One-session cognitive treatment of dental phobia: preparing dental phobics for treatment by restructuring negative cognitions

Jongh, Ad de; Muris, Peter; Horst, G. ter; Zuuren, Florence van; Schoenmakers, N.; Makkes, Peter C.

doi:10.1016/0005-7967(95)00027-u

Cited by 86 publications

(98 citation statements)

References 24 publications

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“…The process involves identifying the misinterpretations and catastrophic thoughts often associated with dental fear, challenging the patient's evidence for them, and then replacing them with more realistic thoughts. Evidence for the potential effectiveness of cognitive restructuring in dental fear has mostly come from studies of dental patients seeing clinical psychologists 105,107 but there is some evidence that the skills required to carry out cognitive restructuring are within the reach of dental practitioners, through special training and supervision. 108 …”

Section: Cognitive Restructuringmentioning

confidence: 99%

Management of fear and anxiety in the dental clinic: a review

2013

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People who are highly anxious about undergoing dental treatment comprise approximately one in seven of the population and require careful and considerate management by dental practitioners. This paper presents a review of a number of non-pharmacological (behavioural and cognitive) techniques that can be used in the dental clinic or surgery in order to assist anxious individuals obtain needed dental care. Practical advice for managing anxious patients is provided and the evidence base for the various approaches is examined and summarized. The importance of firstly identifying dental fear and then understanding its aetiology, nature and associated components is stressed. Anxiety management techniques range from good communication and establishing rapport to the use of systematic desensitization and hypnosis. Some techniques require specialist training but many others could usefully be adopted for all dental patients, regardless of their known level of dental anxiety. It is concluded that successfully managing dentally fearful individuals is achievable for clinicians but requires a greater level of understanding, good communication and a phased treatment approach. There is an acceptable evidence base for several non-pharmacological anxiety management practices to help augment dental practitioners providing care to anxious or fearful children and adults.

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Section: Cognitive Restructuringmentioning

confidence: 99%

Management of fear and anxiety in the dental clinic: a review

2013

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“…13 Some information is available on the effectiveness of cognitive therapy in the treatment of specific phobias and, more specifically, whether cognitive therapy enhances the effects of exposure in vivo. However, results are mixed: some showed that cognitive restructuring was effective as treatment 12 even when compared with exposure in vivo. 5,15,24 Others showed that cognitive restructuring was less effective than exposure.…”

Section: Introduction Ementioning

confidence: 96%

Do Self-Statements Enhance the Effectiveness of Virtual Reality Exposure Therapy? A Comparative Evaluation in Acrophobia

Krijn

Emmelkamp

Olafsson

et al. 2007

CyberPsychology & Behavior

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There is a clear need for more detailed analysis of the role of cognitive self-statements in virtual reality exposure therapy (VRET). To date, no research on this topic has been done. The primary aim of this study was to investigate whether coping self-statements would enhance the effectiveness of VRET. In a randomized crossover design, 26 patients with acrophobia (DSM-IV diagnosis of specific phobia) were randomly assigned to two sessions of VRET followed by two sessions of VRET plus coping self-statements, or the other way around: first two sessions of VRET plus coping self-statements followed by two sessions of VRET. Results showed that VRET, regardless of addition of coping self-statements, decreased anxiety of heights, decreased avoidance of height situations, and improved attitudes towards heights. However, at 6-month follow-up, most gains during treatment were not fully retained.

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“…SA trials have treated phobias of snakes Clark, 1973; Self-Help and Minimal-Contact Therapies for Anxiety 253 Cotler, 1970;Girodo & Henry, 1976;Hogan & Kirchner, 1968;Rosen, Glasgow, & Barrera, 1976) and spiders (Gilroy, Kirkby, Daniels, Menzies, & Montgomery, 2000;Hellstrom & Öst, 1995;Öst, Salkovskis, & Hellstrom, 1991;Öst, Stridh, & Wolf, 1998;Smith, Kirkby, Montgomery, & Daniels, 1997) and have ranged from self-administration solely at home (e.g., Rosen et al, 1976) to self-administration wholly in lab settings without therapist aid (e.g., Clark, 1973;Cotler, 1970;Gilroy et al, 2000;Hogan & Kirchner, 1968;Smith et al, 1997). Further, these studies all employed exposure-based interventions, though some combined exposure with relaxation (Baker, Cohen, & Saunders, 1973;Clark, 1973;Cotler, 1970;Lang, Malamed, & Hart, 1970;Phillips, Johnson, & Geyer, 1972;Rosen et al, 1976;Rosen, Glasgow, & Barrera, 1977), muscle tension techniques (Hellstrom, Fellenius, & Öst, 1996), or cognitive therapy (de Jongh, Muris, ter, Horst, & van Zuuren, 1995). These trials also had several methodological strengths.…”

mentioning

confidence: 98%

Self‐help and minimal‐contact therapies for anxiety disorders: Is human contact necessary for therapeutic efficacy?

et al. 2003

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Self-help materials, brief therapies, and treatments involving minimal therapist contact have all been proposed as effective and low-cost interventions for anxiety disorders. However, research also suggests that the therapeutic alliance is a central predictor of therapy outcome. Interestingly, amounts of therapist contact within and across "self-help" interventions vary greatly. It is therefore unclear how much therapist contact is necessary for a positive anxiety disorder treatment outcome. The present article reviews the literature on anxiety disorder treatments using self-help, self-administered, and decreased therapist-contact interventions. Treatment studies are grouped together by anxiety diagnosis as well as amount of therapist contact. It is concluded that self-administered treatments are most effective for motivated clients seeking treatment for simple phobias. Predominantly self-help therapies are efficacious for panic disorder and mixed anxiety samples. On the other hand, minimal-contact therapies have demonstrated efficacy for the greatest variety of anxiety diagnoses.

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One-session cognitive treatment of dental phobia: preparing dental phobics for treatment by restructuring negative cognitions

Cited by 86 publications

References 24 publications

Management of fear and anxiety in the dental clinic: a review

Management of fear and anxiety in the dental clinic: a review

Do Self-Statements Enhance the Effectiveness of Virtual Reality Exposure Therapy? A Comparative Evaluation in Acrophobia

Self‐help and minimal‐contact therapies for anxiety disorders: Is human contact necessary for therapeutic efficacy?

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