Cross-cultural adaptation and validation of the Swedish version of the Modified Dental Anxiety Scale.

Autor:	Höglund M; Center for Orofacial Medicine, Public Dental Service Östergötland, Linköping, Sweden; Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden. markus.hoglund@ki.se., Göranson E; Center for Orthodontics and Pediatric Dentistry, Norrköping, Public Dental Service Östergötland, Sweden; Department of Orthodontics, Malmö University, Malmö, Sweden., Wårdh I; Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden; Academic Centre for Geriatric Dentistry, Stockholm, Sweden; Department of Health Sciences, Karlstad University, Karlstad, Sweden., Larsson P; Centre for Oral Rehabilitation, Folktandvården Östergötland, Norrköping, Sweden; Department of Prosthetic Dentistry, Malmö University, Malmö, Sweden.
Jazyk:	angličtina
Zdroj:	Acta odontologica Scandinavica [Acta Odontol Scand] 2024 Dec 16; Vol. 83, pp. 666-671. Date of Electronic Publication: 2024 Dec 16.
DOI:	10.2340/aos.v83.42436
Abstrakt:	Introduction: The impact of dental anxiety is profound. At the same time, dental anxiety is sometimes difficult to detect. Therefore, a patient-reported outcome measure is needed. The Modified Dental Anxiety Scale (MDAS) is a short, internationally used self-assessment questionnaire for screening of dental anxiety. Aim: To cross-culturally adapt the original English MDAS to Swedish (MDAS-S), and to validate it in a Swedish setting. Materials and Methods: The adaptation was conducted in accordance with recommended guidelines. Field testing was performed both among adults presenting for their regular dental check-ups and among adults diagnosed by a psychologist as dentally phobic. Results: The MDAS-S was formed during the adaptation procedure. Field testing included 246 adults presenting for their regular dental check-ups and 7 adults diagnosed with dental phobia. The MDAS-S score was significantly higher (p < 0.001) in the dentally phobic group than in the regular dental check-up group. Reliability was good with Cronbach's Alpha values between 0.880 to 0.909. Test-retest of 37 individuals showed an excellent Intraclass Correlation Coefficient of 0.956. Confirmatory factor analysis (CFA) finds support for a two-factor model although with 78% shared variance between the factors. Conclusions: The MDAS-S demonstrates good reliability and appears valid as a screening tool for dental anxiety among Swedish adults.
Databáze:	MEDLINE
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