Stouthard牙科恐惧量表中文版的研制及评价  

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

作　　者：马媛媛[1] 秦青 侯锐[3] 居云[3] 陈永进[1] 黄锦梅[1] 刘晓波[1] 

机构地区：[1]第四军医大学口腔医学院急诊与综合临床科,西安710032 [2]解放军323医院口腔科,西安710054 [3]第四军医大学口腔医学院口腔外科,西安710032

出　　处：《口腔医学》2013年第10期657-660,共4页Stomatology

基　　金：国家自然科学基金资助项目(81271167)

摘　　要：目的研制Stouthard牙科恐惧量表(Stouthard's dental anxiety inventory,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's dental anxiety scale,简称DAS)和状态特质焦虑问卷(Stale-Trait Anxiety Inventory,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。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, negated and further adjusted to develop the Chinese version according to the cross-cultural adaption of the scales in psychomet- rics. 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 that the retest reliability was 0. 943 ,the internal consistency coefficient was 0. 956, and the construct validity coefficient was 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 was significantly associated with the score of trait anxiety scale in DAS and STAI（ P 〈 0.01 ）. Conclusions The Chinese version of DAI demonstrats very good re- liability and validity,which proves to be a dental anxiety scale that is suitable for the use of Chinese population.

关 键 词：牙科恐惧 量表 信度 效度 

分 类 号：R78[医药卫生—口腔医学]