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修改后的牙焦虑量表 (MDAS) 是一个单一的还是两个构造的测量? 一个理论和务实的视角
Gerald Michael Humphris1, Jonathan Timothy Newton2
1Medical School, University of St Andrews, St Andrews KY16 9TF, UK.
Dentistry journal
|February 25, 2025
概括
修改后的牙科焦虑量表 (MDAS) 可以更好地理解为两个不同的构造:预期和治疗相关的牙科焦虑. 这种双因素模型提供了对牙科焦虑的更细致的评估,以不同的方式影响与口腔健康相关的生活质量.
科学领域:
- 心理学 心理学 心理学
- 牙科公共卫生 牙科公共卫生
- 心理测量 心理测量 心理测量
背景情况:
- 修改的牙焦虑量表 (MDAS) 是一种广泛使用的牙焦虑量表,已被翻译成多种语言.
- 然而,MDAS缺乏其内容和结构的明确理论基础.
- 本研究通过借鉴牙科焦虑发展和维持的原始理论,重新评估了MDAS.
研究的目的:
- 为MDAS建立一个理论框架.
- 提供实证证据支持MDAS的潜在的两个构造结构.
- 调查牙焦虑构造与口腔健康相关生活质量之间的关系.
主要方法:
- 关于牙科焦虑的文献的叙事评论.
- 结构方程建模用于分析2009年成人牙健康调查的数据.
- 该研究专门研究了MDAS项目,区分预测性 (项目1-2) 和与治疗有关的 (项目3-5).
主要成果:
- 该分析支持牙科焦虑的双潜构造模型.
- 预期和与治疗相关的子尺度是可以区分的,但高度相关,表明重叠.
- 预期性牙科焦虑与与治疗有关的焦虑相比,与与口腔健康相关的生活质量 (OHRQoL) 有更强的关联.
结论:
- 这些发现表明,将MDAS分为预期和与治疗相关的子尺度是合理的.
- 研究人员应考虑报告MDAS总得分和子尺度得分.
- 需要进行进一步的研究,以探索患者评估中这些子尺度的临床实用性.
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