Psychosocial characteristics of adults who experience difficulties with retching

Hainsworth, Jenny; Hill, Kirsty; Rice, Assoc Prof Simon; Fairbrother, Karrie

doi:10.1016/j.jdent.2008.03.011

Cited by 20 publications

(19 citation statements)

References 10 publications

(12 reference statements)

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“…In contrast, in their assessment of 48 patients (27 males) at a UK dental anxiety management clinic, Hainsworth et al . found that gag reflex problems were more common in males. A study of 121 patients (61 males) at the Relaxation Dental Output Clinic in Tokyo concluded that gag reflex was more severe in males than in females .…”

Section: Discussionmentioning

confidence: 93%

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Influence of gag reflex on dental attendance, dental anxiety, self‐reported temporomandibular disorders and prosthetic restorations

Akarslan

Biçer

2013

J of Oral Rehabilitation

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To assess the influence of gag reflex severity, assessed according to the short form of the patient part of Gagging Problem Assessment Questionnaire (GPA-pa SF), on the dental attendance, dental anxiety, self-reported temporomandibular disorder (TMD) symptoms and presence of prosthetic restorations among patients requiring prosthodontic treatment in Turkey. A total of 505 patients (305 women; mean age: 46·35 years, SD: 28·2 years) undergoing dental examination were administered a questionnaire containing questions regarding their age, gender, education level, dental attendance, TMD symptoms (limitation in jaw opening, muscle pain, pain/sounds in the temporomandibular jaw), the Turkish version of the Modified Dental Anxiety Scale (MDAS) and the GPA-pa SF. Subsequently, any prosthetic restoration was recorded by a dentist. Descriptive statistics, one-way analysis of variance (anova) and the chi-square test were used for statistical analysis. Differences were found between GPA-pa SF scores 0, 1 and 2 for education level (P = 0·001), MDAS scores (P = 0·003), self-reported TMD (P = 0·000) and prosthesis wear (P = 0·000), but not for attendance patterns (P = 0·826). Patients with gag reflex had lower education levels, higher levels of dental anxiety, more self-reported TMD symptoms and fewer fixed or removable prosthetic restorations than patients without gag reflex. Gag reflex has impacts on dental anxiety, self-reported TMD and prosthetic restorations, but not on dental attendance patterns, according to the results of the GPA-pa SF.

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Section: Discussionmentioning

confidence: 93%

“…Hainsworth et al . showed that patients in the United Kingdom felt embarrassment in dental clinics due to gag reflex, which they suggested as a possible reason for avoidance. Our divergent finding could be related to several factors.…”

Section: Discussionmentioning

confidence: 99%

Influence of gag reflex on dental attendance, dental anxiety, self‐reported temporomandibular disorders and prosthetic restorations

Akarslan

Biçer

2013

J of Oral Rehabilitation

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“…2,23 Another possibility is that individuals with a gag reflex felt that their oral condition had an impact on overall QoL. 24 This observation could justify the higher CPQ scores for the Habit group, which presented this sensory function on the NOT-S evaluation. Moreover, girls reported a higher impact on OHRQoL than boys, 15,25 and the Habit group was 62.8% girls.…”

Section: Discussionmentioning

confidence: 99%

Relationship among oral habits, orofacial function and oral health-related quality of life in children

2013

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Abstract:The objective was to evaluate the relationship among oral habits, oral function and oral health-related quality of life (OHRQoL) in children. Three hundred and twenty-eight subjects (8-14 years old) were assessed for orofacial function using the Brazilian version of the Nordic Orofacial Test-Screening (NOT-S). OHRQoL was assessed using the Child Perceptions Questionnaires (Brazilian versions) for the 8-10 (CPQ 8-10 ) and 11-14 (CPQ 11-14 ) year age groups. The subjects were distributed into a Habit group and a Habit-free group according to domain III (Habits) of the NOT-S. Oral habits were present in 71.3% of the sample (p = .0001), with a higher prevalence in females (62.8%, p = .001). The NOT-S, CPQ 8-10 and CPQ 11-14 scores were higher in the Habit group (P = .0001, P = .009 and p = .001, respectively). Domain I (Sensory Function) was significantly more affected in Habit group subjects (p = .001). The NOT-S scores were positively correlated with the CPQ 8-10 and CPQ 11-14 scores only in the Habit group (r = .32, p = .0003 and r = .30, p = .001, respectively). These results indicate that oral habits can impact OHRQoL. Moreover, orofacial dysfunctions were associated with worse OHRQoL in subjects with oral habits.

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“…Additionally, gagging can develop to the point of making proper treatment nearly impossible. The anxiety that develops from gagging sensitivity often becomes a negative feedback loop -as a result of gagging, patients may avoid going to the dentist, creating greater dental problems, and thus potentially more gagging opportunities when a dental visit becomes necessary [7]. As a result of the varying intensities of patient's gag reflexes, Fiske and Dickinson [8] developed a Gagging Severity Index (GSI) that ranks a patient's gag sensitivity on a scale from 1 (least severe) to 5 (most severe).…”

Section: Introductionmentioning

confidence: 99%

A Reliable and Valid Survey to Predict a Patient’s Gagging Intensity

Hearing¹,

Bind²,

Tabacco³

et al. 2014

JOMR

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Objectives: The aim of this study was to devise a reliable and valid survey to predict the intensity of someone's gag reflex. Material and Methods: A 10-question Predictive Gagging Survey was created, refined, and tested on 59 undergraduate participants. The questions focused on risk factors and experiences that would indicate the presence and strength of someone's gag reflex. Reliability was assessed by administering the survey to a group of 17 participants twice, with 3 weeks separating the two administrations. Finally, the survey was given to 25 dental patients. In these cases, patients completed an informed consent form, filled out the survey, and then had a maxillary impression taken while their gagging response was quantified from 1 to 5 on the Fiske and Dickinson Gagging Intensity Index. Results: There was a moderate positive correlation between the Predictive Gagging Survey and Fiske and Dickinson's Gagging Severity Index, r = +0.64, demonstrating the survey's validity. Furthermore, the test-retest reliability was r = +0.96, demonstrating the survey's reliability. Conclusions: The Predictive Gagging Survey is a 10-question survey about gag-related experiences and behaviours. We established that it is a reliable and valid method to assess the strength of someone's gag reflex.

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Psychosocial characteristics of adults who experience difficulties with retching

Cited by 20 publications

References 10 publications

Influence of gag reflex on dental attendance, dental anxiety, self‐reported temporomandibular disorders and prosthetic restorations

Influence of gag reflex on dental attendance, dental anxiety, self‐reported temporomandibular disorders and prosthetic restorations

Relationship among oral habits, orofacial function and oral health-related quality of life in children

A Reliable and Valid Survey to Predict a Patient’s Gagging Intensity

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