Measurement and Characterization of Fear and Avoidance in Dental Anxiety PDF Download
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Author: Laura Jeanne Dempster
Publisher:
ISBN: 9780494395905
Category :
Languages : en
Pages : 300
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Book Description
Dental anxiety is the most common psychological condition encountered in dental practice. Gaps exist in our understanding of its epidemiology and characteristics due to a lack of consistency in the way studies have defined and measured it. The aim of this research was to develop a more comprehensive understanding of dental anxiety in the general population by investigating the prevalence and correlates of fear and avoidance. Specifically, the relationship between these cognitive and behavioural dimensions of dental anxiety was the focus of examination. A new test, the Dental Fear and Avoidance Scale (DFAS), was developed and its reliability and validity tested. Test-retest reliability of the DFAS showed an intraclass correlation of 0.87 for both fear and avoidance dimensions of the scale, demonstrating high reliability suitable for research purposes. The validity of the DFAS was tested by comparing fear and avoidance scores on the DFAS with responses to fear- and avoidance-related questions in a self-report questionnaire. Significant differences (p & le; 0.01) were noted between: mean scores for low and high DFAS fear categories and Dental Anxiety Scale (DAS) scores, and questions regarding dental treatment, having a needle in the mouth, and various evoking stimuli; and between low and high avoidance DFAS categories and questions about avoidance behaviours, the frequency of dental visits and when subjects last saw a dentist. A correlation of 0.60 confirmed fear and avoidance as related but distinct entities. The DFAS categorized subjects (n=1184) as 62.7% low fear/low avoidance, 14.4% high fear/low avoidance, 6.3% low fear/high avoidance, and 16.6% high fear/high avoidance. Significant differences (p
Author: Laura Jeanne Dempster
Publisher:
ISBN: 9780494395905
Category :
Languages : en
Pages : 300
Get Book Here
Book Description
Dental anxiety is the most common psychological condition encountered in dental practice. Gaps exist in our understanding of its epidemiology and characteristics due to a lack of consistency in the way studies have defined and measured it. The aim of this research was to develop a more comprehensive understanding of dental anxiety in the general population by investigating the prevalence and correlates of fear and avoidance. Specifically, the relationship between these cognitive and behavioural dimensions of dental anxiety was the focus of examination. A new test, the Dental Fear and Avoidance Scale (DFAS), was developed and its reliability and validity tested. Test-retest reliability of the DFAS showed an intraclass correlation of 0.87 for both fear and avoidance dimensions of the scale, demonstrating high reliability suitable for research purposes. The validity of the DFAS was tested by comparing fear and avoidance scores on the DFAS with responses to fear- and avoidance-related questions in a self-report questionnaire. Significant differences (p & le; 0.01) were noted between: mean scores for low and high DFAS fear categories and Dental Anxiety Scale (DAS) scores, and questions regarding dental treatment, having a needle in the mouth, and various evoking stimuli; and between low and high avoidance DFAS categories and questions about avoidance behaviours, the frequency of dental visits and when subjects last saw a dentist. A correlation of 0.60 confirmed fear and avoidance as related but distinct entities. The DFAS categorized subjects (n=1184) as 62.7% low fear/low avoidance, 14.4% high fear/low avoidance, 6.3% low fear/high avoidance, and 16.6% high fear/high avoidance. Significant differences (p
Author: Lars-Göran Öst
Publisher: John Wiley & Sons
ISBN: 111996072X
Category : Psychology
Languages : en
Pages : 256
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Book Description
The first book to describe evidence-based treatment of dental phobia using brief CBT, based on the pioneering single-session treatment for specific phobias developed by Lars-Göran Öst. Brings together research, experience and techniques from clinical psychology and dentistry to describe evidence-based treatment of dental phobia in clinical and dental contexts Chapters describe epidemiology, diagnosis and differential diagnosis, symptoms, clinical characteristics and consequences, and aetiology of dental phobia Also covers related issues including intra-oral injection phobia, dental treatment of fearful children, and the use of medication to supplement psychological treatment of fear
Author: Magnus Hakeberg
Publisher:
ISBN:
Category : Dental public health
Languages : en
Pages : 154
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Book Description
Author: Ulf Berggren
Publisher:
ISBN:
Category : Dentist and patient
Languages : en
Pages : 152
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Book Description
Author: Anju Rajwar
Publisher: LAP Lambert Academic Publishing
ISBN: 9783659694929
Category :
Languages : en
Pages : 156
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Book Description
Excessive fear of dental treatment is frequently encountered in children, and has several negative consequences.It can be very stressful for both dentist and child and may result in irregular or no visits to the dentist at all, which bears a negative impact on the child's oral health. Dental fear can also interfere with rendering effective dental treatment for the child.In children, dental fear is often the main reason of behavioural management problems. Other negative consequences of dental fear include avoidance of the dental situation and subsequently deterioration of oral health. This eventually may start a vicious circle of avoidance, creating feelings of shame, guilt and inferiority, further maintaining this negative spiral by reinforcing one's fear and avoidance behaviour. A wide range of instruments were proposed and applied to identify and quantify dental anxiety/fear. The use of these measures helps to identify fearful individuals and take necessary steps to modify treatment plan in accordance with the needs.
Author:
Publisher:
ISBN:
Category : Dissertations, Academic
Languages : en
Pages : 800
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Book Description
Author: Arthur A. Weiner
Publisher: John Wiley & Sons
ISBN: 1119949831
Category : Medical
Languages : en
Pages : 327
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Book Description
The Fearful Dental Patient: A Guide to Understanding and Managing helps dental professionals understand the basics of fear, anxiety and phobias and the role these emotions play in creating negative behavior within the dental environment. The text contains a variety of modalities that help identify dental fear and phobia, as well as chair-side techniques and practical advice aimed at improving patient cooperation and ensuring treatment compliance. Chapter topics include the basic origins of patient fear and anxiety, how to indentify dental anxiety and varied approaches to managing fearful patients of any age. Approaches discussed employ behavioral, pharmacological, sedation and even hypnotic techniques, specifying combinations where required. Chapters also include coverage of a wide range of patients, including those with psychiatric comorbidities and special healthcare needs. The entire dental team will greatly benefit from the proven methods and practical guidance presented to better understand and treat fearful dental patients.
Author: David I. Mostofsky
Publisher: John Wiley & Sons
ISBN: 1118272064
Category : Medical
Languages : en
Pages : 455
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Book Description
Behavioral Dentistry, Second Edition, surveys the vast and absorbing topic of the role of behavioral science in the study and clinical practice of dentistry. An understanding of social sciences has long been a central part of dental education, and essential for developing a clinician’s appreciation of human behavior as it affects efficient dental treatment. This book gathers together contributions from leading experts in each of the major subspecialties of behavioral dentistry. Its aim is not merely to provide the student and clinician with a comprehensive review of the impressive literature or discussion of the theoretical background to the subject, but also with a practical guide to adapting the latest techniques and protocols and applying them to day-to-day clinical practice. This second edition of Behavioral Dentistry discusses biobehavioral processes, including the psychobiology of inflammation and pain, oral health and quality of life, saliva health, and hypnosis in dentistry. The book goes on to examine anxiety, fear, and dental and chronic orofacial pain, and then reviews techniques for designing and managing behavior change. It concludes with a section on professional practice, including care of special needs, geriatric, and diabetic patients, and interpersonal communication in dental education.
Author: Peter Milgrom
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 386
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Book Description
Author: Caroline Campbell
Publisher: Springer
ISBN: 3319487299
Category : Medical
Languages : en
Pages : 255
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Book Description
This book is a comprehensive guide to pediatric dental fear/anxiety (DFA) and phobia that will provide practitioners with a full understanding of the etiology, prevalence, assessment, and management of these conditions. The coping styles of children when under stress are explored, with discussion of their relevance to the assessment visit and treatment allocation. Practical treatment techniques are comprehensively covered, from non-pharmacological behavioral strategies relevant for children with no or mild DFA to those approaches more appropriate for children with severe DFA/phobia. The importance of the use of language and communication skills to build rapport and allay anxiety is explored. Relaxation and hypnosis techniques are described, with guidance on how to introduce these to patients and their parents/carers. Techniques that help children cope when receiving injections are detailed, including systematic needle desensitization ; these provide practitioners with options to help resolve DFA and phobia regarding needles. Intravenous sedation, including the challenge of cannulation, is covered comprehensively. Furthermore, cognitive behavioral therapy is presented, with suggestion of practical self-help material when appropriate. The closing chapter looks to the future, discussing the barriers to and the changes required for the creation of more child-centered DFA services.
