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Satu Lahti - One of the best experts on this subject based on the ideXlab platform.
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a longitudinal study of changes and associations in Dental Fear in parent adolescent dyads
WOS, 2017Co-Authors: Anni Luoto, Vesa Pohjola, Satu Lahti, Mimmi Tolvanen, Kari Rantavuori, Linnea KarlssonAbstract:Background Dental Fear seems to fluctuate, but concordance of changes in Dental Fears between parent/adolescent dyads has not been reported. Aim To study longitudinally the associations between adolescent and parental Dental Fears and their changes. Design Adolescents and parents reported their Dental Fear independently of each other when adolescents were between 11–12 and 15–16-year-olds. Eight hundred and seventeen eligible parent/adolescent dyads were included in the analyses. Dental Fear was measured with a single question using five response alternatives. Associations between adolescent and parental Dental Fears and their changes were analysed using χ2 tests and correlation coefficients. Results Prevalence of Dental Fear remained rather similar during the study. There was a positive association between adolescent and parental Dental Fears in early adolescence (P < 0.001) but at middle adolescence only among parent/girl dyads (P = 0.007 for girls, P = 0.341 for boys). Changes in Dental Fear among parent/adolescent dyads did not correlate statistically significantly. Difference between girls’ and boys’ change in Dental Fear was statistically significant (P = 0.001). Dental Fear increased more often among girls than among boys. Boys had stable low/no Dental Fear more often than girls did. Conclusion Adolescents’ and parents’ Dental Fears seemingly change independently of each other.
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changes in Dental Fear among finnish adults a national survey
Community Dentistry and Oral Epidemiology, 2016Co-Authors: Arja Liinavuori, Vesa Pohjola, Mimmi Tolvanen, Satu LahtiAbstract:Objectives The aim of this study was to evaluate changes in Dental Fear among adult Finns aged 19 years and over at the beginning of the study in 2000–2011 in a nationally representative sample. Methods The study was based on Health 2000 and 2011 Surveys by the National Institute for Health and Welfare in Finland. The Health 2000 Survey used a stratified two-stage cluster sampling design (N = 9 922). Those who participated in 2000 (n = 7 964) were invited to participate in 2011. The number of participants was 3 961. Dental Fear was assessed by a single question: ‘How afraid are you of visiting a dentist?’ (not at all, somewhat, very much). Background variables included were age (categories 30–34, 35–39, 40–44, 45–54, 55–64, 65–74, 75+ years), gender, marital status (nonsingle, single), and education (basic, secondary, higher). To match the population sizes in different areas and thus forming a nationally representative data, the data were weighted based on age, gender, and area. General linear modeling for repeated measures was used to evaluate changes in Dental Fear and associations with background variables. Results Between 2000 and 2011, Dental Fear decreased more often than increased among adults in Finland. Change from being very afraid to not at all afraid of visiting a dentist was most common in the oldest group. For most participants, Dental Fear remained stable; being very afraid of visiting a dentist was more stable among participants from 35 to 54 years of age than among younger or older participants. Conclusions Dental Fear is still common among adult Finns and it seems to depend on age. As the most obvious consequence of Dental Fear is avoidance of Dental care, reducing Dental Fear should be taken into account when planning and reorienting oral healthcare services.
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Dental Fear and previous childhood traumatic experiences life events and parental bonding
WOS, 2015Co-Authors: Outi Hagqvist, Mimmi Tolvanen, Kari Rantavuori, Linnea Karlsson, Hasse Karlsson, Satu LahtiAbstract:We aimed to determine whether adult Dental Fear is associated with traumas, life events, and perceived parental bonding. Pilot data for the FinnBrain Cohort study were used. Of the 254 families expecting a baby, 80% agreed to participate. At 32-34 wk of pregnancy, 125 women and 81 men completed a Modified Dental Anxiety Scale questionnaire and were included in this study. Other instruments used were the Trauma and Distress Scale (TADS), the Life Event Checklist, and the Parental Bonding Index. All scales were analyzed as summated rating scale scores. Associations between Dental Fear, TADS domains, and life events were evaluated using Spearman correlation coefficients. The association between Dental Fear and parental bonding was evaluated using the Kruskal-Wallis test. Among women, Dental Fear did not correlate with trauma measures, but among men Dental Fear correlated with emotional neglect and abuse. Dental Fear correlated positively with the number of life events among women. Life events and Dental Fear did not correlate among men. Dental Fear was not associated with parental bonding among women or men. The association between traumas, life events, and Dental Fear seems to be different in women and men.
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Dental Fear and previous childhood traumatic experiences life events and parental bonding
European Journal of Oral Sciences, 2015Co-Authors: Outi Hagqvist, Mimmi Tolvanen, Kari Rantavuori, Linnea Karlsson, Hasse Karlsson, Satu LahtiAbstract:We aimed to determine whether adult Dental Fear is associated with traumas, life events, and perceived parental bonding. Pilot data for the FinnBrain Cohort study were used. Of the 254 families expecting a baby, 80% agreed to participate. At 32-34 wk of pregnancy, 125 women and 81 men completed a Modified Dental Anxiety Scale questionnaire and were included in this study. Other instruments used were the Trauma and Distress Scale (TADS), the Life Event Checklist, and the Parental Bonding Index. All scales were analyzed as summated rating scale scores. Associations between Dental Fear, TADS domains, and life events were evaluated using Spearman correlation coefficients. The association between Dental Fear and parental bonding was evaluated using the Kruskal-Wallis test. Among women, Dental Fear did not correlate with trauma measures, but among men Dental Fear correlated with emotional neglect and abuse. Dental Fear correlated positively with the number of life events among women. Life events and Dental Fear did not correlate among men. Dental Fear was not associated with parental bonding among women or men. The association between traumas, life events, and Dental Fear seems to be different in women and men. Language: en
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individual changes in Dental Fear among children and parents a longitudinal study
WOS, 2014Co-Authors: Anni Luoto, Vesa Pohjola, Mimmi Tolvanen, Kari Rantavuori, Linnea Karlsson, Satu LahtiAbstract:Abstract Objective. The aim was to study longitudinal changes in Dental Fear among children and one of their parents separately for girls, boys, mothers and fathers over a 3.5-year period. Materials and methods. 11–12-year-old children in Pori, Finland (n = 1691) and one of their parents were invited to participate in this longitudinal study. Dental Fear was measured in 2001, 2003 and 2005 when the children were 11–12, 13–14 and 15–16-years-old, respectively. The participants were asked if they were afraid of Dental care (1 = ‘not afraid’, 2 = ‘slightly afraid’, 3 = ‘afraid to some degree’, 4 = ‘quite afraid’, 5 = ‘very afraid’ and 6 = ‘I don’t know’). The participants’ gender was also registered. Mean values of the change scores were studied. Prevalence and incidence of Dental Fear and changes in dichotomized Dental Fear (responses 4–5 = high Dental Fear and responses 1–3 = low Dental Fear) were studied using cross-tabulations and Cochran’s Q test. Results. Overall, the prevalence of Dental Fear slightly...
Jason M. Armfield - One of the best experts on this subject based on the ideXlab platform.
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what goes around comes around revisiting the hypothesized vicious cycle of Dental Fear and avoidance
Community Dentistry and Oral Epidemiology, 2013Co-Authors: Jason M. ArmfieldAbstract:Objectives A vicious cycle is believed to operate in the maintenance of Dental Fear, whereby greater Dental Fear leads to the delay or avoidance of Dental visiting, deteriorated oral health and problem-oriented treatment, which then serves to reinforce the Fear. The current study sought to uncover the existence of this vicious cycle pattern and to investigate the role of both Dental Fear and avoidance in terms of their hypothesized effect on treatment needs and visiting for problems. Methods Study participants were 1036 (response rate = 71.6%) dentate Australians (aged 15+) from all Australian states and territories. Results Dental Fear was associated with avoidance, treatment need and problem-oriented visiting. For people with moderate to high Dental Fear, 38.5% fit the hypothesized vicious cycle pattern of avoiding Dental visiting because of Fear, having treatment need and visiting for a problem. This compared with only 0.9% of people with no Dental Fear. Avoiding going to the dentist was an important predictor of treatment need and problem-oriented visiting independent of Dental Fear. Dental Fear was a statistically significant predictor of treatment need and problem-oriented visiting and also acted as an effect modifier on avoidance because of Fear. Conclusion The results support the premises underlying the vicious cycle model of Dental Fear maintenance. Dental Fear appears to act as a determinant of avoiding or delaying Dental visit, which has flow-on effects in terms of greater treatment need and problem-oriented visiting.
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treatment experience frequency of Dental visits and children s Dental Fear a cognitive approach
European Journal of Oral Sciences, 2012Co-Authors: Maria Carrillodiaz, Jason M. Armfield, Antonio Crego, Martin RomeromarotoAbstract:Cognitive elements play a key role in Dental anxiety. Nevertheless, relatively little is known about how Dental treatments and frequency of visits to the dentist are related to Dental Fear and its cognitive antecedents. This study aimed to explore the relationships between Dental visits, past treatment experiences, expectations on the aversiveness/probability of negative Dental events, and Dental Fear in children. The participants were 147 children (60% female; mean age = 12.0 yr) who completed a questionnaire comprising measures of Dental treatment-related experience (attendance, fillings, and extractions), perceived aversiveness and probability of Dental events, and Dental anxiety. Bivariate correlations and multiple linear regression analyses were used to analyze the data. A higher frequency of Dental visits was associated with less Dental Fear and a decreased belief in the probability of negative events occurring during treatment. The type of treatments received was not directly linked to Dental Fear. However, having received fillings was significantly associated with the perceived probability of negative Dental events, whereas extractions were positively associated with these expectations but negatively associated with the perceived aversiveness of possible Dental events. Regular Dental visits, as well as Dental treatments, can influence, in different ways, cognitive elements associated with Dental anxiety in children.
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exploring the associations between somatization and Dental Fear and Dental visiting
European Journal of Oral Sciences, 2011Co-Authors: Jason M. Armfield, Vesa Pohjola, Aino K Mattila, Matti Joukamaa, Anna Liisa Suominen, Satu LahtiAbstract:Armfield JM, Pohjola V, Joukamaa M, Mattila AK, Suominen AL, Lahti SM. Exploring the associations between somatization and Dental Fear and Dental visiting. Eur J Oral Sci 2011; 119: 288–293. © 2011 Eur J Oral Sci While somatization has been investigated as an important variable in relation to excessive health-service utilization, its role in relation to Dental visiting and Dental Fear has received limited attention. It was hypothesized that an excessive focus on physical symptoms might lead somatizers to experience Dental treatment as more traumatic, resulting in greater Dental Fear. The aims of this study were to determine whether somatization was associated with Dental Fear, reduced Dental visiting, and symptomatic visiting. Questionnaire data were collected from 5,806 dentate Finnish adults, with somatization measured using 12 items from the Symptom Check List (SCL-90). Dental Fear was measured using a single-item question and Dental visiting was assessed by questions relating to time since last Dental visit and the usual reason for Dental visiting. Multinomial logistic regression analyses indicated that somatization has a statistically significant positive association with both Dental Fear and symptomatic Dental visiting after controlling for age, gender, and education. However, the association between Dental-visiting frequency and somatization was not statistically significant. The results were consistent with the hypothesized role of somatization in the development of Dental Fear. Further investigation of how somatization is related to Dental Fear and Dental-service utilization appears warranted.
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the extent and nature of Dental Fear and phobia in australia
Australian Dental Journal, 2010Co-Authors: Jason M. ArmfieldAbstract:Background: For the general Dental practitioner, Fearful patients are harder and more stressful to treat and are most likely to attend irregularly. This study presents updated and refined Dental Fear and phobia prevalence estimates in Australia as well as information on the nature of Dental Fear and phobia. Methods: A total of 1084 Australian adults (response rate = 71.7%) completed a mailed questionnaire. The survey contained four measures of Dental Fear and phobia, as well as questions regarding potentially anxiety-eliciting Dental stimuli and past aversive Dental experiences. Results: The prevalence of high Dental Fear ranged from 7.8% to 18.8%, and more incapacitating Dental phobia from 0.9% to 5.4%, depending upon the scale, cut-point and specific criteria used. Dental phobia was significantly associated with blood-injection-injury (BII) concerns. The cost of Dental treatment was endorsed as the most anxiety-eliciting Dental situation (64.5%), followed by Fear of needles/injections (46.0%) and painful or uncomfortable procedures (42.9%). Anxiety-eliciting stimuli and the type of aversive Dental experiences varied significantly by gender, age, income, education, language spoken at home and Dental visiting frequency. Conclusions: High Dental Fear and Dental phobia are common in Australia although prevalence estimates are highly dependent on both the scale and cut-points used.
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how do we measure Dental Fear and what are we measuring anyway
Oral Health & Preventive Dentistry, 2010Co-Authors: Jason M. ArmfieldAbstract:Dental anxiety shares similar characteristics with many clinical anxiety disorders, and this is especially the case with other specific Fears and phobias. These often debilitating conditions comprise several different dimensions, including cognitive, emotional, behavioural and physiological components. In addition, Dental anxiety and Fear are associated with a range of aversive health consequences. A number of indices have been developed to measure Dental anxiety and Fear, but their sheer number is indicative of a continuing problem with delineating the concept of Dental Fear and anxiety and how these should best be measured. This paper addresses the widespread confusion in the use of relevant terminology and aims to trace and assess the theoretical underpinnings of a selection of the most widely used self-report measures. It is concluded that the most popular measures of Dental anxiety and Fear lack adequate or sufficiently explained theoretical foundations. This is of concern given that these scales, by their very nature, serve to define the concept they aim to measure.
Vesa Pohjola - One of the best experts on this subject based on the ideXlab platform.
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a longitudinal study of changes and associations in Dental Fear in parent adolescent dyads
WOS, 2017Co-Authors: Anni Luoto, Vesa Pohjola, Satu Lahti, Mimmi Tolvanen, Kari Rantavuori, Linnea KarlssonAbstract:Background Dental Fear seems to fluctuate, but concordance of changes in Dental Fears between parent/adolescent dyads has not been reported. Aim To study longitudinally the associations between adolescent and parental Dental Fears and their changes. Design Adolescents and parents reported their Dental Fear independently of each other when adolescents were between 11–12 and 15–16-year-olds. Eight hundred and seventeen eligible parent/adolescent dyads were included in the analyses. Dental Fear was measured with a single question using five response alternatives. Associations between adolescent and parental Dental Fears and their changes were analysed using χ2 tests and correlation coefficients. Results Prevalence of Dental Fear remained rather similar during the study. There was a positive association between adolescent and parental Dental Fears in early adolescence (P < 0.001) but at middle adolescence only among parent/girl dyads (P = 0.007 for girls, P = 0.341 for boys). Changes in Dental Fear among parent/adolescent dyads did not correlate statistically significantly. Difference between girls’ and boys’ change in Dental Fear was statistically significant (P = 0.001). Dental Fear increased more often among girls than among boys. Boys had stable low/no Dental Fear more often than girls did. Conclusion Adolescents’ and parents’ Dental Fears seemingly change independently of each other.
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changes in Dental Fear among finnish adults a national survey
Community Dentistry and Oral Epidemiology, 2016Co-Authors: Arja Liinavuori, Vesa Pohjola, Mimmi Tolvanen, Satu LahtiAbstract:Objectives The aim of this study was to evaluate changes in Dental Fear among adult Finns aged 19 years and over at the beginning of the study in 2000–2011 in a nationally representative sample. Methods The study was based on Health 2000 and 2011 Surveys by the National Institute for Health and Welfare in Finland. The Health 2000 Survey used a stratified two-stage cluster sampling design (N = 9 922). Those who participated in 2000 (n = 7 964) were invited to participate in 2011. The number of participants was 3 961. Dental Fear was assessed by a single question: ‘How afraid are you of visiting a dentist?’ (not at all, somewhat, very much). Background variables included were age (categories 30–34, 35–39, 40–44, 45–54, 55–64, 65–74, 75+ years), gender, marital status (nonsingle, single), and education (basic, secondary, higher). To match the population sizes in different areas and thus forming a nationally representative data, the data were weighted based on age, gender, and area. General linear modeling for repeated measures was used to evaluate changes in Dental Fear and associations with background variables. Results Between 2000 and 2011, Dental Fear decreased more often than increased among adults in Finland. Change from being very afraid to not at all afraid of visiting a dentist was most common in the oldest group. For most participants, Dental Fear remained stable; being very afraid of visiting a dentist was more stable among participants from 35 to 54 years of age than among younger or older participants. Conclusions Dental Fear is still common among adult Finns and it seems to depend on age. As the most obvious consequence of Dental Fear is avoidance of Dental care, reducing Dental Fear should be taken into account when planning and reorienting oral healthcare services.
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association between Dental Fear and oral health habits and treatment need among university students in finland a national study
BMC Oral Health, 2016Co-Authors: Vesa Pohjola, Aino Rekola, Kristina Kunttu, Jorma I VirtanenAbstract:First-year university students are in a new, independent life situation, which may affect health behaviour, including oral health habits. The aim of this study was to evaluate the association between Dental Fear and oral health habits, while considering the simultaneous effects of attitude toward food and treatment need at Dental check-ups. The data (n = 8514) for this national cross-sectional study were collected from health registers of Finnish Student Health Service. As part of health examination all first-year university students in Finland were sent an electronic questionnaire asking about general, psychological and oral health, and health habits. Dental Fear was measured by the question: “How afraid are you of visiting a dentist?” (reply alternatives: “Not at all”, “Somewhat” and “Very”). Chi-square tests and Multiple logistic regression analyses were used to determine the associations between Dental Fear and oral health habits (tooth brushing, tobacco use, frequency of eating and drinking, eating habits and interval between Dental check-ups) as well as attitude to food and treatment need at Dental check-ups while controlling for age, gender, general mood and feelings in social situations. Of the oral health habits, tooth brushing and tobacco use were associated with Dental Fear. Those who brushed their teeth once a day or less often or used tobacco regularly were more likely to have high Dental Fear than those who brushed their teeth twice a day or more often or used tobacco occasionally or not at all. Students who reported not having a normal attitude to food were more likely to have high Dental Fear than were those reporting normal attitude to food, but the frequency of eating and drinking was not associated with Dental Fear. Students who reported needing treatment frequently or at every Dental check-up were more likely to have high Dental Fear than those who reported rarely or never needing treatment. Those students with high Dental Fear seem to be at risk of having poor oral health habits and abnormal attitude to food, which may increase the risk of deterioration of oral health and the need for treatment. Dental teams should make efforts in helping Fearful patients to find motivation for good oral health habits.
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individual changes in Dental Fear among children and parents a longitudinal study
WOS, 2014Co-Authors: Anni Luoto, Vesa Pohjola, Mimmi Tolvanen, Kari Rantavuori, Linnea Karlsson, Satu LahtiAbstract:Abstract Objective. The aim was to study longitudinal changes in Dental Fear among children and one of their parents separately for girls, boys, mothers and fathers over a 3.5-year period. Materials and methods. 11–12-year-old children in Pori, Finland (n = 1691) and one of their parents were invited to participate in this longitudinal study. Dental Fear was measured in 2001, 2003 and 2005 when the children were 11–12, 13–14 and 15–16-years-old, respectively. The participants were asked if they were afraid of Dental care (1 = ‘not afraid’, 2 = ‘slightly afraid’, 3 = ‘afraid to some degree’, 4 = ‘quite afraid’, 5 = ‘very afraid’ and 6 = ‘I don’t know’). The participants’ gender was also registered. Mean values of the change scores were studied. Prevalence and incidence of Dental Fear and changes in dichotomized Dental Fear (responses 4–5 = high Dental Fear and responses 1–3 = low Dental Fear) were studied using cross-tabulations and Cochran’s Q test. Results. Overall, the prevalence of Dental Fear slightly...
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exploring the associations between somatization and Dental Fear and Dental visiting
European Journal of Oral Sciences, 2011Co-Authors: Jason M. Armfield, Vesa Pohjola, Aino K Mattila, Matti Joukamaa, Anna Liisa Suominen, Satu LahtiAbstract:Armfield JM, Pohjola V, Joukamaa M, Mattila AK, Suominen AL, Lahti SM. Exploring the associations between somatization and Dental Fear and Dental visiting. Eur J Oral Sci 2011; 119: 288–293. © 2011 Eur J Oral Sci While somatization has been investigated as an important variable in relation to excessive health-service utilization, its role in relation to Dental visiting and Dental Fear has received limited attention. It was hypothesized that an excessive focus on physical symptoms might lead somatizers to experience Dental treatment as more traumatic, resulting in greater Dental Fear. The aims of this study were to determine whether somatization was associated with Dental Fear, reduced Dental visiting, and symptomatic visiting. Questionnaire data were collected from 5,806 dentate Finnish adults, with somatization measured using 12 items from the Symptom Check List (SCL-90). Dental Fear was measured using a single-item question and Dental visiting was assessed by questions relating to time since last Dental visit and the usual reason for Dental visiting. Multinomial logistic regression analyses indicated that somatization has a statistically significant positive association with both Dental Fear and symptomatic Dental visiting after controlling for age, gender, and education. However, the association between Dental-visiting frequency and somatization was not statistically significant. The results were consistent with the hypothesized role of somatization in the development of Dental Fear. Further investigation of how somatization is related to Dental Fear and Dental-service utilization appears warranted.
Jesper Lundgren - One of the best experts on this subject based on the ideXlab platform.
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evaluation of the jonkoping Dental Fear coping model a patient perspective
Acta Odontologica Scandinavica, 2019Co-Authors: Carlotto Brahm, Sven G Carlsson, Jesper Lundgren, Peter M Nilsson, Catharina HagglinAbstract:Objective: This study is a part of a project with the aim to construct and evaluate a structured treatment model (the Jonkoping Dental Fear Coping Model, DFCM) for the treatment of Dental patients....
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development and evaluation of the jonkoping Dental Fear coping model a health professional perspective
Acta Odontologica Scandinavica, 2018Co-Authors: Carlotto Brahm, Sven G Carlsson, Jesper Lundgren, Peter M Nilsson, Catharina HagglinAbstract:Objective: The purpose of this study was to design a structured treatment model focusing on all levels of adult’s Dental Fear, the Jonkoping Dental Fear Coping Model (DFCM). The aim was to study th...
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psychosocial and Dental factors in the maintenance of severe Dental Fear
Swedish Dental Journal, 2010Co-Authors: Ulla Wide Boman, Ulf Berggren, Jesper Lundgren, Sven G CarlssonAbstract:The aim was to study the relationship between psychosocial factors and Dental status in adult subjects with severe Dental Fear (DF). A consecutive sample of 148 adults (mean age 36.1 yrs, range 21-69 yrs) referred for Dental Fear treatment was investigated using an intake questionnaire on Dental attendance and history, psychometric questionnaires on Dental Fear, general anxiety and depression and a radiographic examination. The subjects had a mean DFMT (Decayed, Filled, Missed Teeth) score of 18.6 (SD = 5.6). A deterioration in Dental status defined as the presence of root remnants was present in 57% of the subjects and was related to the negative consequences of Dental Fear, general anxiety and depression. Most subjects (84%) reported clinical levels of general anxiety and 46% reported clinical levels of depression. In conclusion, subjects with severe DF often suffer from psychosocial consequences and distress.This is even more marked if their Dental status has deteriorated.The findings support a biopsychosocial vicious circle understanding of the maintenance of DF.
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methodological assessment of behavioural problem dimensions in adults with Dental Fear
Community Dentistry and Oral Epidemiology, 2007Co-Authors: Magnus L Elfstrom, Jesper Lundgren, Ulf BerggrenAbstract:– Objectives: In the assessment and treatment of persons with Dental Fear, there may be other psychological/behavioural factors than Fear itself and traditional measures of psychopathology that should be considered. Longitudinal natural history studies are needed to find such variables. The present study investigated whether the same behavioural problem dimensions (internalizing, externalizing, attention) found among children and adolescents with behaviour management problems and/or Dental Fear could also be found among severely Fearful adult patients. Methods: The participants were 230 consecutive adult patients applying for treatment for severe Dental anxiety at a specialized clinic. Patients completed a version of the Rutter behaviour questionnaire that was adapted for adults. Comparison data were the Hospital Anxiety and Depression scale and self-rated anger evoked by Dental Fear. Background data, including Dental Fear, were also collected. Descriptive statistics, principal components analyses, group comparisons and correlations were calculated. Results: Of the three behaviour problems scales we adapted for adults, two (Internalizing and Attention) had acceptable psychometric properties and meaningful relations with the comparison variables. In contrast, the third problem scale (Externalizing) proved to have less satisfactory properties and relations, especially for men. Patients with severe phobia had higher levels of problem behaviours than patients with less severe phobia. Conclusions: Internalizing and Attention scales for adults seem promising for use in future prospective studies of the natural history of Dental Fear. The Externalizing scale, however, needs to be studied with a wider range of comparison variables and measures of social desirability.
Mimmi Tolvanen - One of the best experts on this subject based on the ideXlab platform.
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a longitudinal study of changes and associations in Dental Fear in parent adolescent dyads
WOS, 2017Co-Authors: Anni Luoto, Vesa Pohjola, Satu Lahti, Mimmi Tolvanen, Kari Rantavuori, Linnea KarlssonAbstract:Background Dental Fear seems to fluctuate, but concordance of changes in Dental Fears between parent/adolescent dyads has not been reported. Aim To study longitudinally the associations between adolescent and parental Dental Fears and their changes. Design Adolescents and parents reported their Dental Fear independently of each other when adolescents were between 11–12 and 15–16-year-olds. Eight hundred and seventeen eligible parent/adolescent dyads were included in the analyses. Dental Fear was measured with a single question using five response alternatives. Associations between adolescent and parental Dental Fears and their changes were analysed using χ2 tests and correlation coefficients. Results Prevalence of Dental Fear remained rather similar during the study. There was a positive association between adolescent and parental Dental Fears in early adolescence (P < 0.001) but at middle adolescence only among parent/girl dyads (P = 0.007 for girls, P = 0.341 for boys). Changes in Dental Fear among parent/adolescent dyads did not correlate statistically significantly. Difference between girls’ and boys’ change in Dental Fear was statistically significant (P = 0.001). Dental Fear increased more often among girls than among boys. Boys had stable low/no Dental Fear more often than girls did. Conclusion Adolescents’ and parents’ Dental Fears seemingly change independently of each other.
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changes in Dental Fear among finnish adults a national survey
Community Dentistry and Oral Epidemiology, 2016Co-Authors: Arja Liinavuori, Vesa Pohjola, Mimmi Tolvanen, Satu LahtiAbstract:Objectives The aim of this study was to evaluate changes in Dental Fear among adult Finns aged 19 years and over at the beginning of the study in 2000–2011 in a nationally representative sample. Methods The study was based on Health 2000 and 2011 Surveys by the National Institute for Health and Welfare in Finland. The Health 2000 Survey used a stratified two-stage cluster sampling design (N = 9 922). Those who participated in 2000 (n = 7 964) were invited to participate in 2011. The number of participants was 3 961. Dental Fear was assessed by a single question: ‘How afraid are you of visiting a dentist?’ (not at all, somewhat, very much). Background variables included were age (categories 30–34, 35–39, 40–44, 45–54, 55–64, 65–74, 75+ years), gender, marital status (nonsingle, single), and education (basic, secondary, higher). To match the population sizes in different areas and thus forming a nationally representative data, the data were weighted based on age, gender, and area. General linear modeling for repeated measures was used to evaluate changes in Dental Fear and associations with background variables. Results Between 2000 and 2011, Dental Fear decreased more often than increased among adults in Finland. Change from being very afraid to not at all afraid of visiting a dentist was most common in the oldest group. For most participants, Dental Fear remained stable; being very afraid of visiting a dentist was more stable among participants from 35 to 54 years of age than among younger or older participants. Conclusions Dental Fear is still common among adult Finns and it seems to depend on age. As the most obvious consequence of Dental Fear is avoidance of Dental care, reducing Dental Fear should be taken into account when planning and reorienting oral healthcare services.
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Dental Fear and previous childhood traumatic experiences life events and parental bonding
WOS, 2015Co-Authors: Outi Hagqvist, Mimmi Tolvanen, Kari Rantavuori, Linnea Karlsson, Hasse Karlsson, Satu LahtiAbstract:We aimed to determine whether adult Dental Fear is associated with traumas, life events, and perceived parental bonding. Pilot data for the FinnBrain Cohort study were used. Of the 254 families expecting a baby, 80% agreed to participate. At 32-34 wk of pregnancy, 125 women and 81 men completed a Modified Dental Anxiety Scale questionnaire and were included in this study. Other instruments used were the Trauma and Distress Scale (TADS), the Life Event Checklist, and the Parental Bonding Index. All scales were analyzed as summated rating scale scores. Associations between Dental Fear, TADS domains, and life events were evaluated using Spearman correlation coefficients. The association between Dental Fear and parental bonding was evaluated using the Kruskal-Wallis test. Among women, Dental Fear did not correlate with trauma measures, but among men Dental Fear correlated with emotional neglect and abuse. Dental Fear correlated positively with the number of life events among women. Life events and Dental Fear did not correlate among men. Dental Fear was not associated with parental bonding among women or men. The association between traumas, life events, and Dental Fear seems to be different in women and men.
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Dental Fear and previous childhood traumatic experiences life events and parental bonding
European Journal of Oral Sciences, 2015Co-Authors: Outi Hagqvist, Mimmi Tolvanen, Kari Rantavuori, Linnea Karlsson, Hasse Karlsson, Satu LahtiAbstract:We aimed to determine whether adult Dental Fear is associated with traumas, life events, and perceived parental bonding. Pilot data for the FinnBrain Cohort study were used. Of the 254 families expecting a baby, 80% agreed to participate. At 32-34 wk of pregnancy, 125 women and 81 men completed a Modified Dental Anxiety Scale questionnaire and were included in this study. Other instruments used were the Trauma and Distress Scale (TADS), the Life Event Checklist, and the Parental Bonding Index. All scales were analyzed as summated rating scale scores. Associations between Dental Fear, TADS domains, and life events were evaluated using Spearman correlation coefficients. The association between Dental Fear and parental bonding was evaluated using the Kruskal-Wallis test. Among women, Dental Fear did not correlate with trauma measures, but among men Dental Fear correlated with emotional neglect and abuse. Dental Fear correlated positively with the number of life events among women. Life events and Dental Fear did not correlate among men. Dental Fear was not associated with parental bonding among women or men. The association between traumas, life events, and Dental Fear seems to be different in women and men. Language: en
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individual changes in Dental Fear among children and parents a longitudinal study
WOS, 2014Co-Authors: Anni Luoto, Vesa Pohjola, Mimmi Tolvanen, Kari Rantavuori, Linnea Karlsson, Satu LahtiAbstract:Abstract Objective. The aim was to study longitudinal changes in Dental Fear among children and one of their parents separately for girls, boys, mothers and fathers over a 3.5-year period. Materials and methods. 11–12-year-old children in Pori, Finland (n = 1691) and one of their parents were invited to participate in this longitudinal study. Dental Fear was measured in 2001, 2003 and 2005 when the children were 11–12, 13–14 and 15–16-years-old, respectively. The participants were asked if they were afraid of Dental care (1 = ‘not afraid’, 2 = ‘slightly afraid’, 3 = ‘afraid to some degree’, 4 = ‘quite afraid’, 5 = ‘very afraid’ and 6 = ‘I don’t know’). The participants’ gender was also registered. Mean values of the change scores were studied. Prevalence and incidence of Dental Fear and changes in dichotomized Dental Fear (responses 4–5 = high Dental Fear and responses 1–3 = low Dental Fear) were studied using cross-tabulations and Cochran’s Q test. Results. Overall, the prevalence of Dental Fear slightly...