在线认知行为干预治疗牙科焦虑:为期12个月的随机临床试验
Marisol Tellez1, Eugene M Dunne1, Elizabeth Konneker1
1Maurice H. Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania, USA.
Community dentistry and oral epidemiology
|June 14, 2025
概括
在线认知行为疗法干预有效地减少了患者的牙科焦虑. 牙科工作人员辅助的干预显示,与心理工作人员辅助或对照组相比,在12个月内持续减少了焦虑.
科学领域:
- 心理学 心理学 心理学
- 牙健康 牙健康
- 数字健康数字健康
背景情况:
- 牙焦虑是影响口腔卫生保健获得的普遍问题.
- 在线认知行为疗法 (o-CBT) 为管理牙科焦虑提供了一个可扩展的解决方案.
- 之前的干预已经显示出希望,但需要可访问的实施策略.
研究的目的:
- 评估在线认知行为疗法牙科焦虑干预 (o-CBT) 的有效性.
- 为了比较与心理工作人员支持提供的o-CBT与牙科工作人员支持的有效性.
- 评估在牙科卫生保健机构实施o-CBT的可行性.
主要方法:
- 一项随机对照试验 (N=499) 涉及高牙焦虑的成年牙科患者.
- 参与者被分配到心理辅助干预 (PI),牙科辅助干预 (DI) 或对照组 (C).
- 主要结局包括修改的牙焦虑量表 (MDAS) 和临床医师评级的恐惧 (ADIS),分析使用一般化的线性模型进行重复测量.
主要成果:
- 两组PI和DI的牙科焦虑明显低于对照组.
- 消化不良组在6个月和12个月后显示牙焦虑持续减少.
- 在所有时间点之间,PI和DI组之间没有发现牙科焦虑的显著差异.
结论:
- 与对照条件相比,o-CBT干预有效地减少了牙科焦虑.
- 牙科工作人员辅助的O-CBT可能为牙科焦虑管理提供持续的好处.
- 需要进一步的研究,以评估在现实世界牙科办公室环境中o-CBT的有效性.
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