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研究生:葉怡如
研究生(外文):Yeh, Yi-Ju
論文名稱:牙科焦慮認知行為療法之系統性回顧
論文名稱(外文):Systematic review of dental anxiety cognitive behavioral therapy
指導教授:藍守仁藍守仁引用關係
指導教授(外文):Lan, Shou-Ren
口試委員:藍守仁陳成欽張李淑女
口試委員(外文):Lan, Shou-RenChen, Cheng-ChinChang, Lee-Shu-Nu
口試日期:2012-07-18
學位類別:碩士
校院名稱:亞洲大學
系所名稱:健康產業管理學系健康管理組
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:66
中文關鍵詞:牙科焦慮系統性回顧認知行為療法
外文關鍵詞:Dental AnxietySystematic ReviewCognitive Behavioral Therapy
相關次數:
  • 被引用被引用:1
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  • 下載下載:52
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背景與目的
牙科焦慮是患者在接受診療時的一種心理障礙,亦影響病患就診的主要原因之一,研究發現認知行為療法能有效改善心理問題,但國內對於牙科焦慮之認知行為療法少有文獻加以探討發表;本篇研究目的利用系統性回顧之方法,檢視認知行為療法對牙科焦慮患者是否有降低焦慮之療效。
方法
由PubMed、ScienceDirectS-SDOL、Wiley Online Library homer、Airiti Library資料庫及網站Google Scholar利用關鍵詞合併收尋截至2010年12月,受試者為非精神疾患者、必須有認知行為介入且有牙科行為量表或含生理指標測量項目之研究。
結果
共搜尋到20篇符合條件之研究,其中1篇將生理指標納入輔助,另9篇有實驗組及控制組均有認知行為療法介入,而其他10篇中無控制組的認知行為療法的介入。部分文獻支持認知行為療法可以改善中、低程度的牙科焦慮,且有短期或長期的療效。
結論
認知行為療法種類繁多,介入的年齡無法確定適用於每個年齡層,較缺乏實質生理指標的輔助,須有更多生理指標實驗研究來支持其療效。

Background and purpose: Dental Anxiety is a type of psychological disorder when patients receiving therapy and one of the factors in patients seeking for treatment. Some research found that Cognitive Behavioral Therapy could effectively improve psychological problems. However, few literatures on Cognitive Behavioral Therapy of Dental Anxiety are published in Taiwan. With systematic review, this study aims to examine whether Cognitive Behavioral Therapy could reduce the anxiety of patients with Dental Anxiety.
Method: From PubMed, ScienceDirectS-SDOL, Wiley Online Library homer, Airiti Library, and the key word search of Google Scholar, participants who were not patients with psychiatric disorder, appeared cognitive behaviors, and received the measurements of dental behavior scale or physiological index by December 2010 were searched.
Results: Total twenty studies corresponded to the conditions, in which one included physiological index, nine showed that both the experimental group and the control group received Cognitive Behavioral Therapy, and ten presented that the control group did not receive Cognitive Behavioral Therapy. Some literatures supported that Cognitive Behavioral Therapy could improve medium- and low-Dental Anxiety and showed short-term or long-term therapeutic effects.
Conclusion: There are various types of Cognitive Behavioral Therapy. The suitable age for the therapy could not be ensured, and the assistance of physiological index is insufficient that more experimental research with physiological index is required for supporting the therapeutic effects.

中 文 摘 要
ABSTRACT
目錄i
表目錄iii
第一章緒論 1
第一節、 研究背景 1
第二節、研究動機與目的 4
第二章文獻探討及系統性回顧 5
第一節、焦慮、害怕和恐懼之間的差異 5
第二節、牙科害怕/焦慮之概述 7
第三節、牙科焦慮/牙科恐懼症成因 12
第四節、牙科焦慮各國現況 13
第五節、牙科行為量表 16
第六節、認知行為治療法概述 19
第七節、系統性文獻回顧 23
第三章研究方法 24
第一節、研究樣本的蒐尋與篩檢 24
第二節、資料擷取 26
第四章研究結果 32
第五章討論 34
第六章結論 37
參考文獻 38
附錄 45
附錄一 45
附錄二 50
附錄三 63

表目錄
表2-2-1 華盛頓大學牙科焦慮治療中心對牙科焦慮病患的分類 10
表2-2-2 區辨型一、型二與型三患者 11
表2-4 近年來主要國家關於牙科焦慮問題的調查結果 14
表2-4 近年來主要國家關於牙科焦慮問題的調查結果(續) 15
表2-5常見的牙科行為量表 18
表2-6-1認知行為治療的基本概念 19
表2-6-2認知行為治療對降低牙科焦慮的效果 22
表3-1資料搜索過程與結果 25
表3-2-1英文文獻摘要 28
表3-2-2中文文獻摘要 31
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