Stouthard牙科恐惧量表中文版的研制及评价

›› 2013, Vol. 33 ›› Issue (10): 657-660.

Stouthard牙科恐惧量表中文版的研制及评价

马媛媛¹,秦青¹,侯锐²,居云²,³,陈永进¹,³,黄锦梅¹,³,刘晓波¹

1. 第四军医大学口腔医学院急诊与综合临床科
2. 第四军医大学口腔医学院口腔外科
3.

收稿日期:2013-05-08 修回日期:2013-07-18 出版日期:2013-10-28 发布日期:2013-10-31
通讯作者: 侯锐 E-mail:hourui@fmmu.edu.cn
基金资助:
国家自然科学基金资助项目

Development and evaluation of Chinese version of Stouthard’s Dental Anxiety Inventory

Received:2013-05-08 Revised:2013-07-18 Online:2013-10-28 Published:2013-10-31

摘要/Abstract

摘要： 目的　研制Ｓｔｏｕｔｈａｒｄ牙科恐惧量表（Ｓｔｏｕｔｈａｒｄ′ｓｄｅｎｔａｌａｎｘｉｅｔｙｉｎｖｅｎｔｏｒｙ，ＤＡＩ）中文版并对其心理学性质进行检验以评价量表的可行性。方法　按照心理测量学中量表的跨文化适应程序对ＤＡＩ英文版进行翻译、反译、文化调试和试用建立ＤＡＩ中文版；并使用了ＤＡＳ牙科焦虑问卷进行验证。使用ＤＡＩ中文版对９４０例成人患者进行牙科恐惧调查，检验量表的信度、效度等心理测量学性质，且检测与Ｃｏｒａｈ牙科焦虑量表（Ｃｏｒａｈ′ｓｄｅｎｔａｌａｎｘｉｅｔｙｓｃａｌｅ，简称ＤＡＳ）和状态特质焦虑问卷（Ｓｔａｌｅ－ＴｒａｉｔＡｎｘｉｅｔｙＩｎｖｅｎｔｏｒｙ，简称ＳＴＡＩ）得分之间的关系。结果　ＤＡＩ中文版重测信度为０．９４３，内部一致性Ｃｒｏｎｂａｃｈ′ｓα系数为０．９５６。结构效度ＫＭＯ＝０．９６１，因子分析共选出５个公因子：害怕医生的处理方式、对就医过程焦虑、一般牙科焦虑、害怕牙医及其评论和恐惧就医过程，其累计贡献率达６０．５４１％。其分布与理论结构假设相符；ＤＡＩ中文版与ＤＡＳ和ＳＴＡＩ中的特质焦虑量表得分呈显著相关（Ｐ＜０．０１）。结论　ＤＡＩ中文版具有良好的信度和效度，是符合中国人使用的牙科恐惧量表。

关键词: 牙科恐惧, 量表, 信度, 效度, dental anxiety, reliability, validity, scale

Abstract: [Objective] To develop the Chinese version of Stouthard’s Dental Anxiety Inventory (DAI), and to test the psychometric properties so as to evaluate the feasibility of the scale for Chinese population. Methods The English version of DAI was translated into Chinese, back translated and further adjusted according to the cross-cultural adaption of the scales in psychometrics. The Chinese version of DAI was then used to investigate dental anxiety among 940 adult patients and to examine psychometric properties such as reliability and validity. In addition, interrelationship between Corah’s dental Anxiety Scale (DAS) and Stale-Trait Anxiety Inventory (STAI) was analyzed.Results The Chinese version of DAI showed the test-retest reliability coefficient of 0.943, the internal consistency coefficient of 0.956, andthe construct validity coefficient of 0.961. Five factors were selected from Factor Analysis, which accounted for 60.541% of the total variance. These five factors were: fear of the treatment methods of particular doctors, anxiety for the treatment process, general dental anxiety, fear of dentists and their comments and horror of the treatment process. The distribution of these five factors was consistent with the theoretical structure assumption. The Chinese version of DAI significantly associated with the score of trait anxiety scale in DAS and STAI(P<0.01). Conclusions The Chinese version of DAI demonstrated the reliability and validity, which proven to be a dental anxiety scale that suitable for the use of Chinese population.

中图分类号:

马媛媛秦青侯锐居云陈永进黄锦梅刘晓波. Stouthard牙科恐惧量表中文版的研制及评价[J]. 口腔医学, 2013, 33(10): 657-660.

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