Development of the Turkish version of the Index of Dental Anxiety and Fear (IDAF-4C+): Dental anxiety and concomitant factors in pediatric dental patients

Buldur, Burak; Armfield, Jason M.

doi:10.17796/1053-4628-42.4.7

Cited by 31 publications

(40 citation statements)

References 5 publications

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“…In the present study, female patients reported higher levels of dental anxiety than male patients. is result is also consistent with earlier findings in UK [15], Italian [16], Greek [35], Arabic [17], Malay [21], Turkish [34,36], and Chinese [20] populations. Sex differences are evident in the prevalence rates of specific fears and phobias [37].…”

Section: Discussionsupporting

confidence: 93%

The Reliability and Validity of the Japanese Version of the Modified Dental Anxiety Scale among Dental Outpatients

Ogawa

Sago

Furukawa

2020

The Scientific World Journal

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Introduction. A careful assessment of dental anxiety is necessary for its management. The Modified Dental Anxiety Scale (MDAS) is one of the most commonly used questionnaires to measure dental anxiety in the world. The reliability and validity of the Japanese version of MDAS have been demonstrated using undergraduates and a few patients with dental anxiety. The aim of the present study was to examine the reliability and validity of the Japanese version of the MDAS using a wide range of age samples in dental clinics. Methods. A total of 275 outpatients (145 men and 130 women; 21–87 years) from two dental clinics participated in the present study. Dental anxiety was assessed using the Japanese version of the MDAS and the Dental Fear Survey (DFS). The psychometric evaluation included exploratory factor analysis, and Cronbach’s α was used to evaluate for internal consistency. Criterion validity was assessed by correlating the MDAS and DFS scores using Spearman’s correlation coefficient. validity was evaluated by examining related factors’ differences in the MDAS score (e.g., sex and negative dental experiences). Results. Six patients (2.2%) reported high levels of dental anxiety (MDAS score ≥ 19). The internal consistency of the MDAS score was high (Cronbach’s α = 0.88). Dental anxiety was significantly higher among women (P=0.007), in patients with previous negative dental experiences (P<0.001), and among those with lower frequencies of dental visits (P<0.001). The MDAS score was significant and related to age (r = 0.48) and the DFS score (r = 0.87). Factor analysis revealed all items measured only one construct. Conclusions. The Japanese version of the MDAS score was found to be a reliable and valid measure of dental anxiety among dental outpatients. It could be useful for the Japanese dental practitioner to measure dental anxiety in a clinical setting.

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Section: Discussionsupporting

confidence: 93%

The Reliability and Validity of the Japanese Version of the Modified Dental Anxiety Scale among Dental Outpatients

Ogawa

Sago

Furukawa

2020

The Scientific World Journal

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“…However, the strength of the relationship was dependent on the context of the dental visit and the types of measures used for assessing dental anxiety. At the same time, children whose mothers had moderate or high levels of dental anxiety were more likely to have untreated dental caries than children whose mothers had low dental anxiety [17,26,27]. In addition, many studies had reported that maternal dental anxiety, socioeconomic status, and oral health behaviours were also associated with poorer child's OHRQoL (COHRQoL) [17,18,28,29].…”

Section: Introductionmentioning

confidence: 99%

Impact of maternal and child dental anxiety on oral health-related quality of life of 5–6-year-old preschool children

Marhazlinda

Yusof

2020

Health Qual Life Outcomes

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Background There is a lack of evidence with regards to the association between both maternal and child dental anxiety and the mother’s perception of her child’s oral health-related quality of life (COHRQoL). The aim of this study was to investigate the association of maternal and child dental anxiety with COHRQoL and the effect of demographic factors as moderators in this relationship. In addition, the association between child’s dental caries experience and the COHRQoL was also assessed. Methods A cross-sectional study was conducted involving 1150, 5–6 year-old preschool children in Selangor, Malaysia. Mothers answered a questionnaire on socio-economic status, the Malay-Modified Dental Anxiety Scale to assess maternal dental anxiety, and the Malay-Early Childhood Oral Health Impact Scale to assess COHRQoL. Child's dental anxiety was assessed using the Malay-Modified Child Dental Anxiety Scale via a face-to-face interview prior to oral examination to assess dental caries. Data were analysed using structural equation modelling to assess the relationship between maternal and child dental anxiety and COHRQoL. Results Overall, complete data on 842 mother–child dyads were analysed. The mean scores of total ECOHIS, the child impacts section (CIS), and the family impacts section (FIS) were 17.7 (SD = 4.9), 12.6 (SD = 3.7), and 5.1 (SD = 1.9), respectively. The mean dental anxiety scores for mothers and children were 11.8 (SD = 4.5) and 16.9 (SD = 4.3), respectively. Maternal dental anxiety was associated with the CIS (b = 0.08, p < 0.001), the FIS (b = 0.01, p = 0.001), and the total ECOHIS (b = 0.14, p < 0.001). Maternal education level, income, urban/rural location, and kindergarten type were moderators to the relationship. In addition, there was also a significant relationship between child’s dental caries experience and COHRQoL (p < 0.001). Conclusions Maternal dental anxiety and child’s dental caries experience have significantly impacted the COHRQoL, the CIS, and the FIS domains. Demographic factors such as maternal education, income, urban/rural location, and kindergarten type acted as moderators that can strengthen or weaken the relationship between maternal dental anxiety and COHRQoL of 5–6-year-old preschool children.

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“…8 Children's oral health is influenced by factors such as the children themselves, their family, and society. 2,[9][10][11] Family factors such as socio-economic status and education level, 12 oral health behaviours and beliefs, 13 dental anxiety, 14 and incidence of caries and dietary factors 15 affect OHRQoL. Children are prone to a variety of oral disorders that could compromise functionality, well-being, and QoL.…”

Section: Introductionmentioning

confidence: 99%

“…Children's oral health is influenced by factors such as the children themselves, their family, and society . Family factors such as socio‐economic status and education level, oral health behaviours and beliefs, dental anxiety, and incidence of caries and dietary factors affect OHRQoL.…”

Section: Introductionmentioning

confidence: 99%

Conceptual modelling of the factors affecting oral health‐related quality of life in children: A path analysis

Buldur

Güvendi

2019

Int J Paed Dentistry

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Background It is important to understand the interaction of various predictors with oral health‐related quality of life (OHRQoL) to better design effective interventions to improve OHRQoL. Aim The aim of this study was to develop and validate a conceptual model evaluating the factors affecting the OHRQoL in children. Design The study group consisted of 754 parent‐child dyads. The data collection tools were a socio‐demographic data form, the Early Childhood Oral Health Impact Scale (ECOHIS), Corah Dental Anxiety Scale (C‐DAS), Children's Fear Survey Schedule‐Dental Subscale (CFSS‐DS), and an oral and dental health examination form. A conceptual model was developed to examine the factors affecting OHRQoL in children consisting of four endogenous and four exogenous variables. Path analysis was used to test the compatibility of the conceptual model. Results OHRQoL was associated with parental socio‐economic status (β = −0.12; P < .001), dental anxiety (β = −0.15; P < .001), and oral health behaviours (β = −0.13; P < .001). Although parental dental anxiety had the strongest direct effect on OHRQoL, children's oral health behaviours had the strongest indirect effect. Conclusions This study revealed a valid demonstrable path of association between parental socio‐economic status, dental anxiety, childhood dental anxiety, oral health behaviours, and OHRQoL.

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Development of the Turkish version of the Index of Dental Anxiety and Fear (IDAF-4C+): Dental anxiety and concomitant factors in pediatric dental patients

Abstract: This study suggests that the Turkish version of the IDAF-4C is a valid and reliable instrument for assessing dental anxiety and fear in Turkish children.

Cited by 31 publications

References 5 publications

The Reliability and Validity of the Japanese Version of the Modified Dental Anxiety Scale among Dental Outpatients

The Reliability and Validity of the Japanese Version of the Modified Dental Anxiety Scale among Dental Outpatients

Impact of maternal and child dental anxiety on oral health-related quality of life of 5–6-year-old preschool children

Conceptual modelling of the factors affecting oral health‐related quality of life in children: A path analysis

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