IS THERE A CORRELATION BETWEEN OBJECTIVE AND SUBJECTIVE METHODS TO ASSESS DENTAL ANXIETY? A SYSTEMATIC REVIEW AND META-ANALYSIS

IF 4 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice Pub Date : 2025-01-14 DOI:10.1016/j.jebdp.2025.102092

CAMILA SILVA DE AMORIM MsC , LARISSA SOARES LIMA DA SILVA MsC , GUIDO ARTEMIO MARAÑÓN-VÁSQUEZ PhD , MARCELA BARAÚNA MAGNO PhD , ANDRÉA VAZ BRAGA PINTOR PhD , PEDRO PAULO PIRES PhD , LUCIANNE COPLE MAIA PhD , MATHEUS MELO PITHON PhD

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引用次数: 0

Abstract

Objective

To assess the evidence about the correlation between objective and subjective methods for evaluating dental anxiety.

Methods

Eligibility criteria were defined as follows: Patients (P): individuals in the dental care context; Index test (I): subjective methods; Reference test (R): objective methods; Outcome (O): correlation between methods to dental anxiety evaluation. Searches were conducted in 7 databases and grey literature up to November 2023, without language or date restrictions. The QUADAS-2 tool was employed to evaluate Risk of bias. A random-effects meta-analysis was performed to calculate pooled correlation coefficients between methods on the basis of the objective method analyzed. The GRADE approach was utilized to assess evidence certainty.

Results

A total of 29 studies, with 1891 participants aged 3 to 82 years, were included, with 22 studies participating in the meta-analysis. The Risk of bias was mostly “unclear” due to inadequate methodology detail. Weak correlations were observed between subjective methods and heart rate (r 0.15 [0.08, 0.21], P < .001, I² = 56%) and alpha-amylase (r 0.25 [0.11, 0.38], P < .001, I² = 43%. Subjective methods showed a moderate correlation with cortisol analysis (r 0.40 [0.33, 0.47] P < .001, I² = 72%). No other objective method displayed a significant correlation with subjective methods. The certainty of evidence was very low.

Conclusion

The findings can suggest a correlation between the following subjective and objective methods: ACDAS, DAS, MCDAS, MDAS and Cortisol; CFSS-DS, DAS, MCDAS, MDAS and Alpha-amylase; and DAS, DAS-R, MDAS, S-DAI, Venham Picture Anxiety, Venham Picture Test and Heart rate. Nonetheless, these results lack conclusiveness due to their very low certainty of evidence.

Registration

PROSPERO database registration number CRD42022298589.

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评估牙齿焦虑的客观方法和主观方法之间是否存在相关性？系统回顾和荟萃分析

目的评价客观方法与主观方法评价牙病焦虑的相关性。方法入选标准如下：患者(P)：有牙科护理背景的个体；指标检验（一）：主观方法；参考检验(R)：客观方法；结果(O)：牙科焦虑评估方法之间的相关性。在截至2023年11月的7个数据库和灰色文献中进行了检索，没有语言或日期限制。采用QUADAS-2工具评价偏倚风险。在客观方法分析的基础上，进行随机效应荟萃分析，计算方法间的合并相关系数。GRADE方法用于评估证据的确定性。结果共纳入29项研究，1891名年龄在3至82岁之间的受试者，其中22项研究参与了meta分析。由于方法学细节不足，偏倚风险大多是“不明确的”。主观方法与心率之间存在弱相关性（r = 0.15 [0.08, 0.21], P = <； ）。001年,I2 =阿尔法 56%)和(r 0.25 [0.11, 0.38], P & lt; 。001年,I2 = 43%。主观方法与皮质醇分析呈正相关（r = 0.40 [0.33, 0.47] P = <； ）。001年,I2 = 72%)。其他客观方法与主观方法均无显著相关性。证据的确定性很低。结论ACDAS、DAS、MCDAS、MDAS与皮质醇的主客观指标存在相关性；CFSS-DS、DAS、MCDAS、MDAS和α -淀粉酶；DAS、DAS- r、MDAS、S-DAI、Venham图片焦虑、Venham图片测试和心率。尽管如此，由于证据的确定性非常低，这些结果缺乏结论性。RegistrationPROSPERO数据库注册号CRD42022298589。

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来源期刊

Journal of Evidence-Based Dental Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

6.00

自引率

16.70%

发文量

105

审稿时长

28 days

期刊介绍： The Journal of Evidence-Based Dental Practice presents timely original articles, as well as reviews of articles on the results and outcomes of clinical procedures and treatment. The Journal advocates the use or rejection of a procedure based on solid, clinical evidence found in literature. The Journal''s dynamic operating principles are explicitness in process and objectives, publication of the highest-quality reviews and original articles, and an emphasis on objectivity.