scholarly journals “Dental anxiety and potentially traumatic events” “A cross-sectional study based on the Tromsø Study: Tromsø 7”

Author(s):  
Hege Nermo ◽  
Tiril Willumsen ◽  
Kamilla Rognmo ◽  
Jens Thimm ◽  
Catharina Elisabeth Arfwedson Wang ◽  
...  

Abstract Background The objectives of the study were to describe the prevalence of high dental anxiety and the possible associations between dental anxiety and potentially traumatic life events in an adult population.Method The study is based on cross-sectional questionnaire data from the 7th wave of the Tromsø Study, a study of the adult general population in the municipality of Tromsø carried out in 2015–2016. The Modified Dental Anxiety Scale was used to measure dental anxiety across potentially traumatic events, oral health, dental attendance (avoidance) and current mental health symptoms (Hopkins Symptom Checklist). Individuals with high and low dental anxiety scores were compared to investigate differences in the distribution of potentially traumatic events, current mental health symptoms, avoidance, sex and oral health, and hierarchical multivariable regression was used to study the influence of traumatic events on dental anxiety.Results High dental anxiety was reported by 2.9% of the sample and was most prevalent among women and in the youngest age groups. Individuals with high dental anxiety reported more current mental health symptoms, and they were more likely to report poorer oral health and more irregular dental visits compared to individuals with no or lower dental anxiety scores. Concerning traumatic life events, the reporting of painful or frightening dental treatment showed the biggest difference between those with high dental anxiety and low dental anxiety scores (a moderate effect). The hierarchical regression model indicated that reporting sexual abuse, traumatic medical treatment in hospital and childhood neglect significantly predicted dental anxiety in the step they were entered in, but only sexual abuse remained a significant individual contributor after controlling for current mental health symptoms.Conclusions The prevalence of high dental anxiety was lower than expected (2.9%), but dentally anxious individuals expressed a high burden of mental health symptoms, poor oral health and the avoidance of dental care. The regression analysis indicated that experiences with sexual abuse can also affect dental anxiety levels in the absence of generalised symptoms of anxiety and depression.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hege Nermo ◽  
Tiril Willumsen ◽  
Kamilla Rognmo ◽  
Jens C. Thimm ◽  
Catharina Elisabeth Arfwedson Wang ◽  
...  

Abstract Objective The objectives of the study were to describe the prevalence of dental anxiety and the possible associations between dental anxiety and potentially traumatic events in an adult population. Method The study is based on cross-sectional questionnaire data from the 7th wave of the Tromsø Study, a study of the adult general population in the municipality of Tromsø carried out in 2015–2016. The Modified Dental Anxiety Scale was used to measure dental anxiety across potentially traumatic events, oral health, dental attendance (avoidance) and current mental health symptoms (Hopkins Symptom Checklist). Individuals with high and low dental anxiety scores were compared to investigate differences in the distribution of potentially traumatic events, current mental health symptoms, avoidance, sex and oral health, and hierarchical multivariable regression was used to study the influence of traumatic events on dental anxiety. Results High dental anxiety was reported by 2.9% of the sample and was most prevalent among females and in the youngest age groups. Individuals with high dental anxiety reported more current mental health symptoms, and they were more likely to report poorer oral health and more irregular dental visits compared to individuals with no or lower dental anxiety scores. Concerning traumatic events, the reporting of painful or frightening dental treatment showed the biggest difference between those with high dental anxiety and low dental anxiety scores (a moderate effect). The hierarchical regression model indicated that reporting sexual abuse, traumatic medical treatment in hospital and childhood neglect significantly predicted dental anxiety in the step they were entered in, but only sexual abuse remained a significant individual contributor after controlling for current mental health symptoms. Conclusions The prevalence of high dental anxiety was lower than expected (2.9%), but dentally anxious individuals expressed a high burden of mental health symptoms, poor oral health and the avoidance of dental care. The regression analysis indicated that experiences with sexual abuse could affect dental anxiety levels in the absence of generalised symptoms of anxiety and depression.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmad N. AlHadi ◽  
Mohammed A. Alarabi ◽  
Khulood M. AlMansoor

Abstract Background The COVID-19 pandemic has had a major impact on people’s lives globally. The outbreak in Saudi Arabia worsened when the number of cases and deaths rose in March and April of 2020, leading to a national lockdown. This study aimed to assess the factors associated with mental health symptoms in a sample of people residing in Saudi Arabia during the COVID-19 pandemic. Methods We conducted an observational cross-sectional study using an online survey distributed via social media, completed by 3032 respondents from all Saudi regions. We collected demographic data, illness history, and scores of validated self-report scales to assess mental health symptoms, intolerance of uncertainty, and coping strategies. Results In total, respondents indicated moderate to very severe symptoms during the pandemic as follows: 20.9% for depression, 17.5% for anxiety, and 12.6% for stress. Younger age, female gender, and history of mental illness were associated with higher levels of depression, anxiety, stress, and insomnia. Intolerance of uncertainty and certain coping strategies (such as denial or self-blame) were associated with more severe symptoms. Conclusions Mental health is a key concern during the COVID-19 pandemic, especially for the identified vulnerable groups. Agencies concerned with mental health during crises may use the studied associated factors of mental health symptoms to generate targeted policies or interventions.


2019 ◽  
Vol 50 (7) ◽  
pp. 2002-2021 ◽  
Author(s):  
Y Kotera ◽  
P Green ◽  
D Sheffield

Abstract Despite high shame about mental health symptoms among UK social work students, positive psychological approaches to their mental health have not been investigated in depth. Emotional resilience has been a core skill in social work practice; however, its relationship with mental health is still unclear. Therefore, the primary purposes of this cross-sectional study were to (i) examine the relationships between mental health and positive psychological constructs, namely resilience, self-compassion, motivation and engagement and (ii) determine predictors of mental health in UK social work students. An opportunity sampling of 116 UK social work students (102 females, 14 males; 96 undergraduates, 20 postgraduates) completed 5 measures about these constructs. Correlation and regression analyses were conducted. Mental health was associated with resilience, self-compassion and engagement. Self-compassion was a negative predictor, and intrinsic motivation was a positive predictor of mental health symptoms. Resilience did not predict mental health symptoms. The findings highlight the importance of self-compassion to the challenging mental health of UK social work students; they caution against the overuse and misunderstanding of resilience in the social work field.


2021 ◽  
Author(s):  
Adrienne Wing Yee Li ◽  
Wai Ho CHAK ◽  
Kenneth S.L. Yuen

Background: Popular protests have broken out in worldwide, particularly in the last few years. In 2019, numerous demonstrations against an extradition bill occurred in Hong Kong until pandemic restrictions were imposed. The policing response relied heavily on methods such as batons, tear gas and rubber bullets. Given the relevance for other geographical contexts, the current study investigated the mental health impacts on protest participants and spillover to community members.Methods: Surveys were disseminated on social media in August and October 2019 to collect demographics, political views, protest participation, exposure to (protest-related) potentially traumatic events (PTEs) and mental health symptoms. A latent class analysis (LCA) was conducted using demographic data and inter-class differences in PTEs and mental health symptoms were examined.Results: There were 37,541 (59.8% female) and 40,703 (50.0% female) responses in August and October. Respondents, even those with low participation, reported significant levels of depression, anxiety, and symptoms of traumatic stress (STS). The LCA suggested a 5-class solution (youth, allies, supporters, sympathizers, and frontliners). Mental health symptoms and PTEs varied with class membership, with 50.8% of frontliners reporting severe STS.Limitations: The non-random sampling and self-reported measures may over-estimate the prevalence of mental distress in the wider population.Conclusions: Large numbers of pro-democracy supporters in Hong Kong reported high rates of depression, anxiety and STS during mass protests. Younger and more heavily involved respondents faced the highest mental health risks, however elevated rates were also observed for respondents with low participation.


2018 ◽  
Vol 35 (3-4) ◽  
pp. 523-541 ◽  
Author(s):  
Özlem Can Gürkan ◽  
Zübeyde Ekşi ◽  
Derya Deniz ◽  
Hasan Çırçır

The current literature contains few studies conducted on the effects of intimate partner violence (IPV) on pregnancy symptoms. Does being subjected to IPV during pregnancy increase the incidence of pregnancy-related symptoms? The aim of the present study was to explore the impact of IPV on pregnancy-related symptoms. The study was conducted as comparative, descriptive, and cross-sectional research with a total of 370 participants. Data were collected using the Domestic Violence Against Women Screening Form, the Pregnancy Symptoms Inventory (PSI), and a descriptive questionnaire. The types of IPV the women in the study had experienced during pregnancy were, in order of frequency, verbal abuse (31.1 %; n = 115), economic abuse (25.9 %; n = 96), physical violence (8.4 %; n = 31), and sexual abuse (5.9%; n = 22). The PSI scores for the pregnant women subjected to physical violence related to gastrointestinal system symptoms ( p < .05), cardiovascular system symptoms ( p < .05), mental health symptoms ( p = 0), neurological system symptoms ( p < .05), urinary system symptoms ( p < .01), and tiredness or fatigue ( p = 0); their total PSI scores ( p = 0) were significantly higher statistically than those of women who did not experience physical violence during pregnancy. The scores of the pregnant women subjected to sexual abuse related to mental health symptoms ( p < .05), and their total PSI scores ( p < .05) were significantly higher than those of women who did not experience sexual abuse. The scores of the pregnant women subjected to economic abuse related to tiredness or fatigue ( p < .01) and their mental health symptom scores ( p < .05) were significantly higher than those of women who did not experience economic abuse. Our results showed that women subjected to IPV during pregnancy experienced a higher incidence of pregnancy symptoms.


2020 ◽  
Vol 54 ◽  
pp. 133
Author(s):  
Rafael Junqueira Buralli ◽  
Helena Ribeiro ◽  
Verónica Iglesias ◽  
María Teresa Muñoz-Quezada ◽  
Renata Spolti Leão ◽  
...  

OBJECTIVE: To explore the association of occupational pesticide exposure with acute and mental health symptoms. METHODS: Cross-sectional survey carried out with 78 Brazilian family farmers, who were pesticide applicators and helpers conveniently selected. Symptoms and exposure data were collected by interviews, and mental health outcomes by the Self-Reporting Questionnaire. Blood samples were analyzed to assess cholinesterase levels. Exposure indicators and symptoms were compared between applicators and helpers, and Poisson regression was performed to estimate prevalence ratios. RESULTS: Farmers reported exposure to multiple pesticides from early ages; they worked without safety training, technical support, and full protective equipment, and they had a high prevalence of acute and mental health symptoms (e.g., headache, mucosal irritation, tachycardia, and depressive signs). Applicators had more cholinesterase changes than helpers, but less symptoms. Helpers used less personal protection and had significantly higher prevalence ratio of headache, dyspnea, wheezing, cough, poor digestion, tiredness, and feeling worthless, after adjustment. CONCLUSIONS: Acute and mental health symptoms were observed, both among farmers and helpers. Thus, surveillance actions must be reinforced in Brazil, technical support and safety training improved, focused on applicators and helpers, who are occupationally and environmentally exposed to pesticides. Agricultural practices of these groups with less pesticide use should receive incentive.


2019 ◽  
Vol 29 (5) ◽  
pp. 925-931 ◽  
Author(s):  
Ida Blomqvist ◽  
Eva Henje Blom ◽  
Bruno Hägglöf ◽  
Anne Hammarström

Abstract Background Previous studies suggest an overall increase of adolescent mental health symptoms globally since the 1980s until today, especially an increase of internalizing symptoms in girls. Due to methodological limitations of these studies, further studies are warranted to obtain a more solid knowledgebase. Methods This study was cross-sectional and compared two separate but geographically identical groups of adolescents in a middle-sized industrial municipality in Northern Sweden at two time-points [(i) 1981, n = 1083, (505 girls, 577 boys), response rate 99.7%; (ii) 2014, n = 682, (338 girls, 344 boys), response rate 98.3%]. All students in their last year of compulsory school were included. The same self-report questionnaire, consisting of four sub-scales (functional somatic-, anxiety-, depressive symptoms and conduct problems), was used at both occasions. Data were analyzed with descriptive statistics, two-way ANOVA and general linear model. Results Symptoms of anxiety and depression and functional somatic symptoms, increased among both boys and girls from 1981 until 2014 (P < 0.001 for all subscales), and the increase of these symptoms was higher in girls. Conduct problems were significantly higher in boys in 1981 and decreased over time so that in 2014 there was no longer a significant difference between boys and girls regarding conduct problems (P = 0.286). Conclusion In this population-based study spanning over 30 years, both girls and boys showed increasing internalizing problems, while conduct problems decreased. To halt this trend, we need a deeper understanding of the impact of the major societal changes that have occurred during the last three decades.


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