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Type: Journal article
Title: The moderating role of dental expectancies on the relationship between cognitive vulnerability and dental fear in children and adolescents
Author: Carrillo-Diaz, M.
Crego, A.
Armfield, J.
Romero, M.
Citation: Community Dentistry and Oral Epidemiology, 2013; 41(3):269-278
Publisher: Blackwell Munksgaard
Issue Date: 2013
ISSN: 0301-5661
Organisation: Australian Research Centre for Population Oral Health (ARCPOH)
Statement of
María Carrillo-Díaz, Antonio Crego, Jason Armfield and Martín Romero
Abstract: OBJECTIVE: Recently, cognitive approaches have been successfully applied to the understanding of child dental anxiety. Our study aimed to analyze the interplay between cognitive variables and their associations with dental fear. In particular, we proposed that the observed relationship between dental treatment-related cognitive vulnerability (i.e., uncontrollability, unpredictability, dangerousness, and disgustingness appraisals) and dental fear is moderated by the expectancies of the probability and aversiveness of negative events during dental treatments. METHODS: A questionnaire survey was conducted with data obtained from 179 participants (8-18 years, 55.9% female) who attended 12 randomly selected educational establishments in Madrid (Spain). RESULTS: Dental fear was associated with an irregular pattern of dental visits. As expected, cognitive vulnerability was strongly linked to dental anxiety. For those children who expected a lower likelihood of negative dental events or appraised them in a less aversive way, the relationship between cognitive vulnerability and fear was attenuated. CONCLUSIONS: As dental fear and oral health are connected, the prevention and reduction of dental fear among children and adolescents might be a worthwhile target for public health interventions. Our study sheds some light on how this could be achieved, that is, by modifying the children's vulnerability appraisals as well as their fearful dental expectancies.
Keywords: cognitions; dental fear; dental visits; expectancies
Rights: © 2012 John Wiley & Sons A/S.
RMID: 0020128304
DOI: 10.1111/cdoe.12009
Appears in Collections:Australian Research Centre for Population Oral Health publications

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