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Factors affecting the interrelationship between cynical hostility and dental anxiety among dental patients

机译:影响牙科患者愤世嫉俗与牙科焦虑之间相互关系的因素

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Objectives: The objectives of this study were to assess the relationship between dental anxiety and cynical hostility in a sample of dental patients and to study the possible role of socioeconomic status (SES) in this relationship. Materials and Methods: A total of 288 dental patients completed a self-administered questionnaire consisting of the cynical distrust scale (CDS) and the modified dental anxiety scale (MDAS). Data on sociodemographic characteristics were also collected. Results: Dental anxiety as reflected by mean MDAS scores was significantly higher among the younger age group (P = 0.002), among females (P = 0.025), and the lower SES groups (P = 0.001). Cynical hostility was significantly higher among the older age group (P = 0.03), among males (P = 0.02), and among the lower SES groups, respectively, (P = 0.001). When the CDS scores for individuals with and without dental anxiety were compared within the context of the three socioeconomic strata, there was a statistically significant difference (P = 0.029) in scores between the two anxiety groups in the middle socioeconomic strata where the cynical distrust scores were lower among the anxiety group. Discussion: Mediation analysis revealed that SES played an important role in the association between dental anxiety and cynical hostility. It also showed that the mediating effect is not uniform across socioeconomic strata and may be different in different societies with their own unique population structures and classes.
机译:目的:本研究的目的是评估牙科患者样本中的牙科焦虑与愤世嫉俗之间的关系,并研究社会经济地位(SES)在这种关系中的可能作用。材料和方法:共有288位牙科患者完成了一份自我管理的问卷,该问卷由愤世嫉俗的不信任量表(CDS)和改良的牙科焦虑量表(MDAS)组成。还收集了有关社会人口学特征的数据。结果:平均MDAS评分反映的牙科焦虑症在年轻年龄组(P = 0.002),女性(P = 0.025)和SES组较低(P = 0.001)显着更高。在年龄较大的组(P = 0.03),男性(P = 0.02)和较低的SES组中,愤世嫉俗的敌意性分别较高(P = 0.001)。当在这三个社会经济阶层的背景下比较有和没有牙科焦虑症的人的CDS得分时,中社会经济阶层的两个焦虑组的得分之间存在统计学上的显着差异(P = 0.029),其中愤世嫉俗的得分在焦虑组中较低。讨论:调解分析显示,SES在牙科焦虑症与愤世嫉俗的敌对之间起着重要作用。研究还表明,不同社会经济阶层之间的调解效果并不统一,不同社会中具有独特的人口结构和阶级的调解效果可能会有所不同。

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