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Oral health and its influence on cognitive behavioral therapy in patients fulfilling the Diagnostic and Statistical Manual of Mental Disorders-IV criteria for intra-oral injection phobia.

Identifieur interne : 002C37 ( Ncbi/Merge ); précédent : 002C36; suivant : 002C38

Oral health and its influence on cognitive behavioral therapy in patients fulfilling the Diagnostic and Statistical Manual of Mental Disorders-IV criteria for intra-oral injection phobia.

Auteurs : Maren Lillehaug Agdal [Norvège] ; Magne Raadal ; Erik Skaret ; Gerd Kvale

Source :

RBID : pubmed:20141364

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Abstract

To describe self-perceived and clinically assessed oral health and oral treatment needs among intra-oral injection-phobic patients (Diagnostic and Statistical Manual of Mental Disorders-IV) and to explore whether these factors have an impact on the outcome of cognitive behavioral therapy (CBT).

DOI: 10.3109/00016350903512792
PubMed: 20141364

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pubmed:20141364

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<title xml:lang="en">Oral health and its influence on cognitive behavioral therapy in patients fulfilling the Diagnostic and Statistical Manual of Mental Disorders-IV criteria for intra-oral injection phobia.</title>
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<name sortKey="Agdal, Maren Lillehaug" sort="Agdal, Maren Lillehaug" uniqKey="Agdal M" first="Maren Lillehaug" last="Agdal">Maren Lillehaug Agdal</name>
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<nlm:affiliation>Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Aarstadveien 17, Bergen, Norway. maren.agdal@iko.uib.no</nlm:affiliation>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Aarstadveien 17, Bergen</wicri:regionArea>
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<term>Cognitive Therapy</term>
<term>DMF Index</term>
<term>Dental Anxiety (psychology)</term>
<term>Dental Anxiety (therapy)</term>
<term>Dental Care (psychology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Status</term>
<term>Humans</term>
<term>Injections (instrumentation)</term>
<term>Jaw, Edentulous, Partially (classification)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth Mucosa</term>
<term>Needles</term>
<term>Needs Assessment</term>
<term>Oral Health</term>
<term>Periodontal Index</term>
<term>Root Canal Therapy</term>
<term>Self Concept</term>
<term>Tooth Extraction</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<term>Adaptation psychologique</term>
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aiguilles</term>
<term>Attitude envers la santé</term>
<term>Concept du soi</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice CAO</term>
<term>Indice parodontal</term>
<term>Injections (instrumentation)</term>
<term>Jeune adulte</term>
<term>Muqueuse de la bouche</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâle</term>
<term>Phobie des soins dentaires ()</term>
<term>Phobie des soins dentaires (psychologie)</term>
<term>Résultat thérapeutique</term>
<term>Santé buccodentaire</term>
<term>Soins dentaires (psychologie)</term>
<term>Thérapie cognitive</term>
<term>Traitement de canal radiculaire</term>
<term>État de santé</term>
<term>Études de suivi</term>
<term>Évaluation des besoins</term>
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<term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Injections</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Phobie des soins dentaires</term>
<term>Soins dentaires</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Dental Anxiety</term>
<term>Dental Care</term>
</keywords>
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<term>Dental Anxiety</term>
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<term>Adaptation, Psychological</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Attitude to Health</term>
<term>Cognitive Therapy</term>
<term>DMF Index</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Status</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth Mucosa</term>
<term>Needles</term>
<term>Needs Assessment</term>
<term>Oral Health</term>
<term>Periodontal Index</term>
<term>Root Canal Therapy</term>
<term>Self Concept</term>
<term>Tooth Extraction</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<term>Adaptation psychologique</term>
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aiguilles</term>
<term>Attitude envers la santé</term>
<term>Concept du soi</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice CAO</term>
<term>Indice parodontal</term>
<term>Injections</term>
<term>Jeune adulte</term>
<term>Muqueuse de la bouche</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Phobie des soins dentaires</term>
<term>Résultat thérapeutique</term>
<term>Santé buccodentaire</term>
<term>Thérapie cognitive</term>
<term>Traitement de canal radiculaire</term>
<term>État de santé</term>
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<term>Évaluation des besoins</term>
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<front>
<div type="abstract" xml:lang="en">To describe self-perceived and clinically assessed oral health and oral treatment needs among intra-oral injection-phobic patients (Diagnostic and Statistical Manual of Mental Disorders-IV) and to explore whether these factors have an impact on the outcome of cognitive behavioral therapy (CBT).</div>
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<DateCompleted>
<Year>2010</Year>
<Month>05</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised>
<Year>2010</Year>
<Month>02</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1502-3850</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>68</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2010</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Acta odontologica Scandinavica</Title>
<ISOAbbreviation>Acta Odontol. Scand.</ISOAbbreviation>
</Journal>
<ArticleTitle>Oral health and its influence on cognitive behavioral therapy in patients fulfilling the Diagnostic and Statistical Manual of Mental Disorders-IV criteria for intra-oral injection phobia.</ArticleTitle>
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<MedlinePgn>98-105</MedlinePgn>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To describe self-perceived and clinically assessed oral health and oral treatment needs among intra-oral injection-phobic patients (Diagnostic and Statistical Manual of Mental Disorders-IV) and to explore whether these factors have an impact on the outcome of cognitive behavioral therapy (CBT).</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Fifty-five patients (43 women, mean age 32.5 years, range 18-62 years) were treated with short-duration CBT. Dental anxiety (Dental Anxiety Scale and Dental Fear Survey) and self-perceived oral health were assessed by means of questionnaires. Three dentists assessed oral health by means of clinical examination and radiographs. Treatment outcome was measured by ability to receive an intra-oral injection by a general dentist within a 1-year follow-up (FU) period or ability to complete a behavioral avoidance test (BAT) at FU, and changes in dental anxiety and positive and negative thoughts from pretreatment to FU.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Forty percent of patients ranged their oral health as "good" or "very good". Mean decayed teeth (DT) was 2.2 (range 0-15). The total number of teeth in need of treatment, periodontal treatment, endodontic treatment and extractions ranged from 0 to 15, 0 to 19, 0 to 4 and 0 to 5, respectively. Self-rated oral health correlated significantly with clinical oral health. The outcome of CBT in terms of being able to receive a dental injection during FU was not influenced by oral health status. However, correlation analyses indicated that patients with the poorest oral health had the greatest increase in positive thoughts and the greatest decrease in negative thoughts from pretreatment to FU.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The oral health of intra-oral injection-phobic patients varies substantially, but is comparable to that of the normal population. Coping with a dental injection after CBT is not influenced by oral health and treatment needs.</AbstractText>
</Abstract>
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<ForeName>Maren Lillehaug</ForeName>
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<Affiliation>Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Aarstadveien 17, Bergen, Norway. maren.agdal@iko.uib.no</Affiliation>
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<DescriptorName UI="D012390" MajorTopicYN="N">Root Canal Therapy</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D012649" MajorTopicYN="N">Self Concept</DescriptorName>
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<DescriptorName UI="D014081" MajorTopicYN="N">Tooth Extraction</DescriptorName>
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<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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