Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-15T09:34:40.239Z Has data issue: false hasContentIssue false
  • English
  • Français

From trauma to pain - a pathway to dental anxiety

Published online by Cambridge University Press:  13 August 2021

A.T. Pereira ,
C. Cabaços ,
A. Araujo ,
M.J. Soares  and
A. Macedo
A.T. Pereira*
Affiliation:
Institute Of Psychological Medicine, Faculty Of Medicine, University of Coimbra, coimbra, Portugal
C. Cabaços
Affiliation:
Institute Of Psychological Medicine, Faculty Of Medicine, University of Coimbra, coimbra, Portugal Psychiatry Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
A. Araujo
Affiliation:
Institute Of Psychological Medicine, Faculty Of Medicine, University of Coimbra, coimbra, Portugal Psychiatry Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
M.J. Soares
Affiliation:
Institute Of Psychological Medicine, Faculty Of Medicine, University of Coimbra, coimbra, Portugal
A. Macedo
Affiliation:
Institute Of Psychological Medicine, Faculty Of Medicine, University of Coimbra, coimbra, Portugal
*
*Corresponding author.

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction

The main risk factor for dental anxiety is previous traumatic experiences of pain in the dental office. Other consistent etiologic factors are trait-anxiety and preparedness (genetic predisposition to increased sensitivity to pain and aversive stimuli). However, there is a wide inter-individual diversity in the anxiety experience – not all individuals with traumatic experiences at the dentist will develop dental anxiety anxiety

Objectives

To explore potential paths by which a traumatic experience at the dentist (TRAUMA) can lead to dental anxiety.

Methods

A community sample of 552 adults (68.2% women; mean age= 35.15±15.790) completed the Portuguese validated versions of: Dental Fear Survey/DFS, State-Trait Anxiety Inventory, Sensitivity to Pain Traumatization/SPT Scale, Fear of Dental Pain/FDP Questionnaire and Perseverative Thinking Questionnaire–15.

Results

140 participants (25.2%) had TRAUMA; it was significantly (p<.01) correlated with trait-anxiety (Spearman r=.190), SPT (r=.192), FDP (r=.333), RNT (r=.274) and dental anxiety (DFA total score; r=.418). In the mediation analysis (PROCESS macro 3.5 for SPSS; Model 81; Hays, 2020), trait-anxiety and gender were controlled (as RNT, SPT, FDP mean scores were higher in women, p>.01). Our model was significant (R2=17.15%; p<.001) and showed that TRAUMA predicted dental anxiety directely [direct effect: 10.25 (95% CI - 7.10-13.40)] and also through SPT, FDP and RNT (5 significant indirect effects).

Conclusions

This study underlines the importance of avoiding traumatic experiences in the dental office and of good clinical communication in pain management. If trauma still occurs, dentist should learn how to reduce its impact on the sensitivity and fear of pain and on the RNT.

Keywords

Dental Anxietytrauma
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S186
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
Submit a response

Comments

No Comments have been published for this article.