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首页> 外文期刊>Journal of public health dentistry >Smartphone‐based exposure treatment for dental phobia: a pilot randomized clinical trial
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Smartphone‐based exposure treatment for dental phobia: a pilot randomized clinical trial

机译：智能手机的牙科恐惧症曝光治疗：试点随机临床试验

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Abstract Objectives High levels of dental care‐related fear/anxiety, as well as phobia, result in delay or avoidance of dental care, which are associated with poorer oral and overall health. Both pharmacotherapeutic and psychosocial methods are available to treat those with high levels of dental fear/anxiety or phobia, but they are infrequently used and not easily accessed. Smartphones are a potential vehicle for delivering exposure therapy (e.g., a treatment involving systematic encounter with fear‐evoking stimuli), but there is a need to test the acceptability of this approach in regard to treatment of high levels of dental anxiety/fear and phobia. Methods There were 36 patients with high dental anxiety/fear/phobia randomly assigned to either a treatment or a waitlist condition. Participants completed a pre‐ and two‐week post‐multimodal assessment, including a dental behavioral avoidance task. The treatment condition included 2?weeks of self‐directed exposure delivered via a personal smartphone in the patients' natural environment. Results Participants in the treatment condition utilized the smartphone exposure an average of 1.6 times daily (SD = 0.85), and found the self‐directed exposure highly acceptable. Moreover, they had lower self‐reported anxiety and decreased cardiac reactivity at the postassessment compared with the preassessment; no change in anxiety was found for the control condition from pre‐ to postassessment. Conclusions Highly anxious, fearful, and dental phobic participants utilized smartphone‐delivered exposure therapy, and found it to be an acceptable treatment method. Results support the utility and promise for further testing of the personal smartphone in delivering self‐directed exposure therapy for high dental fear/anxiety and phobia.
机译：摘要目的与牙科护理相关的高水平恐惧/焦虑以及恐惧症会导致延迟或避免牙科护理，这与口腔和整体健康状况较差有关。药物治疗和心理社会方法都可用于治疗高度牙科恐惧/焦虑或恐惧症患者，但它们很少使用，也不容易获得。智能手机是提供暴露疗法的潜在工具（例如，涉及系统性遭遇引起恐惧的刺激的治疗），但需要测试这种方法在治疗高度牙科焦虑/恐惧和恐怖症方面的可接受性。方法将36名患有高度牙科焦虑/恐惧/恐怖症的患者随机分为治疗组和候补组。参与者完成了多模式评估前和两周后的评估，包括牙科行为回避任务。治疗条件包括2？在患者的自然环境中，通过个人智能手机进行数周的自我指导暴露。结果处于治疗状态的参与者平均每天使用智能手机接触1.6次（SD=0.85），并且发现自我指导的接触非常可接受。此外，与评估前相比，他们在评估后的自我报告焦虑程度较低，心脏反应性降低；从评估前到评估后，对照组的焦虑没有变化。结论高度焦虑、恐惧和牙齿恐惧的参与者使用智能手机提供的暴露疗法，并发现这是一种可接受的治疗方法。研究结果支持了个人智能手机在针对高度牙齿恐惧/焦虑和恐惧症进行自我指导暴露治疗方面的实用性和前景。

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