Dental Fear/Anxiety in Children and Child Emotional and Behavioural Problems
Keywords:
Neurodevelopmental Disorders, Dental Anxiety, Child, Observational StudyAbstract
Objective: To investigate the association between emotional and behavioural problems and dental fear/anxiety (DFA) in children aged four to 12 years treated at a clinic in southern Brazil. Material and Methods: In this cross-sectional study where mother-child dyads were interviewed, emotional and behavioural problems were investigated using the Strengths and Difficulties Questionnaire (SDQ) (considering five subscales). Children's DFA was evaluated through the Venham Picture Test. For each SDQ subscale, Poisson regression model was explored. Prevalence ratios (PR) were estimated, considering a significant level of p ≤ 0.05. Results: Overall, 128 children participated in this study. Most children were female (54.7%) and aged between 7 and 9 years (39.8%). The prevalence of emotional problems was 47.7% and behavioural problems were 46.1%. The prevalence of DFA was 18.8%. Children with emotional problems had a 2.3 higher prevalence of DFA (95%CI 1.06-5.04). In general, behavioural problems were not associated with DFA (95%CI 0.84-3.34) only when conduct problems were considered (2.20; 95%CI 1.02-4.70). Conclusion: Children aged between 4 and 12 years who present emotional and conduct problems tend to show higher DFA.
References
Cianetti S, Lombardo G, Lupatelli E, Pagano S, Abraha I, Montedori A, et al. Dental fear/anxiety among children and adolescents. A systematic review. Eur J Paediatr Dent 2017; 18(2):121-30. https://doi.org/10.23804/ejpd.2017.18.02.07
Shim YS, Kim AH, Jeon EY, An SY. Dental fear & anxiety and dental pain in children and adolescents; a systemic review. J Dent Anesth Pain Med 2015; 15(2):53-61. https://doi.org/10.17245/jdapm.2015.15.2.53
Silveira ER, Goettems ML, Demarco FF, Azevedo MS. Clinical and individual variables in children’s dental fear: a school-based investigation. Braz Den J 2017; 28(3):398-404. https://doi.org/10.1590/0103-6440201601265
Alshoraim MA, El-Housseiny AA, Farsi NM, Felemban OM, Alamoudi NM, Alandejani AA. Effects of child characteristics and dental history on dental fear: cross-sectional study. BMC Oral Health 2018; 18:33. https://doi.org/10.1186/s12903-018-0496-4
Hembrecht EJ, Nieuwenhuizen J, Aartman IH, Krikken J, Veerkamp JS. Pain-related behaviour in children: a randomised study during two sequential dental visits. Eur Arch Paediatr Dent 2013; 14(1):3-8. https://doi.org/10.1007/s40368-012-0003-6
Morgan AG, Rodd HD, Porritt JM, Baker SR, Creswell C, Newton T, et al. Children's experiences of dental anxiety. Int J Paediatr Dent 2017; 27(2):87-97. https://doi.org/10.1111/ipd.12238
Soares FC, Lima RA, Santos Cda F, de Barros MV, Colares V. Predictors of dental anxiety in Brazilian 5-7years old children. Compr Psychiatry 2016; 67:46-53. https://doi.org/10.1016/j.comppsych.2016.01.006
Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent 2007; 17(6):391-406. https://doi.org/10.1111/j.1365-263X.2007.00872.x
Armfield JM, Slade GD, Spencer AJ. Cognitive vulnerability and dental fear. BMC Oral Health 2008; 8:2. https://doi.org/10.1186/1472-6831-8-2
Vandenbroucke JP, Von Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, et al. STROBE initiative. Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. Epidemiology 2007; 18(6):805-35. https://doi.org/10.1016/j.ijsu.2014.07.014
Cademartori MG, Corrêa MB, Silva RA, Goettems ML. Childhood social, emotional, and behavioural problems and their association with behaviour in the dental setting. Int J Paediatr Dent 2019; 29(1):43-9. https://doi.org/10.1111/ipd.12436
Goodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry 2001; 40(11):1337-45. https://doi.org/10.1097/00004583-200111000-00015
Goodman A, Lamping DL, Ploubidis GB. When to use broader internalising and externalising subscales instead of the hypothesized five subscales on the Strengths and Difficulties Questionnaire (SDQ): data from British parents, teachers and children. J Abnorm Child Psychol 2010; 38(8):1179-91. https://doi.org/10.1007/s10802-010-9434-x
Ramos-Jorge ML, Pordeus IA. Why and how to measure child's anxiety in dental enviroment. The modified VPT. JBP Rev Ibero-am Odontopediatr Odontol Bebê 2004; 7(37):282-90.
Martins N, Dias MR. Emotional contagion of anxiety carer - child in pediatric dentistry. Rev Port Estomatol Med Dent Maxilofac 2016; 57(3):164-70. https://doi.org/10.1016/j.rpemd.2015.12.006
Corah NL, Gale EN, Illig SJ. Assessment of a dental anxiety scale. J Am Dent Assoc 1978; 97(5):816-9. https://doi.org/10.14219/jada.archive.1978.0394
Silveira ER, Cademartori MG, Schuch HS, Armfield JA, Demarco FF. Estimated prevalence of dental fear in adults: A systematic review and meta-analysis. J Dent 2021; 108:103632. https://doi.org/10.1016/j.jdent.2021.103632
Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: Psychometric properties. J Am Dent Assoc 1988; 56(6):893-7. https://doi.org/10.1037//0022-006x.56.6.893
Wu L, Zhang D, Cheng G, Hu T. Bullying and social anxiety in Chinese children: moderating roles of trait resilience and psychological suzhi. Child Abuse Negl 2018; 76:204-15. https://doi.org/10.1016/j.chiabu.2017.10.021
Karreman A, Van Tuijl C, Van Aken MAG, Dekovi´ M. Predicting young children’s externalizing problems: Interactions among effortful control, parenting, and child gender. Merrill-Palmer Quarterly 2009; 55(2):111-34. https://doi.org/10.1353/mpq.0.0020
Aunola K, Nurmi J. The role of parenting styles in children's problem behaviour. Child Dev 2005; 76(6):1144-59. https://doi.org/10.1111/j.1467-8624.2005.00841.x
Chellappah NK, Vignehsa H, Milgrom P, Lam LG. Prevalence of dental anxiety and fear in children in Singapore. Community Dent Oral Epidemiol 1990; 18(5):269-71. https://doi.org/10.1111/j.1600-0528.1990.tb00075.x
Locker D, Thomson WM, Poulton R. Psychological disorder, conditioning experiences, and the onset of dental anxiety in early adulthood. J Dent Res 2001; 80(6):1588-92. https://doi.org/10.1177/00220345010800062201
Raadal M, Milgrom P, Weinstein P, Mancl L, Cauce AM. The prevalence of dental anxiety in children from low-income families and its relationship to personality traits. J Dent Res 1995; 74(8):1439-43. https://doi.org/10.1177/00220345950740080201
Milgrom P, Mancl L, King B, Weinstein P. Origins of childhood dental fear. Behav Res Ther 1995; 33(3):313-9. https://doi.org/10.1016/0005-7967(94)00042-i
Halonen H, Nissinen J, Lehtiniemi H, Salo T, Riipinen P, Miettunen J. The association between dental anxiety and psychiatric disorders and symptoms: a systematic review. Clin Pract Epidemiol Ment Health 2018; 14:207-22. https://doi.org/10.2174/1745017901814010207
Schermerhorn AC, Bates JE, Goodnight JA, Lansford JE, Dodge KA, Pettit GS. Temperament moderates associations between exposure to stress and children's externalizing problems. Child Dev 2013; 84(5):1579-93. https://doi.org/10.1111/cdev.12076
Randall CL, McNeil DW, Shaffer JR, Crout RJ, Weyant RJ, Marazita ML. Fear of pain mediates the association between MC1R genotype and dental fear. J Dent Res 2016; 95(10):1132-7. https://doi.org/10.1177/0022034516661151
Aminabadi NA, Puralibaba F, Erfanparast L, Najafpour E, Jamali Z, Adhami SE. Impact of temperament on child behaviour in the dental setting. J Dent Res Dent Clin Dent Prospects 2011; 5(4):119-22. https://doi.org/10.5681/joddd.2011.027
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