Catastrophizing, anxiety and pain during dental hygiene treatment

Catastrophizing, anxiety and pain during dental hygiene treatment
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DOI:
10.1111/j.1600-0528.1998.tb01971.x
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发表时间:
1998-10-01
影响因子:
2.3
通讯作者:
Neish, NR
Neish, NR
中科院分区:
医学3区
文献类型:
--
作者:
Sullivan, MJL;Neish, NR

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Objectives: This study examined the relations between catastrophizing, dental anxiety, and pain during dental hygiene treatment. Methods: Participants were 78 (32 men, 46 women) consecutive referrals to the Dalhousie University Dental Clinic. All patients were scheduled for a scaling procedure performed by senior dental hygiene students. Following treatment, patients completed the Pain Catastrophizing Scale and the Dental Anxiety Scale - Revised, and were asked to rate the degree of pain they experienced during the scaling procedure. Results: Regression analyses revealed that age and the rumination subscale of the Pain Catastrophizing Scale were significant predictors of pain, even when controlling for gender, and oral hygiene status. Conclusions: The findings suggest that excessive focus on pain sensations may be one of the mechanisms by which catastrophizing leads to increased pain. The clinical challenges will be to develop cost- and time-effective means of identifying individuals who catastrophize and to implement interventions to reduce their level of distress.