Dental Anxiety
Conditions
Keywords
Dental Fear, Dental Phobia, Cognitive Behavior Therapy, Specific Phobia, Children and Adolescents anxiety, Self Efficacy
Brief summary
The purpose of this study is to determine whether cognitive behaviour therapy is effective in the treatment of children and adolescents with dental anxiety. Our hypothesis is that children and adolescents who have been offered CBT shows significant better performance on outcome measures compared with patients in control group who have received treatment as usual.
Interventions
BEHAVIORALCognitive Behavioral Therapy
The treatment group is offered cognitive behavior therapy(CBT) by psychologists/psychotherapists. CBT is offered according to a treatment manual and consists of 10- sessions during 12-15 weeks.
BEHAVIORALTreatment As Usual
Treatment as usual consist of strategies such as habituation, tell-show-do, premedication with midazolam, nitrous oxide sedation and general anesthesia. All offered by dentists and dental hygienist and/or dental assistants.
Sponsors
Eastmaninstitutet
Karolinska Institutet
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
7 Years to 19 Years
Healthy volunteers
No
Inclusion criteria
* The patient and parents agree to participate in the research project * A primary diagnosis of specific phobia (dental anxiety or needle phobia) can be established according to the Diagnostic and Statistical Manual of Mental Disorders, 4th. Edition.
Exclusion criteria
* The diagnostic interview shows that other psychiatric or developmentally related diagnoses should be consider as the primary diagnosis * The patient undergoing psychiatric examination and/or psychotherapy * The patient has no dental treatment needs or the dental treatment needs are of an emergency nature.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in dental anxiety | 3 months and 12 months from baseline | Both child and parental versions of Children's Fear Survey Schedule - Dental Subscale will be administered. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Behavioral Avoidance | 3 months and 12 months from baseline | Behavioral Avoidance Test consists of 18 dental situations. The patient is exposed to a situation at a time. Patients receive 1 point for every step he / she manage. The test is stopped when the patient does not want to go further. |
Other
| Measure | Time frame | Description |
|---|---|---|
| General psychopathology | 3 months, 12 months from baseline | Changes in general psychopathology is assessed by Developmental and Well-Being Assessment Questionnaire |
| Changes in Self efficacy | 3 months and 12 months from baseline | Self Efficacy is assessed by the Self Efficacy Questionnaire for Specific Phobias |
Countries
Sweden
Outcome results
None listed