Extreme dental fear and avoidance are universal problems, with severe adverse effects on the patient's oral health. Although behavior modification techniques were shown to be effective in the treatment of this problem, their success is by no means absolute. In the present article, the SCL-90 questionnaire was used for development of possible predictive measures for success and failure of behavior modification as a treatment for dental fear. Patients who failed in treatment through behavior modification were found to score significantly higher on the global score of Positive Symptom Distress Index (p < 0.01) and on individual subscales of somatization (p < 0.02) and psychoticism (p < 0.05) than patients who were treated successfully. The predictive value of chosen SCL-90 scales was 71%. The results suggest that use of SCL-90 may be valuable for the prediction of success and failure of behavior modification as a treatment for dental fear and avoidance.
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References
1.
Ayer WA, Corah NL (1984). Behavioral factors influencing dental treatment . In: Cohen LK, Bryant PS, editors. Social sciences and dentistry: A critical bibliography. Vol. II. Kingston-upon Thames (England): Quintessence Publishing Co., for Federation Dentaire Internationale, 267-322.
2.
Bar-Gil B., Eli I., Kleinhauz M. (1983). A multidisciplinary approach to the treatment of dental phobia. JAm Soc Psychosom Dent Med30:137-141.
3.
Berggren U. (1986). Long-term effects of two different treatments for dental fear and avoidance. J Dent Res65:874-876.
4.
Berggren U., Carlsson SG (1986). Qualitative and quantitative effects of treatment for dental fear and avoidance. Anesth Prog33:9-13.
5.
Berggren U., Linde A. (1984). Dental fear and avoidance: A comparison of two modes of treatment. J Dent Res63:1223-1227.
6.
Berggren U., Meynert G. (1984). Dental fear and avoidance: Causes, symptoms, and consequences. J Am Dent Assoc109:247-251.
7.
Butterworth JC, Deardorff WW (1987). Psychometric profiles of craniomandibular pain patients: Identifying specific subgroups. J Craniomandib Pract5:226-232.
8.
Chellappah NK, Vignehsa H., Milgrom P., Lo GL (1990). Prevalence of dental anxiety and fear in children in Singapore. Community Dent Oral Epidemiol18:269-271.
9.
Corah NL (1969). Development of a dental anxiety scale. J Dent Res48:596.
10.
Corah NL (1988). Dental anxiety: Assessment, reduction and increasing patient satisfaction. Dent Clin North Am32:779-790.
11.
Deardorff WW, Butterworth JC (1987). Psychometric profiles of craniomandibular pain patients. Part II. A multidisciplinary case report. J Craniomandib Pract5:368-371.
Domoto PK, Weinstein P., Melnick S., Ohmura M., Uchida H., Ohmachi K. (1988). Results of a dental fear survey in Japan: Implications for dental public health in Asia. Community Dent Oral Epidemiol16:199-201.
14.
Emmelkamp PMG, Foa EB (1983). Failures are a challenge. In: Foa EB, Emmelkamp PMG , editors. Failures in behavior therapy. New York: Wiley & Sons, 1-9.
15.
Foa EB, Emmelkamp PMG , editors (1983). Failures in behavior therapy . New York: John Wiley & Sons .
16.
Gatchel RJ, Ingersoll BD, Bowman L., Robertson MC, Walker C. (1983). The prevalence of dental fear and avoidance: A recent survey study. JAm Dent Assoc107:609-610.
17.
Gerschman J., Burrows G., Reade P. (1979). Chronic oro-facial pain. In: Bonica JJ, editor. Pain research and therapy. Vol. 3. New York: Raven Press, 317-323.
18.
Gerschman JA, Wright JL, Hall WD, Reade PC, Burrows GD, Holwill BJ (1987a). Comparisons of psychological and social factors in patients with chronic oro-facial pain and dental phobic disorders. Aust Dent J32 :331-335.
19.
Gerschman JA, Hall WD, Reade PC, Burrows GD, Wright JL, Holwill BJ (1987b). The determinants of chronic oro-facial pain. Clin J Pain3 :45-53.
20.
Guy W. (1976). ECDEU assessment manual for psychopharmacology revised. Washington (DC): US Department of Health, Education, and Welfare Publication No. ADM:76-338.
21.
Hakeberg M., Berggren U., Carlsson SG (1990). A 10-year follow-up of patients treated for dental fear. Scand J Dent Res98:53-59.
22.
Hammaren M., Hugoson A. (1989). Clinical psychiatric assessment of patients with burning mouth syndrome resisting oral treatment. Swed Dent J13:77-88.
23.
Harrison JA, Carlsson SG, Berggren U. (1985). Research in clinical process and outcome methodology: Psychophysiology, systematic desensitization and dental fear. J Behav Ther Exp Psychiatry16:201-209.
24.
Kleinhauz M., Eli I., Rubinstein Z. (1985). Treatment of dental and dental-related behavioral dysfunctions in a consultative outpatient clinic: A preliminary report. Am J Clin Hypn28:4-9.
25.
Klepac RK (1975). Successful treatment of avoidance of dentistry by desensitization or by increasing pain tolerance. J Behav Ther Exp Psychiatry6:307-310.
Lindsay SJE, Humphris G., Barnby GJ (1987). Expectations and preferences for routine dentistry in anxious adult patients. Br Dent J163:120-124.
28.
Locker D., Liddell AM (1991). Correlates of dental anxiety among older adults . J Dent Res70:198-203.
29.
Milgrom P., Fiset L., Melnick S., Weinstein P. (1988). The prevalence and practice management consequences of dental fear in a major US city. J Am Dent Assoc116:641-647.
30.
Milgrom P., Weinstein P., Kleinknecht R., Getz T. ( 1985). Treating fearful dental patients. Reston (VA): Reston Publishing Co., Inc.
31.
Seeman K., Molin C. (1976). Psychopathology, feelings of confinement and helplessness in the dental chair, and relationship to the dentist in patients with disproportionate dental anxiety (DDA). Acta Psychiatr Scand54:81-91.
32.
Smith T., Getz T., Milgrom P., Weinstein P. (1987). Evaluation of treatment at a dental fears research clinic. Spec Care Dent7(3):130-134.
33.
Smith TA, Kroeger RF, Lyon HE, Mullins MR (1990). Evaluating a behavioral method to manage dental fear: A 2-year study of dental practices. J Am Dent Assoc121:525-530.
34.
Wolpe J. (1958). Psychotherapy by reciprocal inhibition. Stanford (CA): Stanford University Press .
35.
Wolpe J. (1982). The practice of behavior therapy. 3rd ed. New York: Pergamon Press.
