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Methodological assessment of behavioural problem dimensions in adults with dental fear.
Community Dent Oral Epidemiol. 2007 Jun; 35(3):186-94.CD

Abstract

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.

Authors+Show Affiliations

Health Care Research Unit, Institute of Medicine, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden. magnus.elfstrom@medicine.gu.seNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17518965

Citation

Elfström, Magnus L., et al. "Methodological Assessment of Behavioural Problem Dimensions in Adults With Dental Fear." Community Dentistry and Oral Epidemiology, vol. 35, no. 3, 2007, pp. 186-94.
Elfström ML, Lundgren J, Berggren U. Methodological assessment of behavioural problem dimensions in adults with dental fear. Community Dent Oral Epidemiol. 2007;35(3):186-94.
Elfström, M. L., Lundgren, J., & Berggren, U. (2007). Methodological assessment of behavioural problem dimensions in adults with dental fear. Community Dentistry and Oral Epidemiology, 35(3), 186-94.
Elfström ML, Lundgren J, Berggren U. Methodological Assessment of Behavioural Problem Dimensions in Adults With Dental Fear. Community Dent Oral Epidemiol. 2007;35(3):186-94. PubMed PMID: 17518965.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Methodological assessment of behavioural problem dimensions in adults with dental fear. AU - Elfström,Magnus L, AU - Lundgren,Jesper, AU - Berggren,Ulf, PY - 2007/5/24/pubmed PY - 2007/6/29/medline PY - 2007/5/24/entrez SP - 186 EP - 94 JF - Community dentistry and oral epidemiology JO - Community Dent Oral Epidemiol VL - 35 IS - 3 N2 - 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. SN - 0301-5661 UR - https://www.unboundmedicine.com/medline/citation/17518965/Methodological_assessment_of_behavioural_problem_dimensions_in_adults_with_dental_fear_ L2 - https://doi.org/10.1111/j.1600-0528.2006.00312.x DB - PRIME DP - Unbound Medicine ER -