Correlation of Dental Anxiety, Dental Phobia, and Psychological Constructs in a Sample of Patients Receiving Dental Care at Temple University Kornberg School of Dentistry
| Autor: | Okoye, Ifeanyi David |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Druh dokumentu: | Text |
| DOI: | 10.34944/dspace/10201 |
| Popis: | Introduction: Dental anxiety, fear, and phobia are common factors that prevent individuals from seeking dental care by delaying dental care or terminating the visit entirely, which may cause a decline in oral health-related quality of life. Dental anxiety often has a correlation with other psychological constructs. There is a significant prevalence of dental anxiety among various ethnic groups, which highlights the importance of understanding and addressing these issues to improve oral health outcomes and access to care.Aim: To examine the associations between psychological constructs, dental anxiety, and phobia, as well as the associations between key demographics and dental anxiety and phobia among patients seeking dental care at TUKSoD. Methods: Baseline data from 499 patients who participated in a randomized clinical trial that evaluated the efficacy of an online intervention in managing dental anxiety (National Institute of Health U01DE027328) was used. Subjects completed a semi-structured interview according to the Diagnostic Schedule Manual-IV (DSM-IV) criteria and self-reported measures on dental anxiety (Modified Dental Anxiety Scale (MDAS)), fear or avoidance of dental care, sensitivity to pain (PSI), ability to tolerate distress (DTS), blood-injection-injury (BII) phobia, and other psychological factors. Bivariate analysis was done using paired sample t-tests and analysis of variance to evaluate differences in mean scores for MDAS by sex, race, gender, and ethnicity. Multivariable Regression Models were used to explore the association between MDAS, selected demographic variables and psychological constructs while controlling for potential confounders, likewise for clinical severity rating (CSR). These analyses were performed using R 4.3.2 and statistical significance was set at two-sided p-value < 0.05. Results: Mean age of subjects was 48.9±14.7 years old, most were female (71.6%), non-Hispanic (88.6%) with an income lower than $30,000 (40.0%) and most had completed a high school diploma /GED (26%). The majority (63.3%) reported high dental anxiety (MDAS≥19) and 64.57 % met criteria for specific phobia (CSR≥4), with mean scores of 19.53 ± 3.62 and 4.49 ± 1.69 respectively. Mean scores for FQBII, PSI, DTS, and ASI were 15.51 ± 10.15, 68.02±22.9, 44.73±13.2, and 31.0 ± 16.87 respectively. Significant differences in Clinical Severity Rating were observed by age (p< 0.01), sex (p = 0.02), and race (p Oral Biology M.S. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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