Anxiety Sensitivity and Pain Expectancy in Dental Anxiety

牙科焦虑症的焦虑敏感性和疼痛预期

• 批准号: 8784348
• 负责人: Carrie Michelle Potter
• 金额: $ 3.19万
• 依托单位: TEMPLE UNIV OF THE COMMONWEALTH
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-02 至 2016-07-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8784348
• 关键词: Adult; Affect; Affective; Anxiety; Anxiety Disorders; Cognitive; Dental; Dental Anxiety; Dental Care; Dental Clinics; Development; Esthesia; Exhibits; Expectancy; Experimental Designs; Film; Fright; Goals; Healthcare; Individual; Intervention; Knowledge; Laboratories; Maintenance; Measures; Occupational; Oral health; Pain; Participant; Pathway interactions; Patient Self-Report; Patients; Physiological; Population; Prevention program; Psychological Stress; Public Health; Questionnaires; Randomized; Reporting; Research; Research Design; Risk; Risk Factors; Role; Series; Shock; Stress; Testing; Thinking; Time; Translational Research; Visit; Work; brief intervention; design; eligible participant; expectation; experience; intervention program; malleable risk; patient population; prevent; psychologic; public health relevance; research study; social

DESCRIPTION (provided by applicant): Dental anxiety is a major public health concern that leads to underutilization of dental care and poor oral health. There is a lack of empirical studies examining potential cognitive-affective risk candidates that may cause or maintain dental anxiety. Much research has associated pain expectancy with increased dental anxiety; however, not all patients with high pain expectancy develop dental anxiety, and the factors that influence how pain expectancy affects dental anxiety remain unclear. Anxiety sensitivity, which is the fear of negative consequences of internal sensations, may amplify the impact of pain expectancy on the experience of dental anxiety. Individuals with high anxiety sensitivity engage in more catastrophic thinking about the consequences of pain (and other internal sensations); therefore, having expectations that dental treatment will be painful may be more likely to increase or maintain dental anxiety for individuals with high anxiety sensitivity. The central hypothesis of th proposed study is that anxiety sensitivity will moderate the relationship between pain expectancy and increases in dental procedure stress reactivity and dental anxiety. We propose to examine this hypothesis by using both cross-sectional and experimental research designs. Participants will be adults seeking treatment at dental clinics who exhibit a range of dental anxiety. Eligible participants will be invited to complete a single laboratory session, during whic they will first complete self- report measures of anxiety sensitivity, pain expectancy, and dental anxiety. Next, participants will watch a series of films of dental procedures and their baseline psychological and physiological stress reactivity to the films will be tested. Participants will thn undergo an experimental manipulation of pain expectancy, which will use a shock threat paradigm in conjunction with an administration of a second series of dental films. Participants will be randomized to one of two pain expectancy conditions: the shock threat condition (expecting to experience electric shocks while watching the second series of dental films) or the safe condition (assured that they will not experience shocks while watching the films). Following the pain expectancy manipulation, participants will view the second series of films of dental procedures another time and their stress reactivity will be re-assessed. Self-reported dental anxiety will also be re-assessed following the pain expectancy manipulation. We expect that for individuals who are high in anxiety sensitivity, pain expectancy will exhibit a stronger relationship with dental procedure stress reactivity and dental anxiety. The knowledge gained from the proposed translational research study will clarify whether anxiety sensitivity moderates the effect of pain expectancy on dental anxiety, which will inform the utility of targeting anxiety sensitivity in brief interventions aimed at preventing or reducing dental anxiety, particularly among patients who report expectations of experiencing pain during dental treatment. This is a crucial step towards bolstering the use of oral health care by dentally anxious patients.

描述（由申请人提供）：牙齿焦虑是一个主要的公共卫生问题，导致牙科保健利用不足和口腔健康状况不佳。缺乏实证研究