基础医学与临床2024，Vol.44Issue(5)：705-708,4.DOI:10.16352/j.issn.1001-6325.2024.05.0705
基于生理指标的儿童牙科恐惧与焦虑的评估模型
Assessment models of dental fear and anxiety in children based on psysiological data
张鹏 1张宇阳 2王非 2李西营3
作者信息
- 1. 国家儿童医学中心首都医科大学附属北京儿童医院口腔科,北京 100045
- 2. 清华大学社会科学学院心理学系,北京 100084
- 3. 陕西师范大学现代教学技术教育部重点实验室,陕西西安 710119
- 折叠
摘要
Abstract
Objective To explore the neurophysiological responses of patients'fear in real treatment scenarios,and to construct a assessment model of children's dental fear and anxiety(DFA)based on physiological data.Methods Totally 166 children under the age of 14 who received treatment at the Beijing Children's Hospital Department of Stomatology were included in the study.The Chinese version of the modified Children's Fear Survey Schedule-Dental Subscale(CFSS-DS)was used to assess dental fear and anxiety scores in children.A wrist-worn physiologi-cal data collection device was used to continuously measure subjects'heart rate(HR)and galvanic skin response(GSR)during the treatment.Repeated measures analysis of variance was used to test for differences in physiological data before,during and after treatment.Pearson's correlation analysis was used to analyze the relation-ship between physiological data and CFSS-DS scores before,during,and after treatment.A Least Absolute Shrinkage and Selection Operator(LASSO)regression model was established to assess dental fear and anxiety among children,and Leave-One-Out(LOO)was used for cross-validation.Results There were significant differences in the changes of each dimension of physiological data before,during,and post treatment(P＜0.05).The Pearson's cor-relation coefficient(r)between the LASSO model predictive values and the CFSS-DS scores was 0.30(P＜0.05),which indicated a good predictive accuracy of the model.Conclusions The assessment model might achieve objec-tive and automated measurement of dental fear and anxiety in children.关键词
牙科恐惧与焦虑/生理测量/心率/皮肤电反应Key words
dental fear/anxiety/physiological measurement/heart rate/galvanic skin reaction分类
医药卫生引用本文复制引用
张鹏,张宇阳,王非,李西营..基于生理指标的儿童牙科恐惧与焦虑的评估模型[J].基础医学与临床,2024,44(5):705-708,4.
