The moderating role of dental expectancies on the relationship between cognitive vulnerability and dental fear in children and adolescents

Carrillo-Díaz, María; Crego, Antonio; Armfield, Jason M.; Romero, María Falcón

doi:10.1111/cdoe.12009

Cited by 20 publications

(25 citation statements)

References 30 publications

(78 reference statements)

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“…This finding supports the need to develop psychological interventions aiming to reduce negative expectations before dental treatment and corroborates previous studies, indicating that the reduction of aversive dental expectations buffers the effect of cognitive vulnerability (i.e., dangerousness, unpredictability, and disgustingness) on dental fear in both adults and youth (for example, see: Carrillo-Díaz, Crego, Armfield, & Romero, 2013). This finding supports the need to develop psychological interventions aiming to reduce negative expectations before dental treatment and corroborates previous studies, indicating that the reduction of aversive dental expectations buffers the effect of cognitive vulnerability (i.e., dangerousness, unpredictability, and disgustingness) on dental fear in both adults and youth (for example, see: Carrillo-Díaz, Crego, Armfield, & Romero, 2013).…”

Section: Discussionsupporting

confidence: 90%

Distraction versus training attention away from threat: How to best wait for the dentist?

Horovitz

Roitburd

Abend

et al. 2016

Australian Journal of Psychology

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Objective: Attention Bias Modification Training (ABMT) is a promising novel treatment for anxiety disorders. However, no randomised controlled trial has examined ABMT effects on anxiety in a real-world fear-provoking context. The current study examined the immediate effects of ABMT in reducing state anxiety among healthy participants awaiting dental treatment. Method: Seventy-one healthy participants seeking treatment in a dental clinic were randomly assigned to either (1) Dental ABMT;(2) Attention Control Condition (ACC); or (3) Neutral Distraction. The study used a modified dot-probe task consisting of dental and neutral words. In the ABMT condition, participants were trained to shift attention away from the dental words, whereas in the ACC, the same stimuli were presented, but attention was not trained in any specific direction. The Neutral Distraction task consisted of a casual video game. State anxiety was measured before and after completing the tasks while in the dentist's waiting room and immediately following the dental treatment. Results: Results indicated a significant interaction between time and condition on anxiety levels. The Neutral Distraction group showed a significant reduction in anxiety levels from pre-to post-task (before dental treatment), but neither the ABMT nor the ACC group showed this trend. Following dental treatment, only the ACC group demonstrated a decrease in anxiety levels, while no change was reported by either the ABMT or the Neutral Distraction group. Conclusion: Findings from this exploratory study suggest that distraction tasks have a better immediate effect than ABMT in alleviating state anxiety in non-anxious individuals who are expecting a relatively unpleasant experience.

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Section: Discussionsupporting

confidence: 90%

Distraction versus training attention away from threat: How to best wait for the dentist?

Horovitz

Roitburd

Abend

et al. 2016

Australian Journal of Psychology

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“…Therefore, as stated by Carrillo-Díaz et al [2013], dental fear and oral health are connected, the prevention/reduction of dental fear being a worthwhile target for public health interventions.…”

Section: Discussionmentioning

confidence: 99%

Dental Caries Is Associated with Dental Fear in Childhood: Findings from a Birth Cohort Study

et al. 2014

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Objective: This study aimed to investigate the prevalence of dental fear in preschool children and to estimate its association with maternal and children characteristics. Methods: The study was nested in a population-based birth cohort from Pelotas, Brazil, started in 2004. A sample of 1,129 children aged 5 years was dentally examined, and their mothers were interviewed. Dental fear was investigated using a validated instrument through the question ‘Do you think that your child is afraid of going to the dentist?'. The possible answers were (1) ‘no', (2) ‘yes, a little', (3) ‘yes' and (4) ‘yes, a lot'. The outcome was dichotomized as ‘children without dental fear' (answers 1 and 2) and ‘children with dental fear' (answers 3 and 4). Exploratory variables included demographic characteristics, socioeconomic status, maternal oral health status and maternal behaviors. The main explanatory variables were caries and dental pain. Data were analyzed using multivariable Poisson regression. Results: The prevalence of dental fear was 16.8% (95% confidence interval 14.6-19.0). Multivariate analysis showed that the lower the family income at birth and the higher the severity of dental caries, the higher the prevalence of dental fear. Children who never visited the dentist and those who frequently experienced dental pain were positively associated with higher dental fear prevalence. Conclusions: Presence of dental caries and dental pain were associated with dental fear regardless of socioeconomic origin and lack of dental service use in childhood.

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“…Again, such data indicate that the ethnicity and place of birth may have an impact on the origin of dental fear and that treating the original cause of fear stimuli may aid in decreasing fear and anxiety. CarrilloDiaz et al (12) found that dental fear was associated with irregular patterns of dental visits and concluded that there was a relationship between conditioned vulnerability and dental fear.…”

mentioning

confidence: 99%

Ethnicity and Pathways of Fear in Endodontics

Carter

Boschen

et al. 2015

Journal of Endodontics

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The moderating role of dental expectancies on the relationship between cognitive vulnerability and dental fear in children and adolescents

Cited by 20 publications

References 30 publications

Distraction versus training attention away from threat: How to best wait for the dentist?

Distraction versus training attention away from threat: How to best wait for the dentist?

Dental Caries Is Associated with Dental Fear in Childhood: Findings from a Birth Cohort Study

Ethnicity and Pathways of Fear in Endodontics

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