Do state-trait anxiety and previous unpleasant dental experiences predict the need for sedation in women having third molar surgery?

Sirin, Yigit; Yildirimturk, Senem; Ay, Nida

doi:10.1016/j.bjoms.2020.02.004

Cited by 8 publications

(6 citation statements)

References 23 publications

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“…Five studies found that DFA was the first or second most commonly reported reason for the use of pharmacological methods to treat children [ 11 , 196 , 197 , 198 , 199 ]; six additional studies reported that increased dental fear in children was significantly associated with a history of treatment under general anesthesia and/or sedation [ 3 , 110 , 111 , 200 , 201 , 202 ]. In adults, DFA was the second most common reason for referral for treatment under general anesthesia [ 11 ], increased DFA was significantly associated with an increased likelihood of referral for sedation [ 8 , 203 , 204 , 205 ], and 85% of adults with high DFA reported that they were possibly or definitely interested in receiving future treatment with sedation or GA [ 161 ]. DFA was reported to be the most common reason for treatment under general anesthesia throughout the lifespan (3–66 years), irrespective of gender, except for males aged 12–17 years [ 199 ].…”

Section: Resultsmentioning

confidence: 99%

The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model

Duker

Grager²,

Giffin

et al. 2022

IJERPH

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Dental fear and anxiety (DFA) is common across the lifespan and represents a barrier to proper oral health behaviors and outcomes. The aim of this study is to present a conceptual model of the relationships between DFA, general anxiety/fear, sensory over-responsivity (SOR), and/or oral health behaviors and outcomes. Two rounds of literature searches were performed using the PubMed database. Included articles examined DFA, general anxiety/fear, SOR, catastrophizing, and/or oral health behaviors and outcomes in typically developing populations across the lifespan. The relationships between the constructs were recorded and organized into a conceptual model. A total of 188 articles were included. The results provided supporting evidence for relationships between DFA and all other constructs included in the model (general anxiety/fear, SOR, poor oral health, irregular dental attendance, dental behavior management problems [DBMP], and need for treatment with pharmacological methods). Additionally, SOR was associated with general anxiety/fear and DBMP; general anxiety/fear was linked to poor oral health, irregular attendance, and DBMP. This model provides a comprehensive view of the relationships between person factors (e.g., general anxiety/fear, SOR, and DFA) and oral health behaviors and outcomes. This is valuable in order to highlight connections between constructs that may be targeted in the development of new interventions to improve oral health behaviors and outcomes as well as the experience of DFA.

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Section: Resultsmentioning

confidence: 99%

The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model

Duker

Grager²,

Giffin

et al. 2022

IJERPH

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“…Both the state and trait scales consist of 20 items, including directly and inversely worded questions and punctuation. Scores range from 20 to 80, with higher scores indicating higher levels of anxiety [28,29]. The final STAI scores were obtained using an online calculator (https:// www.…”

Section: State-trait Anxiety Inventory (Stai)mentioning

confidence: 99%

Association of depression symptoms and sleep quality with state-trait anxiety in medical university students in Anhui Province, China: a mediation analysis

Chen

Tuersun

et al. 2022

BMC Med Educ

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Background The prevalence of depression symptoms among medical students is particularly high, and it has increased during the COVID-19 epidemic. Sleep quality and state-trait anxiety are risk factors for depression, but no study has yet investigated the mediating role of state-trait anxiety in the relationship between poor sleep quality and depression symptoms in medical students. This study aims to investigate the relationship among depression symptoms, sleep quality and state-trait anxiety in medical university students in Anhui Province. Methods This was a cross-sectional survey of 1227 students’ online questionnaires collected from four medical universities in Anhui Province using a convenience sampling method. We measured respondents’ sleep quality, state-trait anxiety, and depression symptoms using three scales: the Pittsburgh Sleep Quality Index (PSQI), the State-Trait Anxiety Inventory (STAI) and the Self-rating Depression Scale (SDS). We analysed the mediating role of STAI scores on the association between PSQI scores and SDS scores through the Sobel-Goodman Mediation Test while controlling for covariates. P < 0.05 was considered statistically significant. Results A total of 74.33% (912) and 41.40% (518) of the respondents reported suffering from poor sleep quality and depression symptoms. Sleep quality, state-trait anxiety, and depression symptoms were positively associated with each other (β = 0.381 ~ 0.775, P < 0.001). State-trait anxiety partially mediated the association between sleep quality and depression symptoms (Sobel test Z = 15.090, P < 0.001), and this mediating variable accounted for 83.79% of the association when adjusting for potential confounders. Subgroup analysis further revealed that STAI scores partially mediated the association between PSQI scores and SDS scores in females and rural students and fully mediated the association between PSQI scores and SDS scores in males and urban students. Conclusions This study found that sleep quality and state-trait anxiety have a significant predictive effect on depression symptoms. State-trait anxiety mediated the relationship between sleep quality and depression symptoms, with a more complex mechanism observed among rural and female medical students. Multiple pathways of intervention should be adopted, such as encouraging students to self-adjust, providing professional psychological intervention and timely monitoring, enriching extracurricular activities, and making changes in policies regarding long shifts and working hours.

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“…implant yerleşimi öncesi, sırası ve sonrasında dental ve durumluk kaygı düzeyinin ağrı yanıtı üzerine etkisini değerlendirdikleri çalışmada kaygı seviyesinin kadınlarda erkeklere göre daha fazla olduğunu ve durumluk kaygı düzeyinin ağrı yanıtı ile ilişkili olduğunu bildirmişlerdir (23). Diş hekimliğine ilişkin travmatik deneyim varlığının sağlıklı kadınlarda üçüncü molar diş çekimi öncesi artmış durumluk kaygı seviyesi ve sedasyon gereksimi ile ilişkili olabileceği sonucu bildirilmiştir (24). Ağız, diş ve çene cerrahisi kliniğine başvuran hastalarda dental kaygının MDAS ile değerlendirildiği bir çalışmada yüksek dental kaygı oranı %14.1 olarak saptanmış olup dental kaygı, cinsiyet, daha önce geçirilmiş travmatik deneyim varlığı ve diş hekimine gitme sıklığı ile ilişkili bulunmuştur (25).…”

Section: Gereç Ve Yöntemunclassified

Diş çekimi öncesi durumluk, sürekli ve dental kaygı düzeylerinin değerlendirilmesi

Ergüven

Kılınç

Şenel

et al. 2021

Ankara Eğitim Ve Araştırma Hastanesi Tıp Dergisi

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Bu çalışmanın amacı; ağız, diş ve çene cerrahisi kliniğine diş çekimi amacıyla başvuran hastaların durumluk, sürekli ve dental kaygı düzeylerini belirlemek ve kaygının ilişkili olabileceği düşünülen faktörlerle olan bağlantısını değerlendirmektir. GEREÇ VEYÖNTEM: 75. Yıl Ağız ve Diş Sağlığı Hastanesi Cerrahi Müdahale Kliniği'ne Nisan 2016-Nisan 2017 tarihleri arasında başvuran hastalara (n=77) durumluk, sürekli ve dental kaygı düzeyinin değerlendirilmesi amacıyla Durumluk Sürekli Anksiyete Ölçeği, Modifiye Dental Anksiyete Skalası ve kaygının bağlantılı olabileceği düşünülen faktörlere ilişkin soruları içeren anketler uygulandı. Modifiye Dental Anksiyete Skalası skor değeri ≥ 19 olan katılımcılar yüksek dental kaygı düzeyine sahip olarak değerlendirildi. Katılımcıların demografik özelliklerini de içeren veriler istatistik programına aktarılarak tanımlayıcı veriler ile sonuçlar değerlendirildi. İstatistiksel analizlerde Kruskal Wallis, Mann Whitney U ve Ki-kare testleri kullanıldı. Tüm analizlerde p<0.05 düzeyi istatistiksel olarak anlamlı kabul edildi.BULGULAR: Çalışmaya katılan hastaların %7.8'inde yüksek dental kaygı saptanmıştır. Orta ve yüksek düzeyde durumluk ve sürekli kaygı saptanan hastaların oranları ise sırasıyla %45.5 ve %37.7 olarak belirlenmiştir. Çalışmaya katılan hastaların önemli bir kısmında (%54.5) diş çekimi öncesi ilgili dişte ağrı varlığı bildirilmiştir. Cinsiyetler açısından karşılaştırma yapıldığında durumluk ve sürekli kaygı dağılımları (düşük, orta ve yüksek) açısından anlamlı farklılıklar elde edilmiştir. SONUÇ: Bu çalışmanın sonuçları diş çekim işlemi öncesi kaygının diş hekimliği alanındaki gelişmelere rağmen varlığını sürdürdüğünü göstermektedir. Ağız cerrahisi uygulamalarında anksiyete tanımlayıcı/ giderici yöntemlerin uygulanması hasta konforunun artırılması ve cerrahi koşulların iyi hale getirilmesi açısından önem taşımaktadır.

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Do state-trait anxiety and previous unpleasant dental experiences predict the need for sedation in women having third molar surgery?

Cited by 8 publications

References 23 publications

The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model

The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model

Association of depression symptoms and sleep quality with state-trait anxiety in medical university students in Anhui Province, China: a mediation analysis

Diş çekimi öncesi durumluk, sürekli ve dental kaygı düzeylerinin değerlendirilmesi

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