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Pre-Treatment State Anxiety: An Evaluation In Orthodontic Patients

Year 2017, Volume: 44 Issue: 3 - Volume: 44 Issue: 3, 175 - 190, 01.08.2017

Abstract

Introduction: The aim of this study is to determine pre-treatment state anxiety levels in orthodontic patients to explore the initiating factors and suggest solutions, at Dental Hospital of Ankara University. Materials and Methods: Participation of the patients to this study was on the basis of volunteerism. Questionnaires were distributed to 118 pre-treatment orthodontic patients. All the questionnaires were returned and analyzed statistically. Stratifying the patients into subgroups according to their demographic characteristics, we evaluated the differences in pre-treatment state anxiety between the groups. ‘The Spielberger StateTrait Anxiety Inventory STAI ’ and ‘State Anxiety Scale STAI-S ’ were used to measure the state anxiety levels. Results: The mean state anxiety of the participating patients was found as 39.5 Mean=39.661, SD=11.598 within the cut-off value of the instrument. According to the variables of marital status, occupation, income status, age, educational status and dentist visit frequency, there were statistically significant differences in state anxiety levels of the subgroups. Conclusion and Discussion: In accordance with the study results, raising the awareness of pre-treatment state anxiety, we proposed solutions both for the patients and the physicians to lower the state anxiety levels in orthodontic patients

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Tedavi Öncesi Durumluk Kaygı: Ortodonti Hastalarında Bir Değerlendirme

Year 2017, Volume: 44 Issue: 3 - Volume: 44 Issue: 3, 175 - 190, 01.08.2017

Abstract

Giriş: Bu araştırmanın amacı; Ankara Üniversitesi Diş Hekimliği Fakültesi Hastanesi örneğinde, ortodonti bölümü hastalarının tedavi öncesi durumluk kaygı düzeylerini belirleyerek, bunu etkileyen faktörleri ve çözüm önerilerini ortaya koymaktır. Gereç ve Yöntem: Katılımın gönüllülük esasına göre belirlendiği araştırmada, 118 ortodonti hastasına anket formları dağıtılmıştır. Dağıtılan anket formlarının tamamı geri dönmüş ve analize dahil edilmiştir. Hastalar demografik özelliklerine göre gruplara ayrılarak, grupların durumluk kaygı düzeyleri arasındaki farklılıklar araştırılmıştır. Durumluk kaygı düzeyinin ölçümü için Spielberger Durumluk ve Sürekli Kaygı Envanteri’nin STAI , ‘Durumluk Kaygı Alt Ölçeği STAI-S ’ kullanılmıştır. Bulgular: Katılımcı hastaların tedavi öncesi durumluk kaygı düzeyi ortalama 39.5 olarak bulunmuştur Ort.= 39.466, SD=11.598 . Bu düzey, durumluk kaygı için kesim noktası değeri düzeyindedir. Buna ilave olarak çalışmamızda medeni durum, meslek, gelir durumu, yaş, eğitim durumu ve diş hekimine gidiş sıklığı değişkenlerine göre gruplandırılan hastaların durumluk kaygı düzeyleri arasında anlamlı farklılıklar saptanmıştır

References

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  • Kanegane K, Sibele SP, Maria AB, Rodney GR. Dental Anxiety in an Emergency Dental Service. Revista de Saşde Pşblica, 2003; 37:786-792.
  • Settineri S, Domenico M, Maria RA, Muscatello RZ, Carmela. Dental Anxi- ety, Psychiatry And Dental Treatment: How are they linked. Open Journal of Psychiatry, 2013;3: 68-172.
  • Alaki S, Alanoud A, Eman A, Ebtehal A. Dental Anxiety in Middle School Children And Their Caregivers: Preva- lence And Severity. Journal of Dentistry And Oral Hygiene, 2012;481:6-11.
  • Brukiene V, Jolanta A, Irena B. Is Den- tal Treatment Experience Relate to Den- tal Anxiety? Across-Sectional Study in Lithuanian Adolescents. Stomatologija, Baltic And Maxillofacial Journal, 2006;8:108-115.
  • Hmud R, Walsh LJ. Dental Anxiety: Causes, Complications And Manage- ment Approach. Journal of Minimum Intervention in Dentistry 2009;2:667- 675.
  • Locker D, David S, Andree L. Negative Dental Experiences And Their Relati- onship to Dental Anxiety. Community Dental Health, 1996;13:86-92.
  • Ergüven, SS, Işık B, Kılınç Y. , Diş Hekimliği Fakültesi 1.Sınıf Öğrencileri İle Son sınıf Öğrencilerinin Dental Kay- gı-Korku Düzeylerinin Karşılaştırmalı Olarak Değerlendirilmesi. Acta Odonto- logica Turcica, 2013;30(2):70-76.
  • Önçağ Ö, Çoğulu D. Ailenin Sosyoe- konomik Durumu ve Eğitim Düzeyinin Çocuklarda Dental Kaygı Üzerine Etki- si. AÜ. Diş Hekimliği Fakültesi Dergisi, 2005;32:45-54.
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  • Marakoğlu, İ, Demirer S, Özdemir D, Sezer H. Periodontal Tedavi Öncesi Du- rumluk ve Sürekli Kaygı Düzeyi. Cum- huriyet Üniversitesi Diş Hekimliği Fa- kültesi Dergisi, 2003;6(2):73-79.
  • Baygın Ö, Tüzüner T, Işık B, Arslan İ, Tanrıver M. Preoperatif Anksiyetenin Süt Dişi Çekimi Yapılan Çocuklarda Ağrı Düzeyi İle Korelasyonunun Değer- lendirilmesi. İstanbul Üniversitesi Diş Hekimliği 2012;46(1):32-42. Dergisi,
  • Roy J. Dental Anxiety in Future And Current Orthodontic Patients, The The- sis of Master in Sciences, Department of Orthodontics, University of Toronto; 2011.
  • Vaida L, Dalai C, Dima R. Evaluation of Anxiety Level in Children And Ado- lescents Requesting Orthodontic Treat- ment. OHDMBSC, 2007;Vol. VI, No.3: 57-61.
  • Pervez H, Ahmed I, Naresh Kumar G. Evaluation of Anxiety Level Changes During The First Three Months of Ort- hodontic Treatment in Pakistani Popula- tion. Journal of Dentistry And Oral Hy- giene, 2015;7(7):102-106.
  • Khokhar NA, Jan A, Shinwari MS, Anwar A, Farid H. Dental Fear And Anxiety Among Orthodontic Patients- A Pakistani Sample. Pakistan Oral&Dental Journal, 2015;35(2):220-223.
  • Gupta A, Bamba S, Gupta A, Vikram S, Dogra V, Anandani C. Dental Anxiety Levels in Relation to Number of Appo- intments Among Orthodontic Patients in Pediatrics Clinics. Indian Journal of Applied Research, 2016;6(8):397-399.
  • Jain SR, Pandian S. Prevalence of Den- tal Fear And Anxiety Among Orthodon- tic Patients (A Survey). Journal of Pharmaceutical Sciences And Research, 2016;8(9):1091-1093.
  • Wright NS, Fleming PS, Sharma PK, Battagel J. Influence of Supplemental Written Information on Adolescent Anxiety, Motivation And Compliance in Early Orthodontic Treatment. Angle Orthodontist, 2010; 80(2):329-334.
  • Şengün, K, Kılıçoğlu H, Uysal Ö. Çapa Anksiyete Skalasının Güvenilirliğinin ve Geçerliliğinin Değerlendirilmesi. Turkish Journal of Orthodontics, 2011;24:97-110.
  • Yıldırım E, Karaçay Ş. Evaluation of Anxiety Level Changes During The First Three Months of Orthodontic Tre- atment. The Korean Journal of Ortho- dontics, 2012;42(4): 201-206.
  • Sarı Z, Uysal T, Karaman AI, Sargın N, Ure O. Does Orthodontic Treatment Af- fect Patients’ And Parents’ Anxiety Le- vels? Eur J Orthod, 2005;27:155-159.
  • Trakyalı G, Işık-Özdemir F, Tunaboylu- İkiz T, Pirim B, Yavuz AE. Anxiety Among Adolescents And Its Affect on Orthodontic Compliance, J. Indian Soc Pedod Prevent Dent, 2009;27(4):205- 210.
  • Rubin JG, Slovin M, Krochak M. The Psychodynamics of Dental Anxiety and Dental Phobia. Dental Clinics of North America, 1988;32(4):647-656.
  • Miguel-Tobal JJ, González-Ordi H. The Role of Emotions in Cardiovascular Di- sorders. Editörler: Antoniou, ASG ve Cooper CL. Research Companion to Organizational Health Psychology, 2005;Edward Elgar Publishing.
  • Köroğlu A, Durkan R. Diş Hekimliği Uygulamalarında Karşılaşılan Dental Anksiyete Sendromunun Etiyolojisinin ve Tedavi Yöntemlerinin Değerlendi- rilmesi. Atatürk Üniversitesi Diş He- kimliği 2010;208(3):205-212. Dergisi,
  • Ünsal C. Yaygın anksiyete Bozukluğu Tanısı Alan Hastaların Elektrokardiyog- rafilerindeki P-Dalga Dispersiyonu. Tıp- ta Uzmanlık Tezi, 2007; Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Psikiyatri Kliniği, İstanbul.
  • Marks, IM, Nesse RM. Fear And Fit- ness: An Evaluationary Analysis of Anxiety Disorders. Ethol Sociobiol, 1994;15:247-261.
  • Viswanath D, Kumar M, Prabhuji MLV. Dental Anxiety, Fear And Phobia in Children, International Journal of Dental Research. 2014; 4(1):1-14.
  • Leal SC, Matos DM, Frencken JE. Den- tal Anxiety And Pain Related to ARI. J Appl Oral Sci, 2009;17:84-88.
  • DSM-IV. Diagnostic and statistical ma- nual of mental disorders, Fourth Edition, Text Revision (DSM-IV-TR Tanı ölçüt- leri), (Ertuğrul Köroğlu, Çev.), Ameri- kan Psikiyatri Birliği, 2000:191-209.
  • Moore R, Birn H, Kirkegaard E, Brİds- gaard I, Scheutz F. Prevalence And Characteristics of Dental Anxiety Da- nish Adults. Commun Dent Oral Epi- demol, 1993;21:292-296.
  • Eli J, Uziel N, Blumensohn R, Baht R. Modulation of Dental Anxiety-The Role of Past Experiences Psychopathologic Traits And Individual Attachment Pat- terns. Por, Dent J, 2004,196:689-694.
  • Alçalar N, Gürkan Köseoğlu B, Bahadır G., Diş Hekimliği Uygulamalarına İliş- kin Bilişler Ölçeği-DBÖ: Üniversite Öğrencilerinde Geçerlilik ve Güvenirlik Çalışması, Atatürk Üniversitesi Diş He- kimliği 2013;21(3):293-298. Dergisi,
  • Kömerik N, Muğlalı M. Ağız Cerrahi- sinde Anksiyete Kontrolü: Hastaların Bilgilendirilmesi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 2005;15(3):25-33.
  • Boman WU, Hakeberg M, Carlsson V, Eriksson M, Liljegren A, Sjögren P, Westin M, Strandell A. Psychological Treatment of Dental Anxiety Among Adults, Göteborg: Region Västra Göta- land Sahlgrenska University Hospital, HTA Centre 2012.
  • Naudi AB, Creation and Evaluation of a Cognitive Pamphlet Designed to Help Children Needing Nitrous Oxide Inhala- tion Sedation, Master of Science Thesis, University of Glasgow, 2009.
  • Watson RJ. An Exploration of Child- ren’s Dental Anxiety: Triggers, Coping And Needs: The Thesis of Master of Arts in Psychology, Massey University, 2010.
  • Jimeno F, Guinot S, Bielsa Y, Fernández CC, Rodriguez AIL, Bellido MM. Objective And Subjective Measu- res For Assessing Anxiety in Paediatric Dental Patients, European Journal of Paediatric Dentistry, 2011;12(4): 239
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There are 68 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Tülin Tunç This is me

Orhan Özdiler This is me

Bartu Altuğ This is me

Bilgin Giray This is me

Erhan Özdiler This is me

Murat Tunç This is me

Publication Date August 1, 2017
Published in Issue Year 2017 Volume: 44 Issue: 3 - Volume: 44 Issue: 3

Cite

Vancouver Tunç T, Özdiler O, Altuğ B, Giray B, Özdiler E, Tunç M. Tedavi Öncesi Durumluk Kaygı: Ortodonti Hastalarında Bir Değerlendirme. EADS. 2017;44(3):175-90.