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首页> 外文期刊>Patient Preference and Adherence >When the fear of dentist is relevant for more than one’s oral health. A structural equation model of dental fear, self-esteem, oral-health-related well-being, and general well-being
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When the fear of dentist is relevant for more than one’s oral health. A structural equation model of dental fear, self-esteem, oral-health-related well-being, and general well-being

机译：当对牙医的恐惧与一个以上的口腔健康有关时。牙科恐惧，自尊，与口腔健康有关的结构方程模型，以及一般福祉

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Purpose: To develop and test a complex model that captures the individuals’ general well-being and the specific oral-health-related well-being. We were specifically interested, as a specific research question, if self-esteem, dental fear, and the oral health-related well-being are credible predictors for the general well-being. Patients and methods: A one-time associative research design measured dental-specific anxiety, self-esteem, oral-health-related specific well-being, and general well-being in 281 participants, 3rd and 6th year dental students ( M subAge/sub =22.59 years, SD subAge/sub =3.13; 55% females), which completed a battery of relevant questionnaires: the Dental Fear Survey, the Rosenberg Self-Image Scale, the short form of Oral Health Impact Profile, and the Flourishing Scale. The data were subject to structural equation modeling in order to validate potential pathways of influence hypothesized based on previous evidence from the literature. Results: We developed and tested a complex structural equations model, in which dental fear influences both the specific oral-health-related well-being and the persons’ self-esteem. In turn, self-esteem mediates the influence pathways between dental fear and oral-health-specific well-being, on the one hand, and the overall well-being, on the other hand. Conclusion: Our research contributes directly to strengthening the theoretical basis for future interdisciplinary research, by providing, first, a tested and replicable model that surpasses the simple correlation or prediction, and second, empirical evidence for the significant mutual interdependence between psychological experiences, eg, self-esteem, and the two main aspects of well-being, ie, specific and general. From a practical, clinical viewpoint, our research provides further insights and justification for the importance of educating the patient, on all levels, from the individual clinical practice to community programs and public oral health policies, with respect to the importance of oral health.
机译：目的：开发和测试一个复杂的模型，旨在捕获个人的一般福祉以及与特定的口腔健康有关的福祉。我们是专门的，作为一个特定的研究问题，如果是自尊，牙齿恐惧和与口腔健康有关的福祉是一般福祉的可信预测因素。患者和方法：一次性联想研究设计测量牙科特异性焦虑，自尊，与健康相关的特定福祉，以及福祉在281名参与者，第3和第6年牙科学生（M 年龄 = 22.59岁，SD 年龄 = 3.13; 55％女性），完成了电池相关问卷：牙科恐惧调查，罗森伯格自我图像规模，短的形式口腔健康影响概况和繁荣的规模。该数据受到结构方程建模的影响，以验证基于从文献中以前的证据证明影响的潜在路径。结果：我们开发并测试了复杂的结构方程模型，其中牙科恐惧会影响特定的口腔健康相关的福祉和人的自尊。反过来，自尊介于一方面和整体福祉的牙科恐惧和口腔健康特异性福祉之间的影响途径。结论：我们的研究直接有助于加强未来跨学科研究的理论基础，通过提供超越简单的相关或预测，第二个经验证据，以及对心理经历之间的重大相互依存等的经验和可复制的模型，例如，自尊，以及福祉的两个主要方面，即具体和一般。从实际的临床观点来看，我们的研究提供了进一步的见解和理由，为教育患者在各个层面，各级从个体临床实践到社区方案和公共口腔卫生政策的重要性以及口头健康的重要性。

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