度呕吐反射与牙科焦虑和恐惧症密切相关。
