“…More specifically, a positive screen of dental phobia appeared to be 16 times more likely if one had experienced helplessness during one or more past dental treatments. To this end, our findings are in accordance with earlier studies on dental anxiety showing perceived lack of control to be a significant correlate of dental anxiety and long-term avoidance (see, for example, Milgrom, Vignehsa, & Weinstein, 1992;Milgrom, Weinstein, Kleinknecht, & Getz, 1995;Sartory et al, 2006). The importance of helplessness has particularly been recognized in the field of traumatic stress, as research data indicate that a sense of helplessness and a disrupted emotional reaction occurring at the time of an experience are most predictive of PTSD symptomatology (Brewin, Andrews, & Rose, 2000;Roemer, Orsillo, Borkovec, & Litz, 1998).…”