Ansiedade frente ao tratamento odontológico: prevalência e fatores predictores em brasileiros

Carvalho, Ricardo Wathson Feitosa de; Falcão, Paulo Germano de Carvalho Bezerra; Campos, Gustavo José de Luna; Bastos, Alliny de Souza; Pereira, José Carlos; Pereira, Maria do Socorro Vieira; Cardoso, Maria do Socorro Orestes; Vasconcelos, Belmiro Cavalcanti do Egito

doi:10.1590/s1413-81232012000700031

Cited by 45 publications

(59 citation statements)

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“…No que se refere à relação idade e ansiedade, os resultados são bastante diversificados na literatura. Alguns estudos relacionam uma maior ansiedade em pacientes jovens e adultos, em relação aos idosos 13 , estando relacionados com autores que afirmam que a ansiedade diminui com o passar dos anos 19 , enquanto outros demonstram que há uma maior ansiedade em pacientes idosos em relação aos mais jovens, sendo esta justificada por experiências traumáticas no tempo em que eram jovens 20 . No presente estudo, não houve correlação (teste de correlação de Spearman, p>0,05) entre idade dos voluntários e os valores de ansiedade, apresentando resultados semelhantes a diversos autores que afirmam que fatores sociodemográficos, como idade, não apresentam relação nenhuma com os níveis de ansiedade [9][10][11] .…”

Section: Discussionunclassified

“…No nível de Sistema Nervoso Central, a liberação endógena de adrenalina produz um efeito excitatório. Em resposta a essas ações, ocorre o aumento da pressão arterial 16,20 . Vários autores afirmaram que o medo e a ansiedade podem desenvolver manifestações físicas nos pacientes, influenciando a medida da pressão arterial e a sua leitura, ou ainda causando taquicardia 28 .…”

Section: Discussionunclassified

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Avaliação do grau de ansiedade dos pacientes antes de cirurgias orais menores

Medeiros

Ramiro

Lima

et al. 2013

Rev. odontol. UNESP

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ResumoIntrodução: Medo e ansiedade são comuns a pacientes que requerem tratamento odontológico e, em se tratando de procedimentos cirúrgicos, a ansiedade pode tornar-se um fator complicador, a partir do momento em que a alteração dos sinais vitais do paciente pode gerar situações de emergência. Objetivo: Avaliar o grau de ansiedade pré-operatória dos pacientes submetidos a cirurgias orais, identificando qual procedimento cirúrgico causa mais ansiedade nos pacientes e qual o momento cirúrgico causador de maior ansiedade. Material e método: Foram selecionados 200 pacientes que iriam se submeter a cirurgias bucais nos ambulatórios do Departamento de Odontologia da Universidade Federal de Sergipe. No dia da cirurgia, os pacientes respondiam à escala EAD, tendo sido avaliadas a frequência cardíaca (FC) e a pressão arterial sanguínea (PA), considerados dados basais dos parâmetros físicos empregados para a avaliação da ansiedade pré-operatória. Resultado: Não houve diferenças estatisticamente significantes (Kruskal-Wallis, p=0,6933) entre os tratamentos em relação à ansiedade. A correlação de Spearman (rS) entre os valores obtidos para a ansiedade e os valores de pressão arterial e frequência cardíaca revelou-se fraca (rS<0,2), embora significativa (p<0,05) entre os resultados. A anestesia foi o momento que produziu maior ansiedade (Kruskal-Wallis, p<0,05), em relação aos demais momentos. Conclusão: A ansiedade teve influência no aumento da frequência cardíaca e da pressão arterial sistólica, tornando-se importante o seu controle pelo cirurgião-dentista para evitar complicações no decorrer da cirurgia.Descritores: Ansiedade; cirurgia; frequência cardíaca; pressão arterial. AbstractIntroduction: Fear and anxiety are common in patients who require odontological treatment. During surgical procedures, anxiety can become a complicating factor from the moment in which the change of patient's vital signs can generate emergency situations. Objective: Evaluate the degree of preoperative anxiety of patients submitted to oral surgery, to identify which surgical procedure causes more anxiety in patients and also which surgical moment is causing greater anxiety. Material and method: 200 patients were selected for oral surgery at the clinics of the Department of Dentistry, Federal University of Sergipe. On the day of surgery, patients answered the EAD scale and their heart rate (HR) and blood pressure (BP) were evaluated. These data served as baseline of the physical parameters used in the evaluation of preoperative anxiety. Result: Statistically, there were no significant differences (Kruskal-Wallis test, p=0.6933) between treatments regarding anxiety. The Spearman correlation (rS) between the values obtained for anxiety, blood pressure levels and heart rate showed a weak correlation (rs <0.2), although significant (p<0.05) between the results. The anesthesia was the moment that produced greater anxiety (KruskalWallis test, p<0.05) compared to the other moments. Conclusion: Anxiety has a connection with the increase of the heart ra...

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Section: Discussionunclassified

Avaliação do grau de ansiedade dos pacientes antes de cirurgias orais menores

Medeiros

Ramiro

Lima

et al. 2013

Rev. odontol. UNESP

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“…Over time, if these patients do not undergo the treatment that they should, the treatment required will become more specialized, with procedures that are more invasive and which also involve higher financial costs. 5 Difficulties in treating children may lead professionals to feel dispirited and incapable. Hence, it is important to first acknowledge patients' anxious behavior, so that techniques for achieving clinical security may be applied.…”

Section: Introductionmentioning

confidence: 99%

“…Children are as susceptible to anxiety as adults, and their anxiety is derived from peer communication of reported bad experiences or even from threats that parents make. 5 All of this makes clinical and psychological management more difficult because of children's different understandings. Therefore, it needs to be possible to work beyond a simple approach of advocating regular visits to dentists, with emphasis on the notion that this is a normal everyday activity and that it may even be enjoyable.…”

Section: Introductionmentioning

confidence: 99%

Influence of maternal anxiety on child anxiety during dental care: cross-sectional study

et al. 2017

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CONTEXT AND OBJECTIVES: Anxiety is usually classified as a disorder of neurotic nature and is often related to contexts of stress, which may include worries, motor tension and autonomic hyperactivity. The aim of this study was to assess the influence of mothers' anxiety on their children's anxiety during dental care. DESIGN AND SETTING: Analytical cross-sectional study conducted at in a private dentistry school in the south of Brazil. METHODS: Convenience sampling was used. All mothers of children undergoing treatment were invited to participate in this study. Data to investigate anxiety related to dental treatment among the children were collected through applying the Venham Picture Test (VPT) scale. For the mothers, the Corah scale was applied. A self-administered sociodemographic questionnaire with questions about demographic, behavioral, oral health and dental service variables was also used. RESULTS: 40 mother-child pairs were included in the study. The results showed that 40% of the children were anxious and 60% of the mothers were slightly anxious. Local anesthesia was the procedure that caused most anxiety among the mothers, making them somewhat uncomfortable and anxious (60%). Family income higher than R$ 1,577.00 had an influence on maternal anxiety (75.6%). Maternal anxiety had an influence on child anxiety (81.3%). CONCLUSION: Most of the children showed the presence of anxiety, which ranged from fear of dental care to panic, inferring that maternal anxiety has an influence on children's anxiety. Dental procedures did not interfere with the mothers' anxiety, but caused positive feelings, whereas they affected the children more. RESUMO

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“…3,4,5,6 Many researchers 1,3,5,7,8,9,10,11 have sought to better understand the psycho-social characteristics that may be linked to this anxiety and its impact on people's lives. However, for this type of protocol to be properly implemented, the use of valid and reliable measurement instruments is necessary.…”

Section: Introductionmentioning

confidence: 99%

Validation and Invariance of the Dental Anxiety Scale in a Brazilian sample

Bonafé

Campos

2016

Braz. oral res.

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The aim of this study was to evaluate the properties of the Dental Anxiety Scale (DAS) when applied to Brazilian adults and to test its invariance across independent samples and different sociodemographic groups. Sociodemographic data, reports on previous unpleasant dental experiences and DAS responses were collected through telephone interviews. Metric properties of the one and two-factor models were evaluated using confirmatory factor analysis. The analysis included the chi-square ratio divided by degrees of freedom (χ 2 /df), the comparative fit index (CFI), the goodness of fit index (GFI) and the root mean square error of approximation (RMSEA). Convergent validity was evaluated using the average variance extracted (AVE). Cronbach's alpha (α) and composite reliability (CR) were calculated. In the two-factor model, discriminant validity was evaluated. The invariance of the models was evaluated using a multigroup analysis of the independent samples (pΔχ 2 λ, pΔχ 2 i and pΔχ 2 Res ≥ 0.05). Telephone interviews were held with 350 individuals (74.3% women). Of the participants, 135 (38.6%) had previous unpleasant dental experiences, and 117 (33.4%) knew someone who had had this type of experience. The oneand two-factor model (χ 2 /df < 2.0; CFI,GFI > 0.90; RMSEA < 0.10; AVE > 0.50; α,CR > 0.70) were adjusted to the data. Discriminant validity was limited (ρ 2 = 0.66). Both models presented strong invariance across independent samples, but the invariance was weak (pΔχ 2 i < 0.05) when samples were defined by socioeconomic variables. In conclusion, both DAS models were valid and reliable when applied to a sample of Brazilian adults. However, the weak invariance of the models suggests that sample characteristics interfered with the measurement of dental anxiety.

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Ansiedade frente ao tratamento odontológico: prevalência e fatores predictores em brasileiros

Cited by 45 publications

References 21 publications

Avaliação do grau de ansiedade dos pacientes antes de cirurgias orais menores

Avaliação do grau de ansiedade dos pacientes antes de cirurgias orais menores

Influence of maternal anxiety on child anxiety during dental care: cross-sectional study

Validation and Invariance of the Dental Anxiety Scale in a Brazilian sample

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