IS DENTAL PHOBIA A BLOOD-INJECTION-INJURY PHOBIA?

被引:25
|
作者
van Houtem, C. M. H. H. [1 ,2 ]
Aartman, I. H. A. [1 ,2 ]
Boomsma, D. I. [3 ]
Ligthart, L. [3 ]
Visscher, C. M. [2 ,4 ]
de Jongh, A. [1 ,2 ,5 ]
机构
[1] Univ Amsterdam, Dept Social Dent & Behav Sci ACTA, NL-1081 LA Amsterdam, Netherlands
[2] Vrije Univ Amsterdam, NL-1081 LA Amsterdam, Netherlands
[3] Vrije Univ Amsterdam, Dept Biol Psychol, NL-1081 LA Amsterdam, Netherlands
[4] Univ Amsterdam, Res Inst MOVE, Dept Oral Kinesiol ACTA, NL-1081 LA Amsterdam, Netherlands
[5] Univ Salford, Sch Hlth Sci, Manchester, Lancs, England
关键词
specific phobias; dental phobia; blood-injection-injury phobia; DSM; NETHERLANDS TWIN REGISTER; ANXIETY SCALE; FEAR; PREVALENCE; SUBTYPES; STIMULI; AFRAID; FAMILY; BIAS;
D O I
10.1002/da.22168
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background: Dental phobia is part of the Blood-Injection-Injury (B-I-I) phobia subtype of specific phobia within DSM-IV-TR. To investigate the conceptual validity of this classification, the purpose of the present study was to determine the co-occurrence of dental phobia, typical dental (and B-I-I related) fears, vasovagal fainting, and avoidance of dental care. Method: Data were collected by an online survey in Dutch twin families (n = 11,213). Results: Individuals with a positive screen of dental phobia (0.4% of the sample) rated typical B-I-I-related stimuli as relatively little anxiety provoking (e.g. of all 28 fears the stimulus "the sight of blood" was ranked lowest). Presence of dental phobia was significantly associated with a history of dizziness or fainting during dental treatment (OR = 3.4; 95% CI: 1.5-8.1), but of the dental phobic individuals only 13.0% reported a history of dizziness or fainting during dental treatment. Presence of dental phobia (OR = 5.0; 95% CI: 2.8-8.8) was found to be associated with avoidance of dental care, but a history of dizziness or fainting during dental treatment was not (OR = 1.0; 95% CI: 0.8-1.2). Conclusions: The present findings converge to the conclusion that dental phobia should be considered a specific phobia subtype independent of the B-I-I cluster within the DSM classification system. (C) 2013 Wiley Periodicals, Inc.
引用
收藏
页码:1026 / 1034
页数:9
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