The role of Dental Fear, Pain anticipation and Self-efficacy in Endodontic Therapy.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Community dental health Pub Date : 2023-05-30 DOI:10.1922/CDH_00157Santos-Puerta07

N Santos-Puerta, C Peñacoba-Puente

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Abstract

Background: Cognitive-behavioural interventions may be important for the prevention and treatment of oral diseases. One cognitive factor that has generated considerable interest as a possible mediator is self-efficacy.

Methods: One hundred patients diagnosed with pulpal or periapical pathology that required endodontic therapy were treated. Data were collected at baseline in the waiting room before therapy and then during treatment.

Results: Positive correlations were found between dental fear, pain anticipation and dental avoidance (p⟨0.001). The correlation between dental fear and pain anticipation showed the largest effect sizes. Healthy participants had higher scores in self-efficacy (Mean=32.55; SD=7.15) than those with systemic diseases (n=15; Mean=29.33; SD=4.76, p=0.04). Participants who not taking medication before treatment had lower scores for pain anticipation (Mean=3.63; SD=2.85) than those taking medication. The contribution of pain anticipation to dental avoidance varied at different values of self-efficacy. The indirect effect of dental fear on dental avoidance via dental anxiety was significant in individuals with higher self-efficacy.

Conclusions: Self-efficacy had an essential moderation role between pain anticipation and dental avoidance during endodontic treatment.

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牙科恐惧、疼痛预期和自我效能感在牙髓治疗中的作用。

背景:认知行为干预可能对预防和治疗口腔疾病很重要。作为可能的中介，一个认知因素引起了相当大的兴趣，那就是自我效能。方法:对100例诊断为牙髓或根尖周病变需要进行根管治疗的患者进行治疗。数据是在治疗前和治疗期间在候诊室基线收集的。结果:牙科恐惧、疼痛预期和牙科回避呈正相关(p⟨0.001)。牙科恐惧和疼痛预期之间的相关性显示出最大的效应值。健康者自我效能感得分较高(平均32.55;SD=7.15)高于全身性疾病患者(n=15;意味着= 29.33;SD = 4.76, p = 0.04)。治疗前未服药的受试者疼痛预期得分较低(平均=3.63;SD=2.85)。在不同的自我效能值下，疼痛预期对牙齿回避的贡献是不同的。在自我效能高的个体中，牙科恐惧通过牙科焦虑对牙科回避的间接影响显著。结论:牙髓治疗过程中，自我效能感在疼痛预期和牙齿回避之间具有重要的调节作用。

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来源期刊

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.