Evaluation of anxiety level changes during the first three months of orthodontic treatment
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Objective: To determine the changes in dental anxiety, state anxiety, and trait anxiety levels of patients and their parents after 3 months of active orthodontic treatment. Methods: We evaluated 120 patients and one parent of each patient. State Anxiety (STAI-S), Trait Anxiety (STAI-T), and Corah’s Dental Anxiety Scale (DAS) were administered before orthodontic treatment (T1) and after 3 months of treatment (T2). Differences in scores between T1 and T2 were compared using paired-sample t-tests and the relationship between the scores of the DAS and the STAI were analyzed using a bivariate two-tailed Pearson correlation test. Results: Dental anxiety and state anxiety levels decreased among the patients after adjustment to orthodontic treatment (p < 0.001). However, 3 months of treatment was not sufficient to decrease the anxiety levels of parents (p > 0.05). Patient trait anxiety affected patient state anxiety and dental anxiety (p < 0.01). Additionally, a significant correlation was found between patient dental anxiety and parent dental anxiety (p < 0.05). Conclusions: Dental anxiety and state anxiety levels decrease after patients become familiar with their orthodontist and they became accustomed to orthodontic treatment. However, 3 months is not a sufficient length of time to decrease parental anxiety levels.
Abstract
Objective: To determine the changes in dental anxiety, state anxiety, and trait anxiety levels of patients and their parents after 3 months of active orthodontic treatment. Methods: We evaluated 120 patients and one parent of each patient. State Anxiety (STAI-S), Trait Anxiety (STAI-T), and Corah’s Dental Anxiety Scale (DAS) were administered before orthodontic treatment (T1) and after 3 months of treatment (T2). Differences in scores between T1 and T2 were compared using paired-sample t-tests and the relationship between the scores of the DAS and the STAI were analyzed using a bivariate two-tailed Pearson correlation test. Results: Dental anxiety and state anxiety levels decreased among the patients after adjustment to orthodontic treatment (p < 0.001). However, 3 months of treatment was not sufficient to decrease the anxiety levels of parents (p > 0.05). Patient trait anxiety affected patient state anxiety and dental anxiety (p < 0.01). Additionally, a significant correlation was found between patient dental anxiety and parent dental anxiety (p < 0.05). Conclusions: Dental anxiety and state anxiety levels decrease after patients become familiar with their orthodontist and they became accustomed to orthodontic treatment. However, 3 months is not a sufficient length of time to decrease parental anxiety levels.
참고문헌 (31)
- Caumo W, "Risk factors for postoperative anxiety in children", Acta Anaesthesiol Scand, 44, pp.782~789 (2000)
- Levitt J, "The management of severe dental phobia in an adolescent boy: a case report", Int J Paediatr Dent, 10, pp.348~353 (2000)
- Shoben EJ Jr, "An empirical study of the etiology of dental fears", J Clin Psychol, 10, pp.171~174 (1954)
- Weiner AA, "Etiology of dental anxiety: psychological trauma or CNS chemical imbalance?", Gen Dent, 38, pp.39~43 (1990)
- Cohen SM, "The impact of dental anxiety on daily living", Br Dent J, 189, pp.385~390 (2000)
- Dinjian MD, "The psychic factor in dental practice", Dent Surg, 17, pp.471~475 (1921)
- Vassend O, "Anxiety, pain and discomfort associated with dental treatment", Behav Res Ther, 31, pp.659~666 (1993)
- Locker D, "Diagnostic categories of dental anxiety: a population-based study", Behav Res Ther, 37, pp.25~37 (1999)
- Stabholz A, "Dental anxiety among patients prior to different dental treatments", Int Dent J, 49, pp.90~94 (1999)
- Wong M, "A comparison of anxiety levels associated with root canal therapy and oral surgery treatment", J Endod, 17, pp.461~465 (1991)
- Bergdahl M, "Temperament and character personality dimensions in patients with dental anxiety", Eur J Oral Sci, 111, pp.93~98 (2003)
- Hakeberg M, "Prevalence of dental anxiety in an adult population in a major urban area in Sweden", Community Dent Oral Epidemiol, 20, pp.97~101 (1992)
- Sari Z, "Does orthodontic treatment affect patients’ and parents’ anxiety levels?", Eur J Orthod, 27, pp.155~159 (2005)
- Crowley RE, "Relationship between personality factors and cooperation in dental treatment", J Dent Res, 35, pp.157~165 (1956)
- Maj G, "Psychologic appraisal of children facing orthodontic treatment", Am J Orthod, 53, pp.849~857 (1967)
- Lewis HG, "The attitude of patients to the wearing of a removable orthodontic appliance", Br Dent J, 134, pp.87~90 (1973)
- Breistein B, "Equity and orthodontic treatment: a study among adolescents in Northern Ireland", Am J Orthod Dentofacial Orthop, 113, pp.408~413 (1998)
- Wright NS, "Influence of supplemental written information on adolescent anxiety, motivation and compliance in early orthodontic treatment", Angle Orthod, 80, pp.329~335 (2010)
- Spielberger CD, "Manual for the state-trait anxiety inventory" (1970), Consulting Psychologists Press
- Okun A, "Content validity of the psychiatric symptom index, ces-depression scale, and State-Trait Anxiety Inventory from the perspective of DSM-IV", Psychol Rep, 79, pp.1059~1069 (1996)
- Oner N, "Handbook of state and trait anxiety inventory (in Turkish)" (1983), Boğaziçi University Press
- Ilgüy D, "Reliability and validity of the modified dental anxiety scale in Turkish patients", J Int Med Res, 33, pp.252~259 (2005)
- Corah NL, "Development of a dental anxiety scale", J Dent Res, 48, pp.596~ (1969)
- Sergl HG, "Pain and discomfort during orthodontic treatment: causative factors and effects on compliance", Am J Orthod Dentofacial Orthop, 114, pp.684~691 (1998)
- Liddell A, "Gender and age differences in attitudes to dental pain and dental control", Community Dent Oral Epidemiol, 25, pp.314~318 (1997)
- Fuentes D, "Dental anxiety and trait anxiety: an investigation of their relationship", Br Dent J, 206, pp.E17~ (2009)
- Gordis EB, "Parents’ hostility in dyadic marital and triadic family settings and children’s behavior problems", J Consult Clin Psychol, 69, pp.727~734 (2001)
- Kashani JH, "Perceived family characteristic differences between depressed and anxious children and adolescents", J Affect Disord, 52, pp.269~274 (1999)
- Heaton LJ, "Predicting anxiety during dental treatment using patients’self-reports: less is more", J Am Dent Assoc, 138, pp.188~195 (2007)
- Dailey YM, "The use of dental anxiety questionnaires: a survey of a group of UK dental practitioners", Br Dent J, 190, pp.450~453 (2001)
- Corah NL, "Dental anxiety. Assessment, reduction and increasing patient satisfaction", Dent Clin North Am, 32, pp.779~790 (1988)