Characterization of anxiety to stomatological treatment in adult patients from Havana
Keywords:
anxiety, adult, therapy.Abstract
Introduction: Anxiety to dental treatment is a psychological event present in patients from different continents and cultures.
Objective: To describe epidemiological characteristics of anxiety to dental treatment in a Cuban population.
Method: A descriptive, cross-sectional study was conducted in 240 adult patients from Havana. As measurement instruments, a Cuban version of the anxiety scale to stomatological treatment and a questionnaire referring to sociodemographic and etiological data were used. The instruments were applied in the waiting room of the selected care units. The Ji-square test was used to establish associations between variables and the contingency coefficient to express the intensity of the relationship.
Results: A prevalence of 88.7% and a predominance of moderate and severe anxiety of 34.6% and 30.4%, respectively, were obtained. The age group from 20 to 34 years prevailed in the category of severe anxiety and women in moderate. Patients who live without a partner, with secondary and pre-university educational levels, showed moderate and severe anxiety. The etiological factors type of treatment and inadequate medical-patient relationship were mostly grouped in the category of moderate anxiety.
Conclusions: Anxiety to dental treatment has high prevalence in the Cuban population. Epidemiologically, it was characterized by moderate and severe levels, in the female sex, workers and in the middle school level. All the etiological factors were related to the development of anxiety to dental treatment.
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References
Al-Namankany A, de Souza M, Ashley P. Evidence-based dentistry: analysis of dental anxiety scales for children. Br Dent J.2012; 212(5):219-22.
Ríos Erazo M, Herrera Ronda A, Rojas Alcayaga G. Ansiedad dental: Evaluación y tratamiento. Av. Odontoestomatol.2014; 30(1):39-46.
Ascensão Klatchoian D. A Relação dentista-paciente. En: Ascensão Klatchoian D. Psicologia odontopediátrica. 2da Ed. Livraria Santos Editora Comp. Imp. LTDA, 2012:13-7.
Carter AE, Carter G, Boschen M, AlShwaimi E, George R. Pathways of fear and anxiety in dentistry: A review. World J Clin Cases. 2014; 2(11):642-53.
Schneider A, Andrade J, Tanja Dijkstra K, Moles D R. Mental imagery in dentistry: Phenomenology and role in dental anxiety. Journal of anxiety disorders. 2018 [acceso 08/03/2020];58:33-41. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0887618518300434
White AM, Giblin L, Boyd L.The Prevalence of Dental Anxiety in Dental Practice Settings.Journal of Dental Hygiene. 2017 [acceso 13/01/2013];91(1):30-4. Disponible en: https://search.proquest.com/openview/08bf1980ff31c344470f93de6f6d7a13/1?pq-origsite=gscholar&cbl=105356
Ibrahim H, Lyons KM, Armfield JM, Thomson W M. Performance of the Index of Dental Anxiety and Fear in a population‐based sample of adults. Australian dental journal. 2017 [acceso 13/01/2019];62(4):478-84. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1111/adj.12541
Chaudhary D, Saxena S, Mahanta D, Yadav P, Patel SH, Agarwal S, Arora KS. The prevalence of anxiety and fear in dental patients: A short study. Indian J Dent Sci. 2020;12:92-4.
Saeed NA, Hussein HM, Mahmood AA. Prevalence of dental anxiety in relation to socio-demographic factors using two psychometric scales in Baghdad. Education. 2017 [acceso 17/11/2020];14(1):38-50. Disponible en: https://www.iasj.net/iasj
González Llaneza FM. Instrumentos de evaluación psicológica. La Habana: Editorial Ciencias Médicas; 2007.
Anuario Estadístico. Oficina Nacional de Estadística e Información. La Habana, Cuba. 2018. Disponible en: http://www.one.cu/publicaciones/provincias_masinf/la%20habana.htm
Asociación Médica Mundial. Declaración de Helsinki de la AMM– Principios éticos para las investigaciones médicas en seres humanos. Ferney-Voltaire, Francia: AMM; 2020. [acceso 22/11/2021]. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
Sinha E, Rekha R, Nagashree SR. Anxiety of dental treatment among patients visiting primary health centers. Journal of Indian Association of Public Health Dentistry. 2019;17(3):235-45.
Barauskas I, Barauskienė K, Janužis G. Dental anxiety and self-perceived stress in Lithuanian University of Health sciences hospital patients. A cross-sectional study. 2019. Stomatologija. 2019;21(2):42-6.
Alvarado A. Ansiedad al tratamiento dental en personas de 45 a 65 años en la parroquia Sayausi del Cantón Cuenca 2018. Revista OACTIVA UC Cuenca. 2020; 5(1):1-4.
Achotegui J. Diez diferencias en los valores culturales desde la perspectiva de la salud mental y la psicopatología. Implicaciones y repercusiones terapéuticas. Temas de Psicoanálisis. 2015;10. Disponible en: https://www.temasdepsicoanalisis.org/wp-content/uploads/2015/07/JOSEBA-ACHOTEGUI.-Diez-diferencias-en-los-valores-culturales-desde-la-perspectiva-de-la-Salud-Mental.-Plantilla-2.pdf
Kheir OO, Ziada HM, Abubakr NH, Abdel Rahman ME, Fadl SM, Ibrahim YE. Patient-dentist relationship and dental anxiety among young Sudanese adult patients. Int Dent J. 2019;69(1):35-43.
Cui QY, Chen SY, Fu S, Zhang CB, Li M. Survey and analysis of tooth extraction anxiety of dental patients. Hua Xi Kou Qiang Yi Xue Za Zhi. 2018;36(3):314-18.
Deogade SC, Suresan V. Psychometric assessment of anxiety with the Modified Dental Anxiety Scale among central Indian adults seeking oral health care to a dental school. Ind Psychiatry J. 2016;25(2):202-09.
Maulina T, Nadiyah RidhoS, AsnelyPutri F. Validation of Modified Dental Anxiety Scale for Dental Extraction Procedure (MDAS-DEP). 2020. The Open Dentistry Journal;13(1):358-63.
Locker D, Liddell A, Dempster L, Shapiro D. Age of onset of dental anxiety. J Dent Res. 1999;78(3):790-6.
Fayad MI, Elbieh A, Baig MN, Alruwaili SA. Prevalence of Dental Anxiety among Dental Patients in Saudi Arabia. Journal of International Society of Preventive & Community Dentistry [Internet]. 2017 [acceso 11/11/2020];7(2):100-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5390573/
Caltabiano ML, Croker F, Page L, Sklavos A, Spiteri J, Hanrahan L, et al. Dental anxiety in patients attending a student dental clinic. BMC Oral Health. 2018 [acceso 09/11/2020];18(1). Disponible en: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-018-0507-5
Raftu G,Caraiane A, Sin EC,Bustiuc SG.Evaluation of the Degree of Dental Anxiety in a Lot of Patients Altered in Young Adults. Rev. Chim. 2019;70(2):689-92.
Canseco Prado G, Jarillo Soto EC. Acceso y práctica odontológica en ámbito de atención privada. Representaciones sociales y salud bucal. Revista odontológica mexicana. 2018;22(3):128-136.
Alyami Y, AlzahraniK,Masmali A, Abulaban A, Abdullah Qahwaji J, Faqehi WH, et al .Dental anxiety & phobia: prevalence and most frequent causes among dentists and public in Saudi Arabia. International Journal of Medicine in Developing Countries. 2020;4(2):325-30.
Scandurra C, Gasparro R, Dolce P, Bochicchio V,Muzii B, Spagnuolo G, et al. The Italian Validation of the Level of Exposure-Dental Experiences Questionnaire. Applied Sciences. 2020;10(3):1143-53.
Oosterink FM, de Jongh A, Aartman IH. What are people afraid of during dental treatment. Anxiety-provoking capacity of 67 stimuli characteristic of the dental setting? Eur J Oral Sci. 2008;116(1):44-51.
Piano RP, Vieira WA, Sousa Silva J, Paranhos LR, Rigo L. Evaluation of anxiety levels and their characteristics in dental care: Cross-sectional study. Indian J Dent Res. 2019;30(2):300-04.
Khawja SG, Arora R, Shah AH, Wyne AH, Sharma A. Maternal dental anxiety and its Effect on Caries Experience among Children in Udaipur, India. J Clin Diagn Res. 2015;9(6):42-5.
Ricciardi A, Ricciardi N, Capraro M, Capraro M, Sparacino S, Mattano C, et al. La coacción odontólogo-paciente y su reacción psicológica ante la atención odontológica. Revista de la Facultad de Odontología. 2018 [acceso 08/07/2020]; 2018. Disponible en: http://sedici.unlp.edu.ar/bitstream/handle/10915/78443/Documento_completo.pdf-PDFA.pdf?sequence=1&isAllowed=y
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