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Predicting anxiety during dental treatment using patients'self-reports: less is more |
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| Authors: | Heaton Lisa J Carlson Charles R Smith Timothy A Baer Ruth A de Leeuw Reny |
| Institution: | University of Washington, Department of Dental Public Health Sciences, Seattle, WA 98195-7475, USA. lheaton@u.washington.edu |
| Abstract: | BACKGROUND: Self-reported dental fear measures seldom are used in clinical practice to assess patients' fears. This study examined how well dental fear measures predicted anxious behaviors displayed during dental treatment. METHODS: One hundred eight adult patients (54 percent female) in a periodontology clinic completed several paper-and-pencil demographic, dental fear and general anxiety measures before treatment. Dental practitioners, blinded to their patients' responses, rated their patients' anxiety during treatment on a series of 100-millimeter visual analog scales. RESULTS: Higher Dental Fear Survey scores, younger age, more invasive treatment type and previous avoidance of dental care because of a bad experience all were predictive of greater observed anxiety. Neither self-reported nor observed anxiety was affected by previous experience with a particular practitioner or treatment. CONCLUSIONS: Dentists may assess patients' anxiety quickly and accurately with the Dental Fear Survey or a similar measure, as well as by asking patients about their current dental attendance and previous dental experiences. |
| Keywords: | Patient-dentist relationships dental anxiety anxiety measures practice management communication DAS"} {"#name":"keyword" "$":{"id":"cekeyw70"} "$$":[{"#name":"text" "_":"Dental Anxiety Scale DFS"} {"#name":"keyword" "$":{"id":"cekeyw90"} "$$":[{"#name":"text" "_":"Dental Fear Survey FPQ-III"} {"#name":"keyword" "$":{"id":"cekeyw110"} "$$":[{"#name":"text" "_":"Fear of Pain Questionnaire M-C SDS"} {"#name":"keyword" "$":{"id":"cekeyw130"} "$$":[{"#name":"text" "_":"Marlowe-Crowne Social Desirability Scale MDAS"} {"#name":"keyword" "$":{"id":"cekeyw150"} "$$":[{"#name":"text" "_":"Modified Dental Anxiety Scale STAI"} {"#name":"keyword" "$":{"id":"cekeyw170"} "$$":[{"#name":"text" "_":"State-Trait Anxiety Inventory STAI-S"} {"#name":"keyword" "$":{"id":"cekeyw190"} "$$":[{"#name":"text" "_":"State-Trait Anxiety Inventory-State STAI-T"} {"#name":"keyword" "$":{"id":"cekeyw210"} "$$":[{"#name":"text" "_":"State-Trait Anxiety Inventory-Trait VAS"} {"#name":"keyword" "$":{"id":"cekeyw230"} "$$":[{"#name":"text" "_":"Visual analog scale |
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