1
|
Bermúdez-Bejarano E, Bermúdez-Sánchez JA, Ruiz-Rey FJ, Baus-Domínguez M, Serrera-Figallo MÁ, Gutiérrez-Pérez JL, Torres-Lagares D. Influence of Education on Dental Anxiety and Fear in Mental Disorders after Viewing a Molar Extraction in Three Types of Mental Disorder Compared to Persons with No Mental Disorder. J Clin Med 2024; 13:3868. [PMID: 38999434 PMCID: PMC11242361 DOI: 10.3390/jcm13133868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Revised: 06/24/2024] [Accepted: 06/27/2024] [Indexed: 07/14/2024] Open
Abstract
Objective: The goal of this study is to validate the psychometric properties of the Modified Dental Anxiety Scale (MDAS) and the Dental Fear Scale (DFS) at three different times: seven days before, immediately after, and seven days after watching a video of surgical extraction of a lower third molar in a sample with four strata: anxiety disorder, adjustment disorder, mixed anxiety-depressive disorder, and no mental disorder ages 18-70 in a psychiatric clinic in Malaga. Methods: The Research Ethics Committee of the Virgen Macarena-Virgen del Rocío Hospitals approved the study. After being interviewed by a psychiatrist and subsequently completing the Hamilton Rating Scales for Anxiety and Depression, the participants were divided into 4 strata (60 persons in each). The influence of education level was then analyzed. Results: The scales demonstrated good psychometric properties, with higher MDAS and DFS scores for lower levels of education and mixed anxiety-depressive disorder. Conclusions: Patients who show higher levels of dental anxiety and dental fear will be those with lower education levels, as well as those who suffer from mixed anxiety-depressive disorder.
Collapse
Affiliation(s)
- Elena Bermúdez-Bejarano
- Stomatology Department, Faculty of Dentistry, Sevilla University, C/Avicena s/n, 41009 Seville, Spain; (E.B.-B.); (M.B.-D.); (J.-L.G.-P.); (D.T.-L.)
| | | | - Francisco-José Ruiz-Rey
- Department of Didactics of Mathematics, Didactics of Social Sciences and Experimental Sciences, Avda. Cervantes, 2, 29071 Málaga, Spain;
| | - María Baus-Domínguez
- Stomatology Department, Faculty of Dentistry, Sevilla University, C/Avicena s/n, 41009 Seville, Spain; (E.B.-B.); (M.B.-D.); (J.-L.G.-P.); (D.T.-L.)
| | - María-Ángeles Serrera-Figallo
- Stomatology Department, Faculty of Dentistry, Sevilla University, C/Avicena s/n, 41009 Seville, Spain; (E.B.-B.); (M.B.-D.); (J.-L.G.-P.); (D.T.-L.)
| | - José-Luis Gutiérrez-Pérez
- Stomatology Department, Faculty of Dentistry, Sevilla University, C/Avicena s/n, 41009 Seville, Spain; (E.B.-B.); (M.B.-D.); (J.-L.G.-P.); (D.T.-L.)
- Oral and Maxillofacial Unit, Virgen del Rocio Hospital, 41013 Seville, Spain
| | - Daniel Torres-Lagares
- Stomatology Department, Faculty of Dentistry, Sevilla University, C/Avicena s/n, 41009 Seville, Spain; (E.B.-B.); (M.B.-D.); (J.-L.G.-P.); (D.T.-L.)
| |
Collapse
|
2
|
Ludovichetti FS, Zuccon A, Lucchi P, Signoriello AG, Stellini E, Mazzoleni S. Survey on Oral Health Education Knowledge of Family Members and Health Workers Dedicated to Patients with Disabilities. Eur J Dent 2023; 17:1325-1329. [PMID: 37172944 PMCID: PMC10756851 DOI: 10.1055/s-0043-1761188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023] Open
Abstract
OBJECTIVE Over a billion people in the world live with some form of disability and this figure is destined to grow due to the increase in life expectancy. As consequence, the caregiver is taking on an increasingly important role that gains relevance also in the field of oral-dental prevention, being able to promptly identify needs for medical treatment. In some cases, however, the caregiver can be an obstacle to consider in case of a lack of adequate knowledge and commitment. The aim of this study is to evaluate the caregiver level of oral education comparing family members and health workers dedicated to people with disabilities knowledge. MATERIALS AND METHODS Anonymous questionnaires were distributed in five disability service centers and filled alternatively by family members of patients with disability and disability service centers health workers. RESULTS Two-hundred fifty questionnaires were collected, of which 100 were filled in by family members and 150 by health workers. Data were analyzed by applying the chi-squared (X2) independence test and the pairwise method for missing data. CONCLUSION Family members oral education appears better in terms of brushing frequency, toothbrush replacement, and number of dental visits.
Collapse
Affiliation(s)
| | - Andrea Zuccon
- Section of Dentistry, Department of Neurosciences, Università degli Studi di Padova, Padova, Italy
| | - Patrizia Lucchi
- Section of Dentistry, Department of Neurosciences, Università degli Studi di Padova, Padova, Italy
| | - Anna Giulia Signoriello
- Section of Dentistry, Department of Neurosciences, Università degli Studi di Padova, Padova, Italy
| | - Edoardo Stellini
- Section of Dentistry, Department of Neurosciences, Università degli Studi di Padova, Padova, Italy
| | - Sergio Mazzoleni
- Section of Dentistry, Department of Neurosciences, Università degli Studi di Padova, Padova, Italy
| |
Collapse
|
3
|
Holloway J. Understanding behaviour change to promote regular dental attendance. Prim Dent J 2021; 10:55-61. [PMID: 34727773 DOI: 10.1177/20501684211029424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Regular dental attendance is a key oral health behaviour. Behaviour change interventions are increasingly being used to promote positive oral health behaviours. A systematic approach to understanding behaviour has led to the development of frameworks which aim to guide the process of designing behaviour change interventions. One such framework is the Behaviour Change Wheel (BCW). This article aims to explore and identify barriers to regular dental attendance which may be targeted using behaviour change interventions based on the Capability, Opportunity and Motivation Behaviour model (COM-B) and the BCW, and suggests potential behaviour change techniques which could be utilised into a behaviour change intervention with the aim to promote regular dental attendance.
Collapse
Affiliation(s)
- Jessica Holloway
- General Dental Practitioner, Clinical Lecturer in Restorative Dentistry and Postgraduate Researcher (PhD Student), Bristol Dental School, University of Bristol, UK
| |
Collapse
|
4
|
Abstract
The importance and value of behavioral sciences in dentistry have long been recognized, and their contribution to dental education, research, clinical practice, and oral health policy has been significant over the past half century. Over time behavioral sciences have expanded our understanding of oral health beyond "disease" to a broader biopsychosocial concept of oral health. This in turn has led dentistry away from a focus of "treatment" to oral health "care," notably in the new millennium. Key oral health behaviors have been identified for more than half a century: the importance of diet, oral hygiene, dental services, and other factors. Various behavioral models and theories have been proposed, particularly since the 1970s, providing useful frameworks with sound psychological basis to help understand the paths of oral health behaviors. These models draw on theories of self-efficacy, motivation, counseling, and "behavior change." Since the 1980s, there has been a greater understanding that these behaviors often share a common pathway with the etiology of other diseases (common risk factors). Furthermore, the relationship between individual factors and the broader environmental factors has been increasingly emphasized since the 1990s, leading to a united call for action in addressing oral health inequalities. Within the past decade, there are useful examples of models, frameworks, and techniques of behavior change with respect to oral health, involving planning, prompting, encouraging, goal setting, and/or motivating. In particular, there is a growing interest and use of motivational interviewing. Likewise, behavioral therapies, such as cognitive behavioral therapy, are increasingly being employed in dental practice in the management of dental anxiety, pain, and psychosomatic dental and oral problems, with promising results. Recommendations are outlined for future directions for behavioral sciences in the promotion of oral health.
Collapse
Affiliation(s)
- C McGrath
- Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China
| |
Collapse
|
5
|
Jönsson B, Holde GE, Baker SR. The role of psychosocial factors and treatment need in dental service use and oral health among adults in Norway. Community Dent Oral Epidemiol 2020; 48:215-224. [DOI: 10.1111/cdoe.12518] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Revised: 10/31/2019] [Accepted: 01/10/2020] [Indexed: 12/15/2022]
Affiliation(s)
- Birgitta Jönsson
- Department of Periodontology Institute of Odontology The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden
- The Public Dental Health Service Competence Centre of Northern Norway Tromsø Norway
| | - Gro Eirin Holde
- The Public Dental Health Service Competence Centre of Northern Norway Tromsø Norway
- Department of Clinical Dentistry Faculty of Health Sciences UiT the Arctic University of Norway Tromsø Norway
| | - Sarah R. Baker
- Academic Unit of Oral Health, Dentistry and Society School of Clinical Dentistry University of Sheffield Sheffield UK
| |
Collapse
|
6
|
Lin CY, Fung XCC, Nikoobakht M, Burri A, Pakpour AH. Using the Theory of Planned Behavior incorporated with perceived barriers to explore sexual counseling services delivered by healthcare professionals in individuals suffering from epilepsy. Epilepsy Behav 2017; 74:124-129. [PMID: 28732256 DOI: 10.1016/j.yebeh.2017.06.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2017] [Revised: 06/08/2017] [Accepted: 06/11/2017] [Indexed: 11/26/2022]
Abstract
People with epilepsy (PWE) are highly likely to suffer from sexual dysfunction, and dealing with this issue is a challenge for healthcare providers. Unfortunately, there is no theory-driven study that has investigated the counseling practice of healthcare providers for sexual problems in PWE. Therefore, we decided to apply the well-established Theory of Planned Behavior (TPB) to examine factors associated with healthcare providers' sexual counseling in PWE. Apart from TPB, perceived barriers toward providing counseling could be a possible factor that needs to be investigated as well. Therefore, two models explaining sexual counseling practice were proposed. Model 1 included only TPB and Model 2 included TPB incorporated with perceived barriers. Five hundred fifty-nine Iranian healthcare professionals responsible for PWE were recruited across several neurology clinics and asked to complete TPB-specific questionnaires. The same healthcare professionals were asked to complete an additional questionnaire on their attitudes toward sexual counseling 18months later. Structural equation modeling suggested Model 2 to be more useful in explaining sexual counseling practice compared with Model 1. Moreover, attitude and perceived behavioral control showed stronger associations with behavioral intention, whereas subjective norm showed weaker associations. The associations were similar across different healthcare professionals (i.e., medical doctors vs. nurses). In conclusion, TPB incorporated with perceived barriers might be a useful theory for different types of healthcare providers to improve and enhance sexual counseling practice.
Collapse
Affiliation(s)
- Chung-Ying Lin
- Department of Rehabilitation Sciences, Faculty of Health & Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Xavier C C Fung
- Department of Rehabilitation Sciences, Faculty of Health & Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Mehdi Nikoobakht
- Department of Neurosurgery, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Andrea Burri
- Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand; Waitemata Pain Service, Department of Anaesthesiology and Perioperative Medicine, North Shore Hospital, Auckland, New Zealand
| | - Amir H Pakpour
- Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Islamic Republic of Iran; Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
| |
Collapse
|
7
|
Talo Yildirim T, Dundar S, Bozoglan A, Karaman T, Dildes N, Acun Kaya F, Altintas E, Oztekin F, Atas O, Alan H. Is there a relation between dental anxiety, fear and general psychological status? PeerJ 2017; 5:e2978. [PMID: 28229019 PMCID: PMC5314953 DOI: 10.7717/peerj.2978] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Accepted: 01/10/2017] [Indexed: 11/20/2022] Open
Abstract
Background Dental anxiety is a widespread problem in many populations. This problem can be a barrier to dental care and may lead to poor oral health. Dental anxiety may be related to psychological status. Aims The aim of the present study was to assess the levels of dental anxiety, dental fear, Beck Depression, and state-trait anxiety according to age, gender and education level in patients at the periodontology clinic in the Diyarbakır Mouth and Dental Health Center. Study Design A total of 231 patients (115 males, 116 females) filled out dental fear scale (DFS), dental anxiety scale (DAS), Beck Depression Inventory (BDI), state-trait anxiety inventory-state (STAI-S), and state-trait anxiety inventory–trait (STAI-T) questionnaires, and evaluations of DFS, DAS, BDI, STAI-S, and STAI-T were conducted according to age, gender, and education level. Results The mean DFS, DAS, BDI, STAI-T, and STAI –S were 45.64, 9.15, 13.16, 38.90, and 40.18, respectively. There was a significant association among DFS, DAS, BDI, STAI-S, and STAI-T (p < 0.05). These surveys scores were significantly higher in females than males (p < 0.05). The results of this study indicated that gender age and education level have important effects on DFS, DAS, BDI, STAI-S, and STAI-T (p < 0.05). Conclusion Dental anxiety and dental fear were found to be related to psychological status (BDI, STAI-S, and STAI-T) over time. There are some patients with unaddressed psychological distress.
Collapse
Affiliation(s)
| | - Serkan Dundar
- Department of Periodontology, Firat University , Elazig , Turkey
| | - Alihan Bozoglan
- Department of Periodontology, Firat University , Elazig , Turkey
| | - Tahir Karaman
- Department of Prosthodontics, Firat University , Elazig , Turkey
| | - Neval Dildes
- Department of Orthodontics, Firat University , Elazig , Turkey
| | - Filiz Acun Kaya
- Department of Periodontology, Dicle University , Diyarbakir , Turkey
| | - Eyyup Altintas
- Department of Prosthodontics, Firat University , Elazig , Turkey
| | - Faruk Oztekin
- Department of Endodontics, Firat University , Elazig , Turkey
| | - Osman Atas
- Department of Pedodontics, Firat University , Elazig , Turkey
| | - Hilal Alan
- Department of Oral and Maxillofacial Surgery, Inonu University , Malatya , Turkey
| |
Collapse
|
8
|
Bonafé FSS, Campos JADB. Validation and Invariance of the Dental Anxiety Scale in a Brazilian sample. Braz Oral Res 2016; 30:e138. [PMID: 28001246 DOI: 10.1590/1807-3107bor-2016.vol30.0138] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2016] [Accepted: 11/01/2016] [Indexed: 01/01/2023] Open
Abstract
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 (χ2/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 (pΔχ2λ, pΔχ2 i and pΔχ2 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 one- and two-factor model (χ2/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 (ρ2 = 0.66). Both models presented strong invariance across independent samples, but the invariance was weak (pΔχ2i < 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.
Collapse
|