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  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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이완을 유도한 가상현실 프로그램이 치과불안에 미치는 효과

The Effects of a Virtual Reality Program on Reducing Dental Anxiety

한국심리학회지: 건강 / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2017, v.22 no.2, pp.257-269
https://doi.org/10.17315/kjhp.2017.22.2.002
이든샘 (덕성여자대학교 심리학과)
김미리혜 (덕성여자대학교)
김정호 (덕성여자대학교)
김제중 (덕성여자대학교)

Abstract

This study examined the effects of a virtual reality program on dental anxiety, state anxiety and relaxation among patients waiting to receive dental treatment. The virtual reality program was developed to induce relaxation, by showing patients peaceful scenery. Sixty-six dental patients who visited a dental clinic were recruited and randomly assigned either to the experimental group (n = 33, mean age = 38.27 years, age range = 12-70 years), or to the control group (n = 33, average age = 35.24 years, age range = 23-75 years). While in the waiting room, the experimental group received Virtual Reality-induced Relaxation treatment for approximately 3 minutes prior to their dental treatment, whereas the control group sat and waited as usual. Both groups completed a questionnaire before and after the treatment (or waiting) period. The battery of questionnaires consisted of the Korean Dental Anxiety Inventory, the Anxiety Inventory, and a self-report scale asking patients about their degree of relaxation. The Fingertip Pulse Oximeter was also used to measure patients' heart rates. Statistical analyses revealed that compared to the control group, the experimental group reported significantly greater reductions following the treatment/waitlist period in dental anxiety [F(1, 64) = 30.49, p < 0.001], state anxiety [F(1, 64) = 19.12, p < 0.001], and heart rate [F(1, 64) = 19.12, p < 0.001], as well as significantly greater increases in subjective reports of relaxation [F(1, 64) = 38.07, p < 0.001]. These results suggest that prior to dental treatments, relaxation induced by virtual reality program eases anxiety and provides relaxation to the patients. Lastly, we discuss the implications of this study and suggestions for future research.

keywords
Virtual Reality, Relaxation, Dental Anxiety, 가상현실, 이완, 치과불안

참고문헌

1.

강현정, 손정락 (1998). 인지행동치료와 이완훈련이 월경전 증후군의 감소에 미치는 효과. 한국심리학회지: 건강, 3(1), 141-155.

2.

강희양, 손정락 (1999). 건강심리학회: 한국판 치과 불안검사의 타당화 연구. 한국심리학회 연차 학술발표논문집, 1999(단일호), 184-186.

3.

권원달, 설기문 (2010). 치과 공포증환자의 불안 경감을위한 NLP 기법에 대한 고찰. 대한치과의사협회지, 48(11), 829-840.

4.

김미리혜 (2011). 건강심리학 장면에서 가상현실과 증강현실의 활용. 한국심리학회지: 건강, 16(4), 643-656.

5.

김원, 정찬호, 이원익, 채정호 (2004). 두부 설치 투영장비를 이용한 동영상 노출 치료가 대학 입시 재수생들의 시험 불안 감소에 미치는 효과: 예비 연구. 인지행동치료, 4(2), 85-95.

6.

김정환 (2011). 실시간 상호작용 기술의 ‘가상현실치료’적용에 관한 연구. 만화애니메이션연구, 22, 81-97.

7.

문현숙, 이향련, 이지아 (2009). 척추마취 수술환자의 불안감소를 위한 이완요법 적용 효과. 동서간호학연구지, 15(1), 54-62.

8.

민유진, 김종수, 유승훈 (2006). 소아 환자에서 미다졸람의 경구투여와 근육 투여에 의한 진정 효과의 비교연구. 대한소아치과학회지, 33, 53-61.

9.

방석찬, 김교헌 (1998). 건강: 유도된 심상이 불안 감소에 미치는 영향. 한국심리학회지: 건강, 3(1), 156-168.

10.

서경현 (2004). 이완 훈련의 실제적 적용. 스트레스硏究, 12(1), 57-67.

11.

손명자 (1983). 정서적 심상화. 한국심리학회지: 임상, 4(1), 33-42.

12.

손정락 (2011). 행동이완훈련과 평가. 한국심리학회지:일반, 30(4), 973-993.

13.

양진향 (1990). 이완술이 고등학교 학생의 불안 감소에미치는 영향. 경북대학교 일반대학원 석사학위청구논문.

14.

원미연 (2014). 치과환자의 불안 경감을 위한 경험 디자인: 치과치료 중 시각정보제공을 중심으로. 홍익대학교 대학원 석사학위청구논문.

15.

이든샘, 김미리혜, 김정호, 조채윤 (2016). 이완을 유도하는 가상현실 프로그램이 고등학생의 상태불안에 미치는 영향. 2016년 한국임상심리학회 춘계학술대회 포스터 발표, 강원.

16.

이수정 (2012). 치과 치료 불안 분석방법에 관한 고찰. 전남대학교 치의학전문대학원 석사학위청구논문.

17.

이장한 (2004). 가상현실로 들어간 심리학. 한국심리학회지: 일반, 23(2), 87-104.

18.

이장한, 김선일, 임영식 (2003). 연구논문: 청소년의 니코틴 의존 치료를 위한 가상자극의 개발. 청소년학연구, 10(4), 37-54.

19.

한덕웅, 이장호, 전겸구 (1996). Speilberger 상태-특성불안 검사의 Y형의 개발. 한국심리학회지: 건강, 1(1), 1-14.

20.

황혜림, 이수영, 조영식 (2010). 일부 대학생의 치과불안과 치과의료이용 형태. 치위생과학회지, 10(5), 357-363.

21.

Al Absi, M., & Rokke, P. D. (1991). Can anxiety help us tolerate pain?. Pain, 46(1), 43-51.

22.

Anderson, K. O., & Masur III, F. T. (1983). Psychological preparation for invasive medical and dental procedures. Journal of Behavioral Medicine, 6(1), 1-40.

23.

Apóstolo, J. L. A., & Kolcaba, K. (2009). The effects of guided imagery on comfort, depression, anxiety, and stress of psychiatric inpatients with depressive disorders. Archives of Psychiatric Nursing, 23(6), 403-411.

24.

Appukuttan, D. P. (2016). Strategies to manage patients with dental anxiety and dental phobia:literature review. Clinical, Cosmetic and Investigational Dentistry, 8, 35.

25.

Brunyé, T. T., Mahoney, C. R., Giles, G. E., Rapp, D. N., Taylor, H. A., & Kanarek, R. B. (2013). Learning to relax: Evaluating four brief interventions for overcoming the negative emotions accompanying math anxiety. Learning and Individual Differences, 27, 1-7.

26.

Carpenter, D. J., Gatchel, R. J., & Hasegawa, T. (1994). Effectiveness of a videotaped behavioral intervention for dental anxiety: the role of gender and the need for information. Behavioral Medicine, 20(3), 123-132.

27.

Casida, J., & Lemanski, S. A. (2010). An evidence-based review on guided imagery utilization in adult cardiac surgery. Clinical Scholars Review, 3(1), 22-30.

28.

Cupal, D. D., & Brewer, B. W. (2001). Effects of relaxation and guided imagery on knee strength, reinjury anxiety, and pain following anterior cruciate ligament reconstruction. Rehabilitation Psychology, 46(1), 28.

29.

De Jongh, A. D., Muris, P., Ter Horst, G., Van Zuuren, F., Schoenmakers, N., & Makkes, P. (1995). One-session cognitive treatment of dental phobia: preparing dental phobics for treatment by restructuring negative cognitions. Behaviour Research and Therapy, 33(8), 947-954.

30.

Freeman, J., Lessiter, J., Keogh, E., Bond, F. W., & Chapman, K. (2004). Relaxation Island: virtual, and really relaxing. In Proceedings of 7th international workshop on presence (pp. 67-72).

31.

Friedberg, R. D., McClure, J. M., & Garcia, J. H. (2009). Cognitive therapy techniques for children and adolescents: Tools for enhancing practice. New York: Guilford Press.

32.

Gershon, J., Zimand, E., Pickering, M., Rothbaum, B. O., & Hodges, L. (2004). A pilot and feasibility study of virtual reality as a distraction for children with cancer. Journal of the American Academy of Child & Adolescent Psychiatry, 43(10), 1243-1249.

33.

Hoffman, H. G., Patterson, D. R., Carrougher, G. J., & Sharar, S. R. (2001). Effectiveness of virtual reality–based pain control with multiple treatments. The Clinical Journal of Pain, 17(3), 229-235.

34.

Humphris, G. M., Freeman, R., Campbell, J., Tuutti, H., & D'souza, V. (2000). Further evidence for the reliability and validity of the Modified Dental Anxiety Scale. International Dental Journal, 50(6), 367-370.

35.

Moore, R., & Brødsgaard, I. (2001). Dentists’perceived stress and its relation to perceptions about anxious patients. Community Dentistry and Oral Epidemiology, 29(1), 73-80.

36.

Schilling, D. J., & Poppen, R. (1983). Behavioral relaxation training and assessment. Journal of Behavior Therapy and Experimental Psychiatry, 14(2), 99-107.

37.

Schneider, S. M., Ellis, M., Coombs, W. T., Shonkwiler, E. L., & Folsom, L. C. (2003). Virtual reality intervention for older women with breast cancer. CyberPsychology & Behavior, 6(3), 301-307.

38.

Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory: STAI (Form Y). Palo Alto, CA: Consulting Psychologists Press.

39.

Stouthard, M. E., Hoogstraten, J., & Mellenbergh, G. J. (1995). A study on the convergent and discriminant validity of the Dental Anxiety Inventory. Behaviour Research and Therapy, 33(5), 589-595.

40.

Van Wijk, A. J., & Hoogstraten, J. (2003). The Fear of Dental Pain questionnaire: construction and validity. European Journal of Oral Sciences, 111(1), 12-18.

41.

Van Wijk, A. J., & Hoogstraten, J. (2005). Experience with dental pain and fear of dental pain. Journal of Dental Research, 84(10), 947-950.

42.

Villani, D., Riva, F., & Riva, G. (2007). New technologies for relaxation: The role of presence. International Journal of Stress Management, 14(3), 260.

43.

Woodmansey, K. F. (2005). The prevalence of dental anxiety in patients of a university dental clinic. Journal of American College Health, 54(1), 59-61.

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