Psychometric validation of Corah’s Dental Anxiety Scale in the Polish population

Pitułaj, Artur; Rajba, Beata; Andrzejewska, Beata E; Kiejna, Andrzej; Dominiak, Marzena

doi:10.17219/acem/111818

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Corah’s DAS is one of the most popular psychological scales used to diagnose DA. The DAS has been translated into multiple languages because of its reliability and cross-cultural validity [ 18 , 19 ]. Its advantages are its brevity, simplicity, being easy to complete, and its cost-effectiveness for research [ 15 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of dental anxiety and anesthesia on vital signs during tooth extraction

Zhang,

Li,

Zhang

2024

BMC Oral Health

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Background Anxiety is common preceding tooth extraction; hence, it is crucial to identify patients with dental anxiety (DA) and to manage DA. This study assessed the level of DA and influencing factors in tooth extraction patients in a dental hospital in China and changes in their blood pressure (BP) and heart rate (HR) during the tooth-extraction procedure. Methods The study was a cohort study. The Dental Anxiety Scale (DAS) was used to assess the level of DA of 120 patients before tooth extraction. A Demographics and Oral Health Self-Assessment Form was used to assess factors influencing DA. The correlations of DAS scores with HR and BP were measured. The effects of local anesthesia and general anesthesia on HR and BP were also compared using a Datex-Ohmeda anesthesia monitor to detect HR and BP continuously before and after anesthesia. Independent sample t-tests, OLS multiple regression model and one-way analysis of variance were applied to analysis the results. Results Based on the DAS score, 12.5% of the participants were identified as suffering from DA. DA was related to age, gender, and the self-assessment of oral health. The DAS score was correlated with increased BP (P < 0.05). BP showed an overall upward trend after local anesthesia, while it was generally stable after general anesthesia. The systolic BP at 4 and 5 min and the HR at 2 and 4 min increased remarkably (P < 0.05) after local anesthesia compared with those before anesthesia. The HR and BP of patients under local anesthesia were generally higher than those of patients under general anesthesia were during the operation. Conclusions The prevalence of DA in adults was 12.5% in this study population. DA was related to gender, age, and the self-assessment of oral health. The score of DAS was correlated with BP. Compare to local anesthesia, general anesthesia can make the vital signs of tooth extraction patients more stable.

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Section: Discussionmentioning

confidence: 99%

Effects of dental anxiety and anesthesia on vital signs during tooth extraction

Zhang,

Li,

Zhang

2024

BMC Oral Health

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“…Each of them is assigned a numerical value (1, 2, 3, 3, 4, or 5), which is then added at the end and provides an assessment of the dental anxiety level. A patient with less than 9 points would suffer from mild dental anxiety, between 9 and 12 points of moderate dental anxiety, between 13 and 14 points of high dental anxiety, and more than 15 points indicates severe dental anxiety [ 11 , 12 , 13 ].…”

Section: Methodsmentioning

confidence: 99%

Assessment of Clinical Parameters of Dental Anxiety during Noninvasive Treatments in Dentistry

Gil-Abando

Medina

Signorini

et al. 2022

IJERPH

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Dental anxiety is a matter of interest for the dentist since an anxious patient is a potential source of complications in the dental office. The main objectives of this study are to describe the correlation between dental anxiety levels and the values of physiological parameters related to dental anxiety and to study the evolution of blood pressure and heart rate over time during noninvasive dental treatments, i.e., not requiring local anesthesia. A descriptive, longitudinal, and prospective observational study was designed. The study population consisted of 200 patients who attended a university clinic for dental treatment without local anesthesia. The patients were asked to complete the Corah Dental Anxiety Scale. Afterward, blood pressure and heart rate were measured by means of a digital sphygmomanometer. Blood pressure and heart rate were taken throughout the procedure on four occasions. Most of the patients showed mild dental anxiety (5 [IQR: 3] points on Corah Dental Anxiety Scale). Significant but weak correlations were found between the level of dental anxiety and heart rate (Spearman rho: 0.166 and 0.176; p = 0.019 and 0.013; 3 min before and after treatment, respectively), as well as between the level of dental anxiety and the duration of treatment (Spearman rho: 0.191 3 min; p = 0.007). As for the evolution of physiological parameters, all patients showed a progressive decrease in values at different time points during treatment. When the types of treatment were evaluated separately, it was observed that there were statistically significant differences between them with respect to the level of dental anxiety (p = 0.006).

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“…Praktyka stomatologiczna opiera się głównie na zabiegach medycznych charakteryzujących się natychmiastowym efektem i oceną ze strony pacjenta i samego lekarza. Współcześnie prowadzone badania dotyczące źródeł stresu w stomatologii koncentrują się wokół zjawiska strachu przed leczeniem wśród pacjentów, tak zwaną dentofobią [14] oraz zespołu wypalenia zawodowego wśród studentów stomatologii [15,16] i lekarzy dentystów [17,18].…”

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