Preliminary Validation and Reliability of the Modified Child Dental Anxiety Scale

1998 ◽  
Vol 83 (3_suppl) ◽  
pp. 1179-1186 ◽  
Author(s):  
G. M. Humphris ◽  
H-M. Wong ◽  
G. T. R. Lee

An 8-question Modified Child Dental Anxiety Scale was developed to assess children's concerns about specific dental procedures. These dental situations include examination, scale and polish, injection, filling, extraction, and relative and general anaesthesia. A question about how the child felt generally when visiting the dentist was also included. Children ( n = 314) from two schools in Liverpool, ages 8 to 15 years, completed a questionnaire including the modified scale, Corah's Dental Anxiety Scale, the Dental Fear Survey Schedule for Children, and background questions (age, sex and previous dental experience). The internal consistency was favourable (α = .84) and test-retest reliability acceptable. This initial study suggests that the scale may be useful in trials to assess the benefits of interventions to assist children receive dental treatment.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chia-Shu Lin ◽  
Chen-Yi Lee ◽  
Shih-Yun Wu ◽  
Li-Ling Chen ◽  
Kun-Tsung Lee ◽  
...  

Abstract Background Dental anxiety is associated with negative experiences of dental treatment and dental-visiting behavior. The Modified Dental Anxiety Scale (MDAS) is widely used for assessing dental anxiety. The study aims to establish the psychometric properties of a Chinese version of the MDAS based on the Taiwan sample (i.e., T-MDAS). Methods The T-MDAS and dental-visiting behavior and experience were assessed for 402 adult subjects recruited from community and clinical sites. The following psychometric properties were assessed: (a) internal consistency, (b) temporal stability, (c) criterion-related validity (i.e., the association with the score of Index of Dental Anxiety and Fear, IDAF-4C), (d) discrimination validity (i.e., the difference in scores between the subjects with and without a habit of a regular dental visit, and (e) the construct validity from a confirmatory factor analysis (CFA). Results. The T-MDAS showed good internal consistency (Cronbach’s α = 0.88) and temporal stability (ρ = 0.69, p < 0.001). The score was significantly correlated with the score of the IDAF-4C (ρ = 0.76, p < 0.001) and differed between subjects who regularly visited a dentist or not, supporting good criterion-related validity and discrimination validity. Results from CFA supports good construct validity. Furthermore, higher dental anxiety was related to the lack of a regular dental visit, feeling pain during treatment, and feeling insufficient skills and empathy of dentists. A higher proportion of high-dental anxiety subjects in female subjects (8.5%), compared to male subjects (5.0%), was noted. Conclusions The T-MDAS is a valid tool for assessing adult dental anxiety. The score is highly associated with dental-visiting behavior and experience of dental patients.


2019 ◽  
Vol 70 (2) ◽  
pp. 689-692
Author(s):  
Gheorghe Raftu ◽  
Elena-Claudia Sin ◽  
Aureliana Caraiane ◽  
Steliana Gabriela Bustiuc ◽  
Raluca Briceag

The study aims at identifying and highlighting dental anxiety in a group of young adults, analyzing patients� concerns about the main dental treatment procedures, and establishing statistical relationships between anxiety and gender, the background, level of education, socio-economic status and knowledge of habits of care and hygiene of oral cavity characteristic of the studied group. The study group consists of 150 female (50%) and male (50%) patients , aged between 20 and 40 years. The inclusion criteria in the batch were those related to the age range of 20 to 40 years.Two respondents (Corah�s Dental Anxiety Scale, Revised (DAS-R)) were given two questionnaires ( Corah�s Dental Anxiety Scale, DAS-R), and the second questionnaire contained 7 questions about the habits dental care). Most patients� concerns about the main procedures of dental treatment / other concerns are: dental extraction, material expenses, possibility of treatments and shame she felt oppressed health of the oral cavity. Regardless of the level of dental anxiety, the oral cavity hygiene habits are not properly performed by patients, with an increased tendency for them to be disregarded by patients with severe dental anxiety.


2020 ◽  
Vol 9 (4) ◽  
pp. 1025 ◽  
Author(s):  
Nansi López-Valverde ◽  
Jorge Muriel Fernández ◽  
Antonio López-Valverde ◽  
Luis F. Valero Juan ◽  
Juan Manuel Ramírez ◽  
...  

Background: Dental treatments often cause pain and anxiety in patients. Virtual reality (VR) is a novel procedure that can provide distraction during dental procedures or prepare patients to receive such type of treatments. This meta-analysis is the first to gather evidence on the effectiveness of VR on the reduction of pain (P) and dental anxiety (DA) in patients undergoing dental treatment, regardless of age. Methods: MEDLINE, CENTRAL, PubMed, EMBASE, Wiley Library and Web of Science were searched for scientific articles in November 2019. The keywords used were: “virtual reality”, “distraction systems”, “dental anxiety” and “pain”. Studies where VR was used for children and adults as a measure against anxiety and pain during dental treatments were included. VR was defined as a three-dimensional environment that provides patients with a sense of immersion, transporting them to appealing and interactive settings. Anxiety and pain results were assessed during dental treatments where VR was used, and in standard care situations. Results: 31 studies were identified, of which 14 met the inclusion criteria. Pain levels were evaluated in four studies (n = 4), anxiety levels in three (n = 3) and anxiety and pain together in seven (n = 7). Our meta-analysis was based on ten studies (n = 10). The effect of VR was studied mainly in the pediatric population (for pain SMD = −0.82). In the adult population, only two studies (not significant) were considered. Conclusions: The findings of the meta-analysis show that VR is an effective distraction method to reduce pain and anxiety in patients undergoing a variety of dental treatments; however, further research on VR as a tool to prepare patients for dental treatment is required because of the scarcity of studies in this area.


2018 ◽  
Vol 42 (3) ◽  
pp. 182-187 ◽  
Author(s):  
T Katanec ◽  
S Singh ◽  
M Majstorovic ◽  
I Klaric ◽  
NG Herman ◽  
...  

Objectives: The aim of this study was to differentiate anxious from nonanxious adolescents and evaluate gender differences in anxiety with respect to previous negative dental and medical experiences. The purpose was also to evaluate a causative relationship between child medical fear and dental anxiety. Study Design: This study sampled 113 Croatian adolescents from 15 to18 years of age. Children's Fear Survey Schedule – Dental Subscale (CFSS-DS) was used for the assessment of child dental anxiety regarding visits to the dentist and receiving dental treatment. A modified version of Child Medical Fear Questionnaire (CMFQ-M) was used for evaluation of child medical fear related to medical treatment and doctors in general. Results and Conclusion: The results showed significantly higher dental anxiety (CFSS-DS) and medical fear (CMFQ-M) in adolscent girls (p&lt;0,001) as compared to adolescent boys. A significantly strong correlation between medical fear and dental anxiety in adolescent girls was proved by Pearson's correlation coefficient (p &lt; 0,01). In this study, CMFQ-M and CFSS-DS questionnaires were standardized in the Croatian adolescent population and proved reliable in the estimation of anxious behaviour with respect to specific medical and dental situations.


2005 ◽  
Vol 33 (2) ◽  
pp. 252-259 ◽  
Author(s):  
D İlgüy ◽  
M İlgüy ◽  
S Dinçer ◽  
G Bayirli

We aimed to determine dental anxiety among Turkish patients and assess the sensitivity, specificity, positive/negative predictive values and reliability of the Modified Dental Anxiety Scale (MDAS) and Corah's Dental Anxiety Scale (DAS). Patients referred to our clinic for dental treatment who had a history of dental anxiety were included in the study. 294 randomly selected patients (mean age 38.8 years) completed a questionnaire combining Corah's DAS and MDAS. They were retested 15 days later. The prevalence of dental anxiety was found to be 9.9% (29/294) for Corah's DAS at the cut-off point ≥ 15 and 8.8% (26/294) for the MDAS at the cut-off point ≥ 19. Both dental anxiety scales gave acceptable sensitivity, specificity, positive and negative predictive values at these cut-off points.


2018 ◽  
Vol 66 (3) ◽  
pp. 212-218
Author(s):  
Cícera Alane de OLIVERA ◽  
Tamara GAMA ◽  
Evalena Lima CABRAL ◽  
Camila Helena Machado da Costa FIGUEIREDO ◽  
Gymenna Maria Tenório GUÊNES ◽  
...  

ABSTRACT Objective: To determine the profile of children from 6 to 12 years of age, in relation to anxiety towards dental treatment and evaluate the main factors that trigger anxiety in this population. Methods: The sample was composed of 200 children with an average age of 8.5 years who attended the Clinic of the School of Dentistry of the Federal University of Campina Grande and the Basic Healthcare Units of the municipality of Patos, Paraíba, Brazil between June 2015 and May 2016. Anxiety was assessed using the Dental Anxiety Scale and the Venham Picture Test. The Chi-Square test and Fisher’s exact test were used to explore the level of significance of the associations between the variables Results: Anxiety was observed in the majority of children (Dental Anxiety Scale - 89% and Venham Picture Test - 70.5%) and the predominant levels were low to moderate. The child´s age group was significantly associated with anxiety (p=0.014) by the Venham Picture Test, while gender did not present this correlation. Anxiety was influenced by all the factors studied: making the appointment, waiting room, rotary instrument and periodontal scaling. Conclusion: The majority of children presented anxiety and the trigger factors: making the appointment, waiting room, rotary instrument and periodontal scaling contributed considerably to its development.


Author(s):  
Carolina R. DOURADO ◽  
Rafiza F. MARTINS ◽  
Juliana A. AZEVEDO ◽  
Soraia F. SOUZA ◽  
Erika B. THOMAZ

1997 ◽  
Vol 81 (1) ◽  
pp. 59-62 ◽  
Author(s):  
Josephine F. Wilson ◽  
Stephen A. Sinisko

Since traumatic dental experiences have been identified as a leading cause of dental anxiety, dental anxiety should be increased when subjects are asked to recall these experiences and describe them in writing. 74 undergraduates completed dental history questionnaires, viewed slides of dental procedures, or received no manipulation prior to completing the Dental Anxiety Scale and the Dental Fear Survey. The Questionnaire group reported significantly higher dental anxiety and fear than did the Slide and Control groups. Recalling personal experiences elicits greater emotional arousal than does viewing procedures or merely completing surveys.


2022 ◽  
Vol 15 (1) ◽  
Author(s):  
Alexander Zinke ◽  
Christin Bohl ◽  
Hendrik Berth

Abstract Objectives Information was collected to identify anxiety in dental patients visiting a dental clinic using the Dental Anxiety Scale, their level of psychological distress using the Brief Symptom Inventory-18 and identifying a correlation between these groups as well as the gender and age. Data description This data contains a set of 1550 patients’ answers to questionnaires taken before dental treatment in a dental clinic. It is divided into male and female patients as well as according to their age. The level of Dental Anxiety can be interpreted by answers chosen in the Dental Anxiety Scale (DAS) and the level of psychological distress by answers chosen in the Brief Symptom Inventory-18 (BSI-18). This dataset should help to encourage more research in the field of dental anxiety and we hope to see more comparisons with our data in the future or in different regions of the world.


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