Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours

Yuan, Siyang; Freeman, Ruth; Hill, Kirsty; Newton, Tim; Humphris, Gerry

doi:10.3390/dj8040118

Cited by 35 publications

(25 citation statements)

References 32 publications

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“…The socioeconomic variables (education and income) were left out of the regression analysis due to their lack of significant impact in the first trial model (not reported). However, it is known that socioeconomic status impacts oral health [ 72 ], and there is evidence that social class affects communication and trust in the patient-caregiver relationship [ 73 ]. Dental anxiety has a multifactorial aetiology; hence, effect sizes for the single variables are not expected to be high.…”

Section: Discussionmentioning

confidence: 99%

Dental anxiety and potentially traumatic events: a cross-sectional study based on the Tromsø Study—Tromsø 7

et al. 2021

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Objective The objectives of the study were to describe the prevalence of dental anxiety and the possible associations between dental anxiety and potentially traumatic events in an adult population. Method The study is based on cross-sectional questionnaire data from the 7th wave of the Tromsø Study, a study of the adult general population in the municipality of Tromsø carried out in 2015–2016. The Modified Dental Anxiety Scale was used to measure dental anxiety across potentially traumatic events, oral health, dental attendance (avoidance) and current mental health symptoms (Hopkins Symptom Checklist). Individuals with high and low dental anxiety scores were compared to investigate differences in the distribution of potentially traumatic events, current mental health symptoms, avoidance, sex and oral health, and hierarchical multivariable regression was used to study the influence of traumatic events on dental anxiety. Results High dental anxiety was reported by 2.9% of the sample and was most prevalent among females and in the youngest age groups. Individuals with high dental anxiety reported more current mental health symptoms, and they were more likely to report poorer oral health and more irregular dental visits compared to individuals with no or lower dental anxiety scores. Concerning traumatic events, the reporting of painful or frightening dental treatment showed the biggest difference between those with high dental anxiety and low dental anxiety scores (a moderate effect). The hierarchical regression model indicated that reporting sexual abuse, traumatic medical treatment in hospital and childhood neglect significantly predicted dental anxiety in the step they were entered in, but only sexual abuse remained a significant individual contributor after controlling for current mental health symptoms. Conclusions The prevalence of high dental anxiety was lower than expected (2.9%), but dentally anxious individuals expressed a high burden of mental health symptoms, poor oral health and the avoidance of dental care. The regression analysis indicated that experiences with sexual abuse could affect dental anxiety levels in the absence of generalised symptoms of anxiety and depression.

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Section: Discussionmentioning

confidence: 99%

Dental anxiety and potentially traumatic events: a cross-sectional study based on the Tromsø Study—Tromsø 7

et al. 2021

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“…Such an active engagement of a short questionnaire assessment, as part of good communication between patients and dental staff, may confer a beneficial effect for relieving patients’ anxiety [ 33 ]. Furthermore, results from a cross-sectional survey in the UK revealed that dental anxiety is associated with patients’ trust in dentists and their feelings of shame about their oral condition [ 34 ]. Consistently, our findings revealed that higher dental anxiety was associated with subjects’ perception of the lack of skills and empathy of dentists.…”

Section: Discussionmentioning

confidence: 99%

Translation and validation of modified dental anxiety scale based on adult Taiwan population

Lin

Lee

et al. 2021

BMC Oral Health

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Background Dental anxiety is associated with negative experiences of dental treatment and dental-visiting behavior. The Modified Dental Anxiety Scale (MDAS) is widely used for assessing dental anxiety. The study aims to establish the psychometric properties of a Chinese version of the MDAS based on the Taiwan sample (i.e., T-MDAS). Methods The T-MDAS and dental-visiting behavior and experience were assessed for 402 adult subjects recruited from community and clinical sites. The following psychometric properties were assessed: (a) internal consistency, (b) temporal stability, (c) criterion-related validity (i.e., the association with the score of Index of Dental Anxiety and Fear, IDAF-4C), (d) discrimination validity (i.e., the difference in scores between the subjects with and without a habit of a regular dental visit, and (e) the construct validity from a confirmatory factor analysis (CFA). Results. The T-MDAS showed good internal consistency (Cronbach’s α = 0.88) and temporal stability (ρ = 0.69, p < 0.001). The score was significantly correlated with the score of the IDAF-4C (ρ = 0.76, p < 0.001) and differed between subjects who regularly visited a dentist or not, supporting good criterion-related validity and discrimination validity. Results from CFA supports good construct validity. Furthermore, higher dental anxiety was related to the lack of a regular dental visit, feeling pain during treatment, and feeling insufficient skills and empathy of dentists. A higher proportion of high-dental anxiety subjects in female subjects (8.5%), compared to male subjects (5.0%), was noted. Conclusions The T-MDAS is a valid tool for assessing adult dental anxiety. The score is highly associated with dental-visiting behavior and experience of dental patients.

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“…The CEDAM-8 could therefore act as a valuable clinical tool that can aid effective communication and promote collaboration between the child, parent and dental team. Positive patient-dentist interactions are fundamental to the delivery of patientcentred care and play an important role in promoting regular dental attendance [25].…”

Section: Discussionmentioning

confidence: 99%

A Short Form of the Children’s Experiences of Dental Anxiety Measure (CEDAM): Validation and Evaluation of the CEDAM-8

et al. 2021

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Background: The Children’s Experiences of Dental Anxiety Measure (CEDAM-14) is a child-centred measure of dental anxiety which assesses a range of behaviours, thoughts and feelings/physical symptoms related to dental anxiety. A short form of the CEDAM-14, which places less time burden on patients and clinicians, could promote the feasibility and applicability of the CEDAM in clinical settings. The aim of the study was to develop a short version of the CEDAM that can be used to assess children’s dental anxiety in clinical practice. Methods: A short version of the CEDAM was developed using a combination of item impact and regression methods. Measurement properties including floor/ceiling effects, variance, criterion validity, construct validity and internal consistency was calculated for the short form. Results: An eight-item CEDAM short form was developed (CEDAM-8) that had good psychometric properties, was significantly correlated with the CEDAM measure (r = 0.90; p < 0.01), had minimal floor and ceiling effects (3.5% and 1.2%, respectively) and was sensitive to change. Conclusion: The CEDAM-8 is a useful assessment tool for clinicians that is easy and quick to administer and could help to understand children’s experiences of dental anxiety and changes in anxiety over time and following intervention.

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Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours

Cited by 35 publications

References 32 publications

Dental anxiety and potentially traumatic events: a cross-sectional study based on the Tromsø Study—Tromsø 7

Dental anxiety and potentially traumatic events: a cross-sectional study based on the Tromsø Study—Tromsø 7

Translation and validation of modified dental anxiety scale based on adult Taiwan population

A Short Form of the Children’s Experiences of Dental Anxiety Measure (CEDAM): Validation and Evaluation of the CEDAM-8

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