目的:本研究旨在使用面部评定量表评估四项目问卷的信度和效度,以测量牙齿特质焦虑(DTA),牙齿特征恐惧(DTF),牙齿状态焦虑(DSA),和牙齿状态恐惧(DSF)。
方法:从接受缩放(S组;n=47)和植入物放置(I组;n=25)的患者中连续选择参与者。S组在初始和第二次缩放之前都完成了问卷,而I组在手术前当天(Pre-day)有反应,植入日(Imp-day),和缝线移除日(后日)。
结果:使用测试重测方法评估S组中的可靠性,显示DTA的加权Kappa值,0.61;DTF,0.46;DSA,0.67;DSF,0.52.与标准相关的有效性,使用状态特质焦虑量表的特质焦虑和状态焦虑进行评估,发现特质焦虑与DTA/DTF呈正相关(DTA,ρ=0.30;DTF,ρ=0.27,ρ:相关系数)以及状态焦虑与所有四个项目(DTA,ρ=0.41;DTF,ρ=0.32;DSA,ρ=0.25;DSF,ρ=0.25)。使用S组和I组的初始数据和Imp日数据评估已知组有效性,分别,显示I组的DSA和DSF评分明显高于S组。反应性使用I组数据来衡量,与其他日相比,日后DSA和DSF得分显着降低。
结论:新开发的问卷在临床使用中具有可接受的信度和效度,提示其对牙科焦虑和恐惧的研究以及提供特定患者的牙科护理的有用性。
OBJECTIVE: This study aimed to evaluate the reliability and validity of a four-item questionnaire using a face rating scale to measure dental trait anxiety (DTA), dental trait fear (DTF), dental state anxiety (DSA), and dental state fear (DSF).
METHODS: Participants were consecutively selected from patients undergoing scaling (S-group; n = 47) and implant placement (I-group; n = 25). The S-group completed the questionnaire both before initial and second scaling, whereas the I-group responded on the pre-surgery day (Pre-day), the day of implant placement (Imp-day), and the day of suture removal (Post-day).
RESULTS: The reliability in the S-group was evaluated using the test-retest method, showing a weighted kappa value of DTA, 0.61; DTF, 0.46; DSA, 0.67; DSF, 0.52. Criterion-related validity, assessed using the State-Trait Anxiety Inventory\'s trait anxiety and state anxiety, revealed positive correlations between trait anxiety and DTA/DTF (DTA, ρ = 0.30; DTF, ρ = 0.27, ρ: correlation coefficient) and between state anxiety and all four items (DTA, ρ = 0.41; DTF, ρ = 0.32; DSA, ρ = 0.25; DSF, ρ = 0.25). Known-group validity was assessed using the initial data and Imp-day data from the S-group and I-group, respectively, revealing significantly higher DSA and DSF scores in the I-group than in the S-group. Responsiveness was gauged using I-group data, showing significantly lower DSA and DSF scores on post-day compared to other days.
CONCLUSIONS: The newly developed questionnaire has acceptable reliability and validity for clinical use, suggesting its usefulness for research on dental anxiety and fear and for providing patient-specific dental care.