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Symptom provocation in dental anxiety using cross-phobic video stimulation.
Eur J Oral Sci. 2011 Feb; 119(1):61-8.EJ

Abstract

Although video stimulation has been successfully employed in dental phobia, conclusions regarding the specificity of reactions are limited. A novel, video-based paradigm using cross-phobic video stimulation was validated based on subjective and autonomic responses. Forty subjects were stratified according to dental anxiety as measured by the Dental Fear Survey (DFS) using a median-split procedure (high-DFS and low-DFS groups). Anxiety stimuli comprised dental-anxiety scenes and non-dental-anxiety control scenes (snake stimuli). Neutral scenes were tailored to each anxiety stimulus. Dental, but not snake, stimuli were rated as more anxiety provoking only in the high-DFS group. Elevated skin-conductance amplitudes were observed in the high-DFS group for dental anxiety vs. neutral videos, but not for snake anxiety vs. neutral videos. State and trait anxiety and autonomic reactivity were correlated according to expectations. Using cross-phobic video stimulation, it was demonstrated that phobogenic reactions in dental anxiety are specific to the respective stimulus material and do not generalize to other non-dental-anxiety control conditions. The validation of the paradigm may support and stimulate future research on the characterization of dental anxiety on different response systems, including its underlying neural substrates.

Authors+Show Affiliations

Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany. lueken@psychologie.tu-dresden.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Validation Study

Language

eng

PubMed ID

21244513

Citation

Lueken, Ulrike, et al. "Symptom Provocation in Dental Anxiety Using Cross-phobic Video Stimulation." European Journal of Oral Sciences, vol. 119, no. 1, 2011, pp. 61-8.
Lueken U, Hoyer J, Siegert J, et al. Symptom provocation in dental anxiety using cross-phobic video stimulation. Eur J Oral Sci. 2011;119(1):61-8.
Lueken, U., Hoyer, J., Siegert, J., Gloster, A. T., & Wittchen, H. U. (2011). Symptom provocation in dental anxiety using cross-phobic video stimulation. European Journal of Oral Sciences, 119(1), 61-8. https://doi.org/10.1111/j.1600-0722.2010.00790.x
Lueken U, et al. Symptom Provocation in Dental Anxiety Using Cross-phobic Video Stimulation. Eur J Oral Sci. 2011;119(1):61-8. PubMed PMID: 21244513.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Symptom provocation in dental anxiety using cross-phobic video stimulation. AU - Lueken,Ulrike, AU - Hoyer,Jürgen, AU - Siegert,Jens, AU - Gloster,Andrew T, AU - Wittchen,Hans-Ulrich, PY - 2011/1/20/entrez PY - 2011/1/20/pubmed PY - 2011/5/18/medline SP - 61 EP - 8 JF - European journal of oral sciences JO - Eur J Oral Sci VL - 119 IS - 1 N2 - Although video stimulation has been successfully employed in dental phobia, conclusions regarding the specificity of reactions are limited. A novel, video-based paradigm using cross-phobic video stimulation was validated based on subjective and autonomic responses. Forty subjects were stratified according to dental anxiety as measured by the Dental Fear Survey (DFS) using a median-split procedure (high-DFS and low-DFS groups). Anxiety stimuli comprised dental-anxiety scenes and non-dental-anxiety control scenes (snake stimuli). Neutral scenes were tailored to each anxiety stimulus. Dental, but not snake, stimuli were rated as more anxiety provoking only in the high-DFS group. Elevated skin-conductance amplitudes were observed in the high-DFS group for dental anxiety vs. neutral videos, but not for snake anxiety vs. neutral videos. State and trait anxiety and autonomic reactivity were correlated according to expectations. Using cross-phobic video stimulation, it was demonstrated that phobogenic reactions in dental anxiety are specific to the respective stimulus material and do not generalize to other non-dental-anxiety control conditions. The validation of the paradigm may support and stimulate future research on the characterization of dental anxiety on different response systems, including its underlying neural substrates. SN - 1600-0722 UR - https://www.unboundmedicine.com/medline/citation/21244513/Symptom_provocation_in_dental_anxiety_using_cross_phobic_video_stimulation_ L2 - https://doi.org/10.1111/j.1600-0722.2010.00790.x DB - PRIME DP - Unbound Medicine ER -