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The Children's Fear Survey Schedule-Dental Subscale in Japan.
Community Dent Oral Epidemiol. 2005 Jun; 33(3):196-204.CD

Abstract

OBJECTIVES

The aims of this research are to examine the reliability and validity of the Japanese version of the Dental Subscale of Children's Fear Survey Schedule (CFSS-DS), and to examine the responses of children in the dental setting and in the community.

METHODS

The CFSS-DS was translated into Japanese and administered to three samples. The first sample comprised 134 child patients aged 8-15 years, of whom 100 were assigned for test-retest analysis, and the behavior of the remaining 34 additional children were rated during their dental appointments, and compared with their questionnaire results. A second sample of 532 child patients aged 8-15 years, completed the CFSS-DS and also one additional item measuring fear of returning to the dentist. A third sample of 1250 school children aged 8-15 years was surveyed using the CFSS-DS and the additional item measuring fear of returning to the dentist.

RESULTS

The Japanese version of the CFSS-DS showed good internal consistency (alpha=0.91) and test-retest reliability (r=0.90), as well as good criterion validity assessed by the relationship with actual child behavior (r(s)=0.51). It also showed good construct validity assessed by correlation with willingness to return to the dentist. Fear levels were higher in the school sample than in the clinic sample (27.7 versus 24.6). Girls reported more fear than boys (26.2 versus 23.2 in the clinic sample, and 30.7 versus 24.8 in the school sample). Injections, choking, having a stranger touch them, and drilling were the most common fears. Factor analyses demonstrated a factor pattern similar to the results found in other cultures.

CONCLUSION

The results suggest that the CFSS-DS is reliable and valid and operates in Japan as it does in other cultures.

Authors+Show Affiliations

Nakai Y
Department of Behavioral Pediatric Dentistry, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan. yukien@md.okayama-u.ac.jp
Hirakawa T
No affiliation info available
Milgrom P
No affiliation info available
Coolidge T
No affiliation info available
Heima M
No affiliation info available
Mori Y
No affiliation info available
Ishihara C
No affiliation info available
Yakushiji N
No affiliation info available
Yoshida T
No affiliation info available
Shimono T
No affiliation info available

MeSH

AdolescentAirway ObstructionChildDental AnxietyDental Care for ChildrenFemaleHumansInjectionsJapanMaleReproducibility of ResultsSex FactorsSurveys and Questionnaires

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15853842

Citation

Nakai, Yukie, et al. "The Children's Fear Survey Schedule-Dental Subscale in Japan." Community Dentistry and Oral Epidemiology, vol. 33, no. 3, 2005, pp. 196-204.
Nakai Y, Hirakawa T, Milgrom P, et al. The Children's Fear Survey Schedule-Dental Subscale in Japan. Community Dent Oral Epidemiol. 2005;33(3):196-204.
Nakai, Y., Hirakawa, T., Milgrom, P., Coolidge, T., Heima, M., Mori, Y., Ishihara, C., Yakushiji, N., Yoshida, T., & Shimono, T. (2005). The Children's Fear Survey Schedule-Dental Subscale in Japan. Community Dentistry and Oral Epidemiology, 33(3), 196-204.
Nakai Y, et al. The Children's Fear Survey Schedule-Dental Subscale in Japan. Community Dent Oral Epidemiol. 2005;33(3):196-204. PubMed PMID: 15853842.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Children's Fear Survey Schedule-Dental Subscale in Japan. AU - Nakai,Yukie, AU - Hirakawa,Takayuki, AU - Milgrom,Peter, AU - Coolidge,Trilby, AU - Heima,Masahiro, AU - Mori,Yukako, AU - Ishihara,Chikako, AU - Yakushiji,Noriko, AU - Yoshida,Toshiko, AU - Shimono,Tsutomu, PY - 2005/4/28/pubmed PY - 2005/8/23/medline PY - 2005/4/28/entrez SP - 196 EP - 204 JF - Community dentistry and oral epidemiology JO - Community Dent Oral Epidemiol VL - 33 IS - 3 N2 - OBJECTIVES: The aims of this research are to examine the reliability and validity of the Japanese version of the Dental Subscale of Children's Fear Survey Schedule (CFSS-DS), and to examine the responses of children in the dental setting and in the community. METHODS: The CFSS-DS was translated into Japanese and administered to three samples. The first sample comprised 134 child patients aged 8-15 years, of whom 100 were assigned for test-retest analysis, and the behavior of the remaining 34 additional children were rated during their dental appointments, and compared with their questionnaire results. A second sample of 532 child patients aged 8-15 years, completed the CFSS-DS and also one additional item measuring fear of returning to the dentist. A third sample of 1250 school children aged 8-15 years was surveyed using the CFSS-DS and the additional item measuring fear of returning to the dentist. RESULTS: The Japanese version of the CFSS-DS showed good internal consistency (alpha=0.91) and test-retest reliability (r=0.90), as well as good criterion validity assessed by the relationship with actual child behavior (r(s)=0.51). It also showed good construct validity assessed by correlation with willingness to return to the dentist. Fear levels were higher in the school sample than in the clinic sample (27.7 versus 24.6). Girls reported more fear than boys (26.2 versus 23.2 in the clinic sample, and 30.7 versus 24.8 in the school sample). Injections, choking, having a stranger touch them, and drilling were the most common fears. Factor analyses demonstrated a factor pattern similar to the results found in other cultures. CONCLUSION: The results suggest that the CFSS-DS is reliable and valid and operates in Japan as it does in other cultures. SN - 0301-5661 UR - https://www.unboundmedicine.com/medline/citation/15853842/The_Children's_Fear_Survey_Schedule_Dental_Subscale_in_Japan_ DB - PRIME DP - Unbound Medicine ER -