Dental phobia is a widespread problem, which can have significant impact on the individual’s health and daily life. This grounded theory study aims to explore the situation of dental phobic patients: how dental phobia interferes with their normal routines and functioning, social activities and relationships, what factors contribute to the maintenance of dental fear and how they cope with their fear. In the qualitative analysis of thematized in-depth interviews four main categories were developed: threat to self-respect and well-being, avoidance, readiness to act and ambivalence in coping. The results show that several psychological and social factors interact in determining how dental phobic individuals cope with their fear, and demonstrate in what way dental fear affects their daily lives.
Abrahamsson, K. H. , Berggren, U., & Carlsson, S. G. (2000). Psychosocial aspects of dental and general fears in dental phobic patients. Acta Odontologica Scandinavica, 58, 37-43.
2.
Abrahamsson, K. H. , Berggren, U., Hakeberg, M., &Carlsson, S. G. (2001). Phobic avoidance and regular dental care in fearful dental patients: A comparative study. Acta Odontologica Scandinavica, 59, 273-279.
3.
Abrahamsson, K. H. , Berggren, U., Hallberg, L. R. M., & Carlsson, S. G. (2002). Dental phobic patients’ view of dental anxiety and experiences in dental care: A qualitative study. Scandinavian Journal of Caring Sciences, 16, 188-196.
4.
Agras, S. , Sylvester, D., & Oliveau, D. (1969). The epidemiology of common fears and phobia. Comprehensive Psychiatry, 10, 151-156.
5.
Annells, M. (1997). Grounded theory method, part I: Within the five moments of qualitative research. Nursing Inquiry, 4, 120-129.
6.
Berggren, U. (1984). Dental fear and avoidance. A study of etiology, consequences and treatment. Sweden: Göteborg University.
7.
Berggren, U. (1993). Psychosocial effects associated with dental fear in adult dental patients with avoidance behaviours. Psychology and Health, 8, 185-196.
8.
Berggren, U. , & Meynert, G. (1984). Dental fear and avoidance: Causes, symptoms, and consequences. Journal of American Dental Association, 109, 247-251.
9.
Charmaz, K. (1995). Grounded theory. In J. A. Smith, R. Harrè, & L. Van Langenhove (Eds.), Rethinking methods in psychology (pp. 27-49). London: Sage Publications.
10.
Cohen, S. M. , Fiske, J., & Newton, J. T. (2000). The impact of dental anxiety on daily living. British Dental Journal, 189, 385-390.
11.
Corah, N. (1969). Development of a dental anxiety scale. Journal of Dental Research, 48, 596.
12.
Corah, N. , Gale, E., & Illig, S. (1978). Assessment of a dental anxiety scale. Journal of the American Dental Association, 97, 816-819.
13.
DSM-IV. (1994). Diagnostic and statistical manual of mental disorders, 4th edn.Washington, DC: American Psychiatric Association.
14.
Fiset, L. , Milgrom, P., Weinstein, P., & Melnick, S. (1989). Common fears and their relationship to dental fear and utilization of the dentist. Anesthesia Progress, 36, 258-264.
15.
Fredrikson, M. , Annas, P., Fischer, H., & Wik, G. (1996). Gender and age differences in the prevalence of specific fears and phobias. Behaviour Research and Therapy, 34, 33-39.
16.
Glaser, B. G. , & Strauss, A. (1967). The discovery of grounded theory. Strategies for qualitative research. Chicago, IL: Aldine Publishing.
17.
Hakeberg, M. , Berggren, U., & Carlsson, S. G. (1992). Prevalence of dental anxiety in an adult population in a major urban area in Sweden. Community Dentistry and Oral Epidemiology, 20, 97-101.
18.
Hakeberg, M. , Berggren, U., & Gröndahl, H. G. (1993). A radiographic study of dental health in adult patients with dental anxiety. Community Dentistry and Oral Epidemiology, 21, 27-30.
19.
Hällström, T. , & Halling, A. (1984). Prevalence of dentistry phobia and its relation to missing teeth, alveolar bone loss and dental care habits in an urban community sample. Acta Psychiatrica Scandinavica, 70, 438-446.
20.
Lazarus, R. S. (2000). Toward better research on stress and coping. American Psychologist, 55, 665-673.
21.
Milgrom, P. , Weinstein, P., & Getz, T. (1995). Treating fearful dental patients: A patient management handbook, 2nd edn.Seattle, WA: Continuing Dental Education, University of Washington.
22.
Moore, R. , Birn, H., Kirkegaard, E., Brodsgaard, I., &Scheutz, F. (1993). Prevalence and characteristics of dental anxiety in Danish adults. Community Dentistry and Oral Epidemiology, 21, 292-296.
23.
Moore, R. , Brodsgaard, I., & Birn, H. (1991). Manifestations, acquisition and diagnostic categories of dental fear in a self-referred population. Behaviour Research and Therapy, 29, 51-60.
24.
Strauss, A. , & Corbin, J. (1998). Basics of qualitative research. Techniques and procedures for developing grounded theory, 2nd edn.California: Sage Publications.
25.
Vassend, O. (1993). Anxiety, pain and discomfort associated with dental treatment. Behaviour Research and Therapy, 31, 659-666.
