| Autor: |
Linden van den Heuvell, G. F. E. C., Boer, B., Pelkwijk, B. J., Bildt, M. M., Stegenga, B. |
| Předmět: |
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| Zdroj: |
Journal of Oral Rehabilitation; Jul2015, Vol. 42 Issue 7, p495-502, 8p, 5 Charts, 1 Graph |
| Abstrakt: |
The Gagging Problem Assessment ( GPA) is an instrument to evaluate dental gagging. Although the GPA seemed to be reliable and valid in a pilot study, a replication study with more subjects was needed. Based on the pilot study, the number of items was reduced, resulting in the revised version of the GPA ( GPA-R). The aims of this study were to replicate the reliability of the GPA-R and to investigate the correlation between dental gagging and general anxiety. Dental gagging patients ( n = 59) were compared with a control group ( n = 17) at t0 and 3 weeks later. The 'gagging group' also filled in the SCL-90 anxiety scale. Gagging-specific homogenous domains and internal consistency were determined. Stability and distinguishing capacity of the GPA-R were assessed. SCL-90-Anxiety scores were compared with standard values in a non-clinical population. The GPA-R patient part was able to reliably discriminate between the absence or the presence of dental gagging. However, the reliability of the GPA-R-dentist part was insufficient. The GPA-R seems to be sensitive to subtle differences in acts of the dentists. To overcome these problems, more detailed and explicit instructions on how to use the GPA-R should be formulated and more specific gagging stimuli should be included. The 'gagging group' reported 'fear of choking' significantly more often than the control group ( P = 0·008). This finding might be important for the treatment of dental gagging. Considering the outcome of our study, development of a new diagnostic gagging tool needs another approach that focuses on gagging severity. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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