{"title":"脑波诱导对儿童牙科患者术前恐惧和焦虑的效果：随机对照试验。","authors":"F Shehani, V Samuel, R Kavitha, R Mani","doi":"10.1007/s40368-024-00921-7","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The study aims to evaluate the effectiveness of brainwave entrainment on pre-operative fear and anxiety in pediatric dental patients.</p><p><strong>Methods: </strong>The study protocol received approval from the Institutional Ethical Committee under reference number 3010/IEC/2021. Pediatric patients (252) aged from 7 to 12 years, who reported to the dental department were randomized pre-operatively and presented either with brainwave entrainment (experimental), delivered using a \"David delight plus device\" or a standard behavior management protocol (control). Baseline and post-assessment of anxiety and fear levels were done using the Visual Facial Anxiety Scale and Frankl's behavior rating scale with Wright's modification. Vitals such as blood pressure and pulse rate were also measured.</p><p><strong>Results: </strong>The study sample (n = 252) comprised 118 females and 134 males. The non-significant differences for values of (VFAS<sub>1,</sub> FRS<sub>1,</sub> HR<sub>1,</sub> and BP<sub>1)</sub> indicated similar baseline characteristics. In the brainwave entrainment group, the p values of the Mann-Whitney U test and Wilcoxon Signed Ranks test (p < 0.01) between the two-timepoints indicated a statistical difference for the values of (VFAS<sub>1,</sub> FBRS<sub>1,</sub> HR<sub>1,</sub> BP<sub>1)</sub> and (VFAS<sub>2,</sub> FBRS<sub>2,</sub> HR<sub>2,</sub> BP<sub>2)</sub>.</p><p><strong>Conclusions: </strong>Brainwave entrainment effectively reduces pre-operative fear and anxiety in pediatric dental patients. Therefore, they can be a non-pharmacological and non-invasive behavior management aid.</p><p><strong>Trial registration: </strong>Clinical Trial Registry of India database CTRI/2023/03/051066.</p>","PeriodicalId":47603,"journal":{"name":"European Archives of Paediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of brainwave entrainment on pre-operative fear and anxiety in pediatric dental patients: a randomized controlled trial.\",\"authors\":\"F Shehani, V Samuel, R Kavitha, R Mani\",\"doi\":\"10.1007/s40368-024-00921-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The study aims to evaluate the effectiveness of brainwave entrainment on pre-operative fear and anxiety in pediatric dental patients.</p><p><strong>Methods: </strong>The study protocol received approval from the Institutional Ethical Committee under reference number 3010/IEC/2021. Pediatric patients (252) aged from 7 to 12 years, who reported to the dental department were randomized pre-operatively and presented either with brainwave entrainment (experimental), delivered using a \\\"David delight plus device\\\" or a standard behavior management protocol (control). Baseline and post-assessment of anxiety and fear levels were done using the Visual Facial Anxiety Scale and Frankl's behavior rating scale with Wright's modification. Vitals such as blood pressure and pulse rate were also measured.</p><p><strong>Results: </strong>The study sample (n = 252) comprised 118 females and 134 males. The non-significant differences for values of (VFAS<sub>1,</sub> FRS<sub>1,</sub> HR<sub>1,</sub> and BP<sub>1)</sub> indicated similar baseline characteristics. In the brainwave entrainment group, the p values of the Mann-Whitney U test and Wilcoxon Signed Ranks test (p < 0.01) between the two-timepoints indicated a statistical difference for the values of (VFAS<sub>1,</sub> FBRS<sub>1,</sub> HR<sub>1,</sub> BP<sub>1)</sub> and (VFAS<sub>2,</sub> FBRS<sub>2,</sub> HR<sub>2,</sub> BP<sub>2)</sub>.</p><p><strong>Conclusions: </strong>Brainwave entrainment effectively reduces pre-operative fear and anxiety in pediatric dental patients. Therefore, they can be a non-pharmacological and non-invasive behavior management aid.</p><p><strong>Trial registration: </strong>Clinical Trial Registry of India database CTRI/2023/03/051066.</p>\",\"PeriodicalId\":47603,\"journal\":{\"name\":\"European Archives of Paediatric Dentistry\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Archives of Paediatric Dentistry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s40368-024-00921-7\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/7/9 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Archives of Paediatric Dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40368-024-00921-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/9 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
摘要
目的：本研究旨在评估脑波诱导对儿童牙科患者术前恐惧和焦虑的有效性：研究方案获得了机构伦理委员会的批准，编号为 3010/IEC/2021。对前来牙科就诊的 7 至 12 岁儿童患者（252 人）进行术前随机分组，使用 "David delight plus 设备 "进行脑波诱导（实验组），或采用标准行为管理方案（对照组）。对焦虑和恐惧程度的基线和后评估是使用视觉面部焦虑量表和经赖特修正的弗兰克尔行为评级量表进行的。此外，还测量了血压和脉搏等生命体征：研究样本（n = 252）包括 118 名女性和 134 名男性。VFAS1、FRS1、HR1 和 BP1 的数值差异不显著，表明基线特征相似。在脑波训练组中，曼-惠特尼 U 检验和 Wilcoxon Signed Ranks 检验的 p 值（p 1、FBRS1、HR1、BP1）和（VFAS2、FBRS2、HR2、BP2）：结论：脑波诱导能有效减轻儿童牙科患者术前的恐惧和焦虑。结论：脑波诱导能有效减轻儿童牙科患者术前的恐惧和焦虑，因此可以作为一种非药物、非侵入性的行为管理辅助手段：试验注册：印度临床试验注册数据库 CTRI/2023/03/051066。
Effectiveness of brainwave entrainment on pre-operative fear and anxiety in pediatric dental patients: a randomized controlled trial.
Purpose: The study aims to evaluate the effectiveness of brainwave entrainment on pre-operative fear and anxiety in pediatric dental patients.
Methods: The study protocol received approval from the Institutional Ethical Committee under reference number 3010/IEC/2021. Pediatric patients (252) aged from 7 to 12 years, who reported to the dental department were randomized pre-operatively and presented either with brainwave entrainment (experimental), delivered using a "David delight plus device" or a standard behavior management protocol (control). Baseline and post-assessment of anxiety and fear levels were done using the Visual Facial Anxiety Scale and Frankl's behavior rating scale with Wright's modification. Vitals such as blood pressure and pulse rate were also measured.
Results: The study sample (n = 252) comprised 118 females and 134 males. The non-significant differences for values of (VFAS1, FRS1, HR1, and BP1) indicated similar baseline characteristics. In the brainwave entrainment group, the p values of the Mann-Whitney U test and Wilcoxon Signed Ranks test (p < 0.01) between the two-timepoints indicated a statistical difference for the values of (VFAS1, FBRS1, HR1, BP1) and (VFAS2, FBRS2, HR2, BP2).
Conclusions: Brainwave entrainment effectively reduces pre-operative fear and anxiety in pediatric dental patients. Therefore, they can be a non-pharmacological and non-invasive behavior management aid.
Trial registration: Clinical Trial Registry of India database CTRI/2023/03/051066.
期刊介绍：
The aim and scope of European Archives of Paediatric Dentistry (EAPD) is to promote research in all aspects of dentistry for children, including interceptive orthodontics and studies on children and young adults with special needs. The EAPD focuses on the publication and critical evaluation of clinical and basic science research related to children. The EAPD will consider clinical case series reports, followed by the relevant literature review, only where there are new and important findings of interest to Paediatric Dentistry and where details of techniques or treatment carried out and the success of such approaches are given.
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