Evaluation of the Jönköping dental fear coping model: a patient perspective.

Objective: This study is a part of a project with the aim to construct and evaluate a structured treatment model (the Jönköping Dental Fear Coping Model, DFCM) for the treatment of dental patients. The aim of the present study was to evaluate the DFCM from a patient perspective.

Material And Methods: The study was performed at four Public Dental Clinics, with the same 13 dentists and 14 dental hygienists participating in two treatment periods.

Development and evaluation of the Jönköping Dental Fear Coping Model: a health professional perspective.

Objective: The purpose of this study was to design a structured treatment model focusing on all levels of adult's dental fear, the Jönköping Dental Fear Coping Model (DFCM). The aim was to study the DFCM from a dental health professional perspective.

Material And Methods: The DFCM was studied by means of quantitative and qualitative analyses.

A multi-facet pain survey of psychosocial complaints among patients with long-standing non-malignant pain.

Background And Aims: Psychometric inventories and scales intended to measure cognitive, emotional and behavioural concomitants of pain are typically constructed by deducting items from theoretically derived concepts related to pain states, e.g. social support, perceived control, depressiveness, and catastrophizing.

Translation and psychometric properties of the Swedish version of the Index of Dental Anxiety and Fear (IDAF-4C⁺).

Dental anxiety (DA) is a common condition, with significant medical, psychological, and social consequences. High-quality psychometric tools for the assessment of dental anxiety are necessary for clinical and research purposes. The aim of this study was to adapt the Index of Dental Anxiety and Fear (IDAF-4C(+) ) to the Swedish language and to explore the psychometric properties of the translated version.

[The substance addiction team: a bio-psycho-social melting pot. Physicians, psychologists and social workers do not cooperate fully--even though they want to].

Medical doctors, psychologists and social workers are often collaborating in health care units for substance addiction. In a survey answered by 141 persons with any of these professions, they communicated somewhat disparate views on the causes of addiction, and how our knowledge of addiction could be best promoted. At the same time, they expressed a demand for intensified forms of inter-professional team collaboration.

Dentists' skills with fearful patients: education and treatment.

The aims were to explore dentists' skills in dental fear, current strategies when treating fearful adult patients, and the possible need for additional education among dentists working in Sweden. A sample of 1,293 members of the Association of Public Health Dentists in Sweden were asked to respond to a Web survey concerning dental fear. The response rate was 69% (n = 889); 91% trained in Sweden and 9% trained in another country.

On the dynamics of dental fear: dental or mental?

This study explored possible predictors of change over time in dental fear. In a population-based sample of 664 women, 38-54 yr of age at first assessment, a self-rating of dental fear was recorded on two occasions, 6 yr apart. Whilst the majority of the women maintained their level of fear, two subgroups reported changes at follow up.

Dental anxiety - a joint interest for dentists and psychologists.

This introductory article to the Symposium on Behavioral and Community Dentistry aims to describe the development of research and clinical work on dental anxiety, and includes a discussion of the historical background and the evolution since the 1970s. In view of its pioneering activities in this regard, special focus is placed on research and development at the Institute of Odontology of the University of Gothenburg, Sweden.

Dentists' views on fearful patients. Problems and promises.

Unlabelled: A large number of patients treated in the general dental health service in Western countries report dental fear to some degree. Dentists' views of treating these fearful patients are not well described in the literature.Therefore, the aims of the study were to explore dentists' attitudes towards, experience of, and feelings about treating fearful patients.

Psychosocial and dental factors in the maintenance of severe dental fear.

The aim was to study the relationship between psychosocial factors and dental status in adult subjects with severe dental fear (DF). A consecutive sample of 148 adults (mean age 36.1 yrs, range 21-69 yrs) referred for dental fear treatment was investigated using an intake questionnaire on dental attendance and history, psychometric questionnaires on dental fear, general anxiety and depression and a radiographic examination.

Relaxation versus cognitive therapies for dental fear--a psychophysiological approach.

By separating 127 adult dental-phobic patients according to fear etiology and psychophysiologic response style, the authors investigated the outcome of 2 dental fear treatments. Before and after either relaxation or cognitively oriented treatment, subjects were exposed to neutral and fear-relevant video sequences while the subjects' forehead muscle tension, heart rate, and skin conductance were recorded. Pre- to postintervention differences in self-reported dental fear, general fear, and trait anxiety were analyzed together with psychophysiological data.

Psychophysiological reactions in dental phobic patients with direct vs. indirect fear acquisition.

Dental phobic patients with reported traumatic experiences at onset of dental anxiety were compared to subjects with an indirect fear acquisition in their psychophysiological responses to video scenes showing dental procedures. It has been suggested that individuals with conditioned fear would respond with higher levels of physiological arousal in response to threat compared to subjects with indirect fear acquisition. Although the overall pattern indicates support for this hypothesis, subjects grouped on the basis of their reported fear-etiology did not statistically differ in recorded muscle tension, heart rate or skin conductance reactions to fear-provoking conditions.

The importance of dental beliefs for the outcome of dental-fear treatment.

This study investigated the importance of dental beliefs and the predictive value of the Dental Belief Survey (DBS) in dental-fear treatment. The sample comprised 117 adult patients seeking treatment at a dental-fear clinic. Pretreatment data were collected during a screening procedure, including two visits to the dentist.

Ambivalence in coping with dental fear and avoidance: a qualitative study.

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.

Results of early active rehabilitation 5-7 years after surgical treatment for lumbar disc herniation.

A prospective and randomized study was conducted of 52 patients who were treated by two home training programs after surgical treatment of lumbar disc herniation. Twenty-six patients followed an early active treatment program, and 26 patients followed a less active training program (control group). Forty-nine patients (82%) answered a questionnaire 5-7 years postoperatively.

Prediction of outcome in whiplash-associated disorders using West Haven-Yale Multidimensional Pain Inventory.

Objective: To investigate the predictive capacity of the West Haven-Yale Multidimensional Pain Inventory (MPI) with regard to prolonged pain, using car occupants who had sustained a neck sprain in a traffic accident.

Design: A prospective cohort study including a one-year follow-up.

Patients: One hundred thirty adults were examined by a specialized neck-injury team after a first visit to an accident and emergency department.

Dental phobic patients' view of dental anxiety and experiences in dental care: a qualitative study.

Dental phobic patients' view of dental anxiety and experiences in dental care: a qualitative study The aim of this study was to explore and describe dental phobic patients' perceptions of their dental fear and experiences in dental care. The study sample consisted of 18 participants (12 women), with a mean age of 39.4 years, selected consecutively from patients applying for treatment at a specialized dental fear clinic in Göteborg, Sweden.

Reliability and factor structure of the Multidimensional Pain Inventory--Swedish Language Version (MPI-S).

The psychological assessment of chronic pain is often accomplished using questionnaires such as the (West Haven-Yale) Multidimensional Pain Inventory ((WHY)MPI) which is constructed to capture the multidimensionality of chronic pain. The (WHY)MPI theoretically originates from behavioural and cognitive behavioural theories of pain. It is divided into three parts and measures psychosocial and behavioural consequences of pain.