Subscribe to RSS
Anxiety Assessment in Orofacial Pain Patients
Objectives The aim of the present study was to assess the anxiety level in patients with orofacial pain and to compare it with patients without any orofacial pain.
Methods The survey-based study was conducted that included a total of 100 patients who were divided into two groups: 50 patients with orofacial pain and 50 patients without pain. Questionnaire in a local language, that is, Marathi, was formulated based on Modified Dental Anxiety Scale (MDAS) and Hospital Anxiety and Depression Scale (HADS). Data was then subsequently collected and evaluated according to the score of MDAS and HADS.
Results A total of 78 patients were evaluated according to the questionnaire survey. Highly significant correlation was found between anxiety level and pain present in patient on the MDAS-anxiety level scale(p = 0.001). Also, a significant correlation was observed between anxiety level and pain present in patient on the HADS-anxiety level (p = 0.007). A significant correlation was found between gender and pain anxiety level in patients on the MDAS-anxiety level (p = 0.009).
Conclusion Anxiety level in patients with orofacial pain can be assessed with MDAS and HADS. Specific types of anxiety-related concerns definitely occur at higher levels in orofacial pain patients in comparison to patients without pain. Greater attention needs to be employed on understanding of anxiety level in orofacial pain patients. This is detrimental in acceptance of treatment by patient and ultimately affects outcome. Anxiety level assessment helps in better understanding of apprehension among the patients with orofacial pain, and enables better delivery of appropriate care and intervention.
07 July 2021 (online)
© 2021. National Academy of Medical Sciences (India). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
- 1 Newton JT, Buck DJ. Anxiety and pain measures in dentistry: a guide to their quality and application. J Am Dent Assoc 2000; 131 (10) 1449-1457
- 2 Binkley CJ, Beacham A, Neace W, Gregg RG, Liem EB, Sessler DI. Genetic variations associated with red hair color and fear of dental pain, anxiety regarding dental care and avoidance of dental care. J Am Dent Assoc 2009; 140 (07) 896-905
- 3 Raciene R. Dental fear among teenagers. individual anxiety factors. Stomatologija 2004; 6: 118-121
- 4 van AJ Wijk, Hoogstraten J. Experience with dental pain and fear of dental pain. J Dent Res 2005; 84 (10) 947-950
- 5 Doerr PA, Lang WP, Nyquist LV, Ronis DL. Factors associated with dental anxiety. [published correction appears in J Am Dent Assoc 1998 Oct;129(10):1396] J Am Dent Assoc 1998; 129 (08) 1111-1119
- 6 Smith TA, Heaton LJ. Fear of dental care: are we making any progress. ? J Am Dent Assoc 2003; 134 (08) 1101-1108
- 7 Davis CE, Stockstill JW, Stanley WD, Wu Q. Pain-related worry in patients with chronic orofacial pain. J Am Dent Assoc 2014; 145 (07) 722-730
- 8 Michopoulos I, Douzenis A, Kalkavoura C. et al. Hospital anxiety and depression scale (HADS): validation in a Greek general hospital sample. Ann Gen Psychiatry 2008; 7: 4
- 9 Heaton LJ, Carlson CR, Smith TA, Baer RA, de Leeuw R. Predicting anxiety during dental treatment using patients’self-reports: less is more. J Am Dent Assoc 2007; 138 (02) 188-195
- 10 Humphris GM, Dyer TA, Robinson PG. The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age. BMC Oral Health 2009; 9: 20
- 11 Coolidge T, Arapostathis KN, Emmanouil D. et al. Psychometric properties of Greek versions of the Modified Corah Dental Anxiety Scale (MDAS) and the Dental Fear Survey (DFS. BMC Oral Health 2008; 8: 29
- 12 Mykletun A, Stordal E, Dahl AA. Hospital Anxiety and Depression (HAD) scale: factor structure, item analyses and internal consistency in a large population. Br J Psychiatry 2001; 179: 540-544
- 13 Newton JT, Edwards JC. Psychometric properties of the modified dental anxiety scale: an independent replication. Community Dent Health 2005; 22 (01) 40-42
- 14 Amir A, Kamate S, Gupta P, Gupta A, Singh J, Singh S. Assessment of dental anxiety using MDAS (Modified Dental Anxiety Scale) among students in Bareilly City-A cross sectional study. Int J Contemp Med Res 2018; 5: 23-26
- 15 Pawlicki RE. Psychological/behavioral techniques in managing pain and anxiety in the dental patient. Anesth Prog 1991; 38 (4-5) 120-127
- 16 McNeil DW, Au AR, Zvolensky MJ, McKee DR, Klineberg IJ, Ho CC. Fear of pain in orofacial pain patients. Pain 2001; 89 (2-3) 245-252
- 17 Monteiro DR, Zuim PR, Pesqueira AA, Ribeiro Pdo, Garcia AR. Relationship between anxiety and chronic orofacial pain of temporomandibular disorder in a group of university students. J Prosthodont Res 2011; 55 (03) 154-158
- 18 Giannakopoulos NN, Keller L, Rammelsberg P, Kronmüller KT, Schmitter M. Anxiety and depression in patients with chronic temporomandibular pain and in controls. J Dent 2010; 38 (05) 369-376
- 19 Klages U, Ulusoy O, Kianifard S, Wehrbein H. Dental trait anxiety and pain sensitivity as predictors of expected and experienced pain in stressful dental procedures. Eur J Oral Sci 2004; 112 (06) 477-483
- 20 Locker D, Liddell AM. Correlates of dental anxiety among older adults. J Dent Res 1991; 70 (03) 198-203
- 21 McCracken LM, Zayfert C, Gross RT. The Pain Anxiety Symptoms Scale: development and validation of a scale to measure fear of pain. Pain 1992; 50 (01) 67-73
- 22 Moore R, Brødsgaard I, Rosenberg N. The contribution of embarrassment to phobic dental anxiety: a qualitative research study. BMC Psychiatry 2004; 4: 10