Effect of Acupressure on Dental Anxiety in Children: a Pilot Study for a Randomized Clinical Trial

Soares, Maria Eliza da Consolação; Araújo, Alessandra de Souza; Pinto, Isabela Carvalhaes Lagares; Barbosa, Luiza Silveira Araújo; Borsatto, Maria Cristina; Galo, Rodrigo

doi:10.51507/j.jams.2022.15.5.307

Cited by 4 publications

(5 citation statements)

References 28 publications

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“…Four trials ( 6 , 15 , 17 , 40 ) used open randomization of random numbers table, resulting in a high risk of bias in concealment. Twelve trials ( 9 , 11 , 13 , 20 – 23 , 28 , 33 , 39 , 41 , 43 ) without sufficient detail were regarded as having an unclear risk of bias in allocation concealment. The remaining trials were evaluated as having a low risk of bias in allocation concealment.…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies ( 12 , 13 , 15 , 21 , 33 , 41 , 44 , 45 ) did not describe blinding methods, and five ( 6 , 9 , 17 , 22 , 30 ) indicated that assessors were not blinded. Six studies ( 9 , 12 , 16 , 30 , 36 , 43 ) exhibited a high risk of data integrity. One trial ( 19 ) without sufficient detail was considered as having an unclear risk of bias in allocation concealment.…”

Section: Resultsmentioning

confidence: 99%

“…Sensitivity analyses and exclusion of certain studies decreased heterogeneity in each scale. Nine studies evaluated anxiety using HADS ( 12 ), BSPAS ( 13 ), FAS ( 16 ), POMS-J ( 17 ), MCDAS ( 24 ), mYPAS ( 25 ), SAQ ( 28 ), RTA ( 42 ), and VPTm ( 43 ). They were excluded because they were not representative and had fewer than two studies included, making them unsuitable for bias risk assessment.…”

Section: Resultsmentioning

confidence: 99%

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Acupressure: a possible therapeutic strategy for anxiety related to COVID-19: a meta-analysis of randomized controlled trials

Peng,

Zheng,

Yang

et al. 2024

Front. Med.

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BackgroundFrom the end of 2019 to December 2023, the world grappled with the COVID-19 pandemic. The scope and ultimate repercussions of the pandemic on global health and well-being remained uncertain, ushering in a wave of fear, anxiety, and worry. This resulted in many individuals succumbing to fear and despair. Acupoint massage emerged as a safe and effective alternative therapy for anxiety relief. However, its efficacy was yet to be extensively backed by evidence-based medicine. This study aimed to enhance the clinical effectiveness of acupoint massage and extend its benefits to a wider population. It undertakes a systematic review of the existing randomized controlled trials (RCTs) assessing the impact of acupoint massage on anxiety treatment, discussing its potential benefits and implications. This research aims to furnish robust evidence supporting anxiety treatment strategies for patients afflicted with COVID-19 disease and spark new approaches to anxiety management.ObjectivesThis study evaluates the evidence derived from randomised controlled trials (RCTs), quantifies the impact of acupressure on anxiety manifestations within the general population, and proposes viable supplementary intervention strategies for managing COVID-19 related anxiety.Materials and methodsThis review included RCTs published between February 2014 and July 2023, that compared the effects of acupressure with sham control in alleviating anxiety symptomatology as the outcome measure. The studies were sourced from the multiple databases, including CINAHL, EBM Reviews, Embase, Medline, PsycINFO, Scopus and Web of Science. A meta-analysis was performed on the eligible studies, and an overall effect size was computed specifically for the anxiety outcome. The Cochrane Collaboration Bias Risk Assessment Tool (RevMan V5.4) was employed to assess bias risk, data integration, meta-analysis, and subgroup analysis. The mean difference, standard mean deviation, and binary data were used to represent continuous outcomes.ResultsOf 1,110 studies of potential relevance, 39 met the criteria for inclusion in the meta-analysis. The majority of the studies reported a positive effect of acupressure in assuaging anticipatory anxiety about treatment. Eighteen studies were evaluated using the STAI scale. The acupressure procedures were thoroughly documented, and studies exhibited a low risk of bias. The cumulative results of the 18 trials showcased a more substantial reduction in anxiety in the acupressure group compared to controls (SMD = −5.39, 95% CI −5.61 to −5.17, p < 0.01). A subsequent subgroup analysis, based on different interventions in the control group, demonstrated improvement in anxiety levels with sham acupressure in improving changes in anxiety levels (SMD −1.61, 95% CI: −2.34 to −0.87, p < 0.0001), and blank controls (SMD −0.92, 95% CI: −2.37 to 0.53, p = 0.22).ConclusionIn the clinical research of traditional Chinese medicine treatment of anxiety, acupressure demonstrated effectiveness in providing instant relief from anxiety related to multiple diseases with a medium effect size. Considering the increasing incidence of anxiety caused by long COVID, the widespread application of acupressure appears feasible. However, the results were inconsistent regarding improvements on physiological indicators, calling for more stringent reporting procedures, including allocation concealment, to solidify the findings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Acupressure: a possible therapeutic strategy for anxiety related to COVID-19: a meta-analysis of randomized controlled trials

Peng,

Zheng,

Yang

et al. 2024

Front. Med.

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“…Os resultados mostraram que o grupo que recebeu acupressão apresentou uma redução significativa na ansiedade em comparação com o grupo controle. Além disso, as crianças relataram uma maior satisfação e conforto durante o tratamento odontológico quando submetidas à acupressão (SOARES et al, 2022).…”

Section: Ansiedade E Medo Na Odontologiaunclassified

A Relevância Da Limpeza Hospitalar No Combate a Infecção Cruzada

Rocha,

Costa

2024

Multifaces Da Pesquisa Em Ciências Da Saúde: Gestão, Assistência Eeducação

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Os autores desta obra assumem publicamente a responsabilidade pelo seu conteúdo, garantindo que o mesmo é de autoria própria, original e livre de plágio acadêmico. Os autores declaram, ainda, que o conteúdo não infringe nenhum direito de propriedade intelectual de terceiros e que não há nenhuma irregularidade que comprometa a integridade da obra. Os autores assumem integral responsabilidade diante de terceiros, quer de natureza moral ou patrimonial, em razão do conteúdo desta obra. Esta declaração tem por objetivo garantir a transparência e a ética na produção e divulgação do livro. Cumpre esclarecer que o conteúdo é de responsabilidade exclusiva dos autores, não refletindo, necessariamente, a opinião da editora, organizadores da obra ou do conselho editorial.

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“…DA has not only a lasting negative influence on the oral health and quality of life of preschool children but also hinders routine oral examinations and treatments, delays the detection and management of oral diseases, and can even lead to a lasting fear toward dentists, inducing anxiety in these children and making future dental treatments more challenging [4,5]. The causes of DA in preschool children are multifaceted, encompassing various factors at individual, environmental and family levels, making a comprehensive understanding of DA in preschool children and its contributing factors essential for the development of effective prevention and treatment strategies [6,7]. While previous domestic and international studies have reported factors contributing to DA in children, such as age, educational level and family values, most of these studies have focused on specific factors, and comprehensive research on this topic remains limited [8,9].…”

Section: Introductionmentioning

confidence: 99%

A study on related factors affecting dental fear in preschool children

2024

JOCPD

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This study aims to examine the manifestations of dental anxiety (DA) and its influencing factors during dental visits among preschool children. The data of 166 preschool children who visited the Department of Dentistry of our hospital from April 2021 to April 2023 with oral problems were retrieved. Their DA performance was investigated using the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS). In addition, based on their general data and potential risk factor information, we performed logistic regression analysis to identify the factors influencing DA. Of the 166 questionnaires distributed, a total of 160 valid questionnaires were retrieved. The average CFSS-DS score was 35.57 ± 3.51 points. Sixty-six children had DA, resulting in an incidence rate of 41.25%. The top 5 items with the highest CFSS-DS scores were fear of needles, dentists, tooth extraction, drilling and oral anesthesia. When the 66 children with DA were classified into a DA group and a non-DA group, we observed significant differences in age distribution, dental experience, only child status, general anxiety symptoms, dental condition, family income and specific dental treatment procedures, particularly tooth extraction, between them (p < 0.05). Multivariate logistic regression analysis revealed that preschool children aged ≤4 years, those with prior dental experiences, single-child status, general anxiety symptoms, suboptimal dental health, family incomes below 100,000 yuan/year, and those undergoing specific dental procedures, such as tooth extractions, were independently associated with a higher risk of DA (p < 0.05). The incidence of DA in preschool children is high, and they exhibit substantial fear of needles, dentists, tooth extraction, drilling and oral anesthesia. Preschool children aged ≤4 years, with prior dental experiences, single-child status, the presence of general anxiety symptoms, suboptimal dental health, family incomes below 100,000 yuan/year, and those undergoing dental procedures, particularly tooth extraction, could be more predisposed to DA.

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Effect of Acupressure on Dental Anxiety in Children: a Pilot Study for a Randomized Clinical Trial

Cited by 4 publications

References 28 publications

Acupressure: a possible therapeutic strategy for anxiety related to COVID-19: a meta-analysis of randomized controlled trials

Acupressure: a possible therapeutic strategy for anxiety related to COVID-19: a meta-analysis of randomized controlled trials

A Relevância Da Limpeza Hospitalar No Combate a Infecção Cruzada

A study on related factors affecting dental fear in preschool children

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