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  • 1.
    Bernson, J. M.
    et al.
    Sahlgrenska Academy, University of Gothenburg.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare.
    Hakeberg, M.
    Sahlgrenska Academy, University of Gothenburg.
    Dental coping strategies, general anxiety, and depression among adult patients with dental anxiety but with different dental-attendance patterns2013In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 121, no 3 PART 2, p. 270-276Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to investigate dental coping strategies, general anxiety, and depression in relation to regularity of dental treatment among persons with either regular dental care or phobic avoidance, whilst controlling for sociodemographic factors. Psychometric questionnaires on dental anxiety, dental coping strategies, general anxiety, and depression were delivered to 263 adult patients with dental phobic avoidance behavior who were seeking help from a specialized dental fear clinic and to 141 adult patients with dental anxiety who were receiving regular dental care from various public dental clinics. The results showed that the levels of dental and general anxiety and of depression were significantly higher among irregular attendees compared with regular attendees. Irregular attendees admitted fewer adaptive coping strategies. Predictive of irregular dental care were gender, dental anxiety, general anxiety, and the nonuse of the coping strategy 'optimism'. This study further confirms earlier preliminary results that the use of optimistic thinking is predictive for regular dental attendance habits and that male gender is a risk factor for irregular attendance. Moreover, this study adds that a high level of general anxiety indicates a higher risk for irregular dental care. © 2013 Eur J Oral Sci.

  • 2.
    Bernson, Jenny
    et al.
    University of Gothenburg, Institute of Odontology, Department of Behavioral and Community Dentistry.
    Hallberg, Lillemor R.-M.
    Halmstad University, School of Social and Health Sciences.
    Elfström, Magnus
    Mälardalen University, School of Sustainable Development of Society and Technology.
    Hakeberg, Magnus
    University of Gothenburg, Institute of Odontology, Department of Behavioral and Community Dentistry.
    “Making dental care possible – a mutual affair”: A grounded theory relating to adult patients with dental fear and regular dental treatment2011In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 119, no 5, p. 373-380Article in journal (Refereed)
    Abstract [en]

    Dental fear is a common and widespread problem, which can cause severe stress. Even so, most patients with dental fear undergo regular dental treatment in spite of their fear and many enjoy good oral health. The aim of this study was to obtain a deeper understanding of how patients with dental fear manage to undergo dental treatment. Fourteen patients with dental fear, who undergo regular dental care, were interviewed. Qualitative analysis of the transcribed interviews was performed according to the principles of grounded theory. A conceptual framework was generated, and the main concern was identified as making dental care possible – a mutual affair. Four additional categories explained how patients handled their dental fear and how dental care became possible. The strategies were labelled taking part in a mental wrestling match, trust-filled interaction with dental staff, striving for control and seeking and/or receiving social support. The results showed that making dental care possible for patients with dental fear is a mutual challenge that requires interplay between dental staff and patients, involving verbal and non-verbal communication reflecting respect, attention, and empathy. Moreover, a balance between nearness and distance and between professional and personal treatment is required.

  • 3.
    Bernson, Jenny M
    et al.
    Public Dental Service, Göteborg, Sweden.
    Elfström, Magnus L
    Sahlgrenska Academy, Göteborg, Sweden.
    Berggren, Ulf
    Sahlgrenska Academy, Göteborg, Sweden.
    Self-reported dental coping strategies among fearful adult patients: preliminary enquiry explorations.2007In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 115, no 6, p. 484-490Article in journal (Refereed)
    Abstract [en]

    This investigation explored strategies to cope with dental treatment used by fearful adult patients undergoing regular dental care and those with phobic avoidance. A newly constructed 20-item questionnaire entitled The Dental Coping Strategy Questionnaire (DCSQ-20) was distributed consecutively to 171 individuals with self- and dentist-reported high dental fear, of whom 77 had dental phobic avoidance and were attending a dental fear clinic and 94 were undergoing regular care at one of three different public dental clinics. The level of dental fear was high in both groups, but significantly higher among avoidant individuals. Several of the DCSQ-20 items showed statistically significant differences between groups. Factor analysis of the DCSQ-20 yielded a four-factor solution explaining 52% of the total variance. The factors were labelled (i) 'self-efficacy statements', (ii) 'self distraction and distancing', (iii) 'catastrophizing', and (iv) 'praying and despair'. The DCSQ-20 displayed sound psychometric properties, and the reliability (Cronbach's alpha) for the factors was between 0.68-0.78. Factors (iii) and (iv) correlated significantly with dental anxiety and were rated significantly higher among individuals with phobic avoidance. In a logistic regression analysis, gender, dental anxiety, and three of the four factors (i, iii, iv) were predictive of regularity vs. phobic avoidance of dental care.

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