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BMC Oral Health
Published in: BMC Oral Health 1/2010

Open Access 01-12-2010 | Research article

Additional psychometric data for the Spanish Modified Dental Anxiety Scale, and psychometric data for a Spanish version of the Revised Dental Beliefs Survey

Authors: Trilby Coolidge, M Blake Hillstead, Nadia Farjo, Philip Weinstein, Susan E Coldwell

Published in: BMC Oral Health | Issue 1/2010

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Abstract

Background

Hispanics comprise the largest ethnic minority group in the United States. Previous work with the Spanish Modified Dental Anxiety Scale (MDAS) yielded good validity, but lower test-retest reliability. We report the performance of the Spanish MDAS in a new sample, as well as the performance of the Spanish Revised Dental Beliefs Survey (R-DBS).

Methods

One hundred sixty two Spanish-speaking adults attending Spanish-language church services or an Hispanic cultural festival completed questionnaires containing the Spanish MDAS, Spanish R-DBS, and dental attendance questions, and underwent a brief oral examination. Church attendees completed the questionnaire a second time, for test-retest purposes.

Results

The Spanish MDAS and R-DBS were completed by 156 and 136 adults, respectively. The test-retest reliability of the Spanish MDAS was 0.83 (95% CI = 0.60-0.92). The internal reliability of the Spanish R-DBS was 0.96 (95% CI = 0.94-0.97), and the test-retest reliability was 0.86 (95% CI = 0.64-0.94). The two measures were significantly correlated (Spearman's rho = 0.38, p < 0.001). Participants who do not currently go to a dentist had significantly higher MDAS scores (t = 3.40, df = 106, p = 0.003) as well as significantly higher R-DBS scores (t = 2.21, df = 131, p = 0.029). Participants whose most recent dental visit was for pain or a problem, rather than for a check-up, scored significantly higher on both the MDAS (t = 3.00, df = 106, p = 0.003) and the R-DBS (t = 2.85, df = 92, p = 0.005). Those with high dental fear (MDAS score 19 or greater) were significantly more likely to have severe caries (Chi square = 6.644, df = 2, p = 0.036). Higher scores on the R-DBS were significantly related to having more missing teeth (Spearman's rho = 0.23, p = 0.009).

Conclusion

In this sample, the test-retest reliability of the Spanish MDAS was higher. The significant relationships between dental attendance and questionnaire scores, as well as the difference in caries severity seen in those with high fear, add to the evidence of this scale's construct validity in Hispanic samples. Our results also provide evidence for the internal and test-retest reliabilities, as well as the construct validity, of the Spanish R-DBS.
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Literature
1.
Good BJ, Kleinman AM: Culture and anxiety: cross-cultural evidence for the patterning of anxiety disorders. Anxiety and the Anxiety Disorders. Edited by: Tuma AH, Maser J. 1985, Hillsdale NJ: Lawrence Earlbaum, 297-323.
2.
Humphris GM, Freeman R, Campbell J, Tuutti H, D'Souza D: Further evidence for the reliability and validity of the Modified Dental Anxiety Scale. Int Dent J. 2000, 50: 367-370.CrossRefPubMed
3.
4.
Ramos-Gomez F, Cruz GD, Watson MR, Canto MT, Boneta AE: Latino oral health: A research agenda toward eliminating oral health disparities. J Am Dent Assoc. 2005, 136: 1231-1240.CrossRefPubMed
5.
Humphris GM, Morrison T, Lindsay SJE: The Modified Dental Anxiety Scale: Validation and United Kingdom norms. Community Dent Health. 1995, 12: 143-150.PubMed
6.
7.
Acharya S: Factors affecting dental anxiety and beliefs in an Indian population. J Oral Rehabil. 2008, 35: 259-267. 10.1111/j.1365-2842.2007.01777.x.CrossRefPubMed
8.
Yuan S, Freeman R, Lahti S, Lloyd-Williams F, Humphris G: Some psychometric properties of the Chinese version of the Modified Dental Anxiety Scale with cross validation. Health Qual Life Outcomes. 2008, 6: 22-10.1186/1477-7525-6-22.CrossRefPubMedPubMedCentral
9.
Coolidge T, Arapostathis KN, Emmanouil D, Dabarakis N, Patrikiou A, Economides N, Kotsanos N: Psychometric properties of Greek versions of the Modified Corah Dental Anxiety Scale (MDAS) and the Dental Fear Survey (DFS). BMC Oral Health. 2008, 8: 29-10.1186/1472-6831-8-29.CrossRefPubMedPubMedCentral
10.
Kanegane K, Penha SS, Borsatti MA, Rocha RG: Dental anxiety in an emergency dental service. Rev Saúde Pública. 2003, 37: 786-792. 10.1590/S0034-89102003000600015.CrossRefPubMed
11.
Tunc EP, Firat D, Onur OD, Sar V: Reliability and validity of the Modified Dental Anxiety Scale (MDAS) in a Turkish population. Community Dent Oral Epidemiol. 2005, 33: 357-362. 10.1111/j.1600-0528.2005.00229.x.CrossRefPubMed
12.
İlgüy D, İlgüy M, Dinçer S, Bayirli G: Reliability and validity of the Modified Dental Anxiety Scale in Turkish patients. J Int Med Res. 2005, 33: 252-259.CrossRefPubMed
13.
Milgrom P, Weinstein P, Getz T: Treating Fearful Dental Patients: A Patient Management Handbook. 1995, Seattle, WA: Continuing Dental Education, University of Washington, 2
14.
Coolidge T, Chambers MA, Garcia LJ, Heaton LJ, Coldwell SE: Psychometric properties of Spanish-language adult dental fear measures. BMC Oral Health. 2008, 8: 15-10.1186/1472-6831-8-15.CrossRefPubMedPubMedCentral
15.
Locker D, Liddell A, Burman D: Dental fear and anxiety in an older adult population. Community Dent Oral Epidemiol. 1991, 19: 120-124. 10.1111/j.1600-0528.1991.tb00125.x.CrossRefPubMed
16.
Schuller AA, Willumsen T, Holst D: Are there differences in oral health and oral health behavior between individuals with high and low dental fear?. Community Dent Oral Epidemiol. 2003, 31: 116-121. 10.1034/j.1600-0528.2003.00026.x.CrossRefPubMed
17.
Pohjola V, Lahti S, Vehkalahti MM, Tolvanen M, Hausen H: Age-specific associations between dental fear and dental condition among adults in Finland. Acta Odontol Scand. 2008, 66: 278-285. 10.1080/00016350802293960.CrossRefPubMed
18.
Skaret E, Raadal M, Kvale G, Berg E: Factors related to missed and cancelled dental appointments among adolescents in Norway. Eur J Oral Sci. 2000, 108: 175-183. 10.1034/j.1600-0722.2000.108003175.x.CrossRefPubMed
19.
Armfield JM, Stewart JF, Spencer AJ: The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health. 2007, 7: 1-10.1186/1472-6831-7-1.CrossRefPubMedPubMedCentral
20.
Locker D, Liddell A: Clinical correlates of dental anxiety among older adults. Community Dent Oral Epidemiol. 1992, 20: 372-375. 10.1111/j.1600-0528.1992.tb00702.x.CrossRefPubMed
21.
Abrahamsson KH, Berggren U, Hallberg L, Carlsson SG: Dental phobic patients' view of dental anxiety and experiences in dental care: a qualitative study. Scand J Caring Sci. 2002, 16: 188-196. 10.1046/j.1471-6712.2002.00083.x.CrossRefPubMed
22.
Milgrom P, Weinstein P, Kleinknecht R, Getz T: Treating Fearful Dental Patients: A Patient Management Handbook. Edited by: Reston VA. 1985, Reston Publishing Company
23.
Smith T, Getz T, Milgrom P, Weinstein P: Evaluation of treatment at a dental fears research clinic. Spec Care Dent. 1987, 7: 130-134. 10.1111/j.1754-4505.1987.tb00622.x.CrossRef
24.
McNeil DW, Crout RJ, Rice E, Patthoff E, Lewis MW, Sorrell JT, Razmus TF, Lawrence S: Dental beliefs in emergency dental patients [abstract]. J Dent Res. 2002, 81 (Special Issue A): A-271.
25.
Kvale G, Milgrom P, Getz T, Weinstein P, Johnsen TB: Beliefs about professional ethics, dentist-patient communication, control and trust among fearful dental patients: the factor structure of the Revised Dental Beliefs Survey. Acta Odontol Scand. 2004, 62: 21-29. 10.1080/00016350310005780.CrossRefPubMed
26.
Coolidge T, Heima M, Coldwell SE, Weinstein P, Milgrom P: Psychometric properties of the Revised Dental Beliefs Survey. Community Dent Oral Epidemiol. 2005, 33: 289-297. 10.1111/j.1600-0528.2005.00214.x.CrossRefPubMed
27.
Skaret E, Berg E, Kvale G, Raadal M: Psychological characteristics of Norwegian adolescents reporting no likelihood of visiting a dentist in a situation with toothache. Int J Paediatr Dent. 2007, 17: 430-438. 10.1111/j.1365-263X.2007.00869.x.CrossRefPubMed
28.
Abrahamsson KH, Hakeberg M, Stenman J, Öhrn K: Dental beliefs: evaluation of the Swedish version of the revised Dental Beliefs Survey in different patient groups and in a non-clinical student sample. Eur J Oral Sci. 2006, 114: 209-215. 10.1111/j.1600-0722.2006.00358.x.CrossRefPubMed
29.
Kunzelmann K-H, Dünninger P: Dental fear and pain: effect on patient's perception of the dentist. Community Dent Oral Epidemiol. 1990, 18: 264-266. 10.1111/j.1600-0528.1990.tb00073.x.CrossRefPubMed
30.
Kvale G, Berg E, Nilsen CM, Raadal M, Nielsen GH, Johnsen TB, Wormnes B: Validation of the Dental Fear Scale and the Dental Belief Survey in a Norwegian sample. Community Dent Oral Epidemiol. 1997, 25: 160-164. 10.1111/j.1600-0528.1997.tb00915.x.CrossRefPubMed
31.
Weinstein P, Coolidge T, Raff CA, Riedy CA: Recruiting rural dentally-avoidant adolescents into an intervention study. Eur Arch Paed Dent. 2009, 10: 233-236.CrossRef
32.
World Health Organization: A Guide to Oral Health Epidemiological Investigations. 1979, Geneva: World Health Organization
33.
Shrout PE, Fleiss JL: Intraclass correlations: uses in assessing rater reliability. Psych Bull. 1979, 86: 420-428. 10.1037/0033-2909.86.2.420.CrossRef
34.
Fleiss JL: Design and Analysis of Clinical Experiments. 1986, New York Wiley
35.
Heaton LJ, Garcia LJ, Gledhill LW, Beesley KA, Coldwell SE: Development and validation of the Spanish Interval Scale of Anxiety Response (ISAR). Anesth Prog. 2007, 54: 100-108. 10.2344/0003-3006(2007)54[100:DAVOTS]2.0.CO;2.CrossRefPubMedPubMedCentral
36.
Pal-Hegedüs C, Garnier L: La Escala de Ansiedad Dental de Corah: una ayuda para los odontologos. Rev Mex Psicol. 1991, 8: 33-36.
37.
Navarro Heyden C, Ramírez Henderson R: Un estudio epidemiológico acerca de la prevalencia de ansiedad y miedos dentales entre la población adulta de la gran área metropolitana de Costa Rica. Psicol Conduct. 1996, 4: 79-95.
38.
Lago-Méndez L, Diniz-Freitas M, Senra-Rivera C, Seoane-Pesqueira G, Gándara-Rey J-M, Garcia-Garcia A: Dental anxiety before removal of a third molar and association with general trait anxiety. J Oral Maxillofac Surg. 2006, 64: 1404-1408. 10.1016/j.joms.2006.05.030.CrossRefPubMed
39.
González Cienos M, Ezpeleta Sanz I, Heredia Zorrilla M, Malpartida Larrinaga Z, Núñez Moreno L, Trepiana Gordejuela R: Reacción de ansiedad de los hombres y mujeres al tratamiento dental. Psiquis. 1999, 20: 35-38.
40.
Guisado Moya B, Manso Platero FJ, Calatayud Sierra J, Carrillo Baracaldo JS: Influencia del aspecto personal del paciente en su nivel de ansiedad, higiene oral, intensidad del dolor a la punción en la anestesia infiltrativa y tiempo de intervención del profesional. Av Odontoestomatol. 1991, 7: 519-521.PubMed
41.
Jimenez M, Dietrich T, Shih M-C, Li Y, Joshipura KJ: Racial/ethnic variations in associations between socioeconomic factors and tooth loss. Community Dent Oral Epidemiol. 2009, 37: 267-275. 10.1111/j.1600-0528.2009.00466.x.CrossRefPubMedPubMedCentral
42.
Ismail AI, Szpunar SM: The prevalence of total tooth loss, dental caries, and periodontal disease among Mexican Americans, Cuban Americans, and Puerto Ricans: Findings from HHANES 1982-1984. Am J Public Health. 1990, 80 (Suppl): 66-70. 10.2105/AJPH.80.Suppl.66.CrossRefPubMedPubMedCentral
43.
Stewart DCL, Ortega AN, Dausey D, Rosenheck R: Oral health and use of dental services among Hispanics. J Public Health Dent. 2002, 62: 84-91. 10.1111/j.1752-7325.2002.tb03427.x.CrossRefPubMed
44.
Wall TP, Brown LJ: Dental visits among Hispanics in the United States, 1999. J Am Dent Assoc. 2004, 135: 1011-1017.CrossRefPubMed
45.
Boiko P, Katon W, Guerra JC, Mazzoni S: An audiotaped mental health evaluation tool for Hispanic immigrants with a range of literacy levels. J Immigr Health. 2005, 7: 33-36. 10.1007/s10903-005-1388-7.CrossRefPubMed
Metadata
Title
Additional psychometric data for the Spanish Modified Dental Anxiety Scale, and psychometric data for a Spanish version of the Revised Dental Beliefs Survey
Authors
Trilby Coolidge
M Blake Hillstead
Nadia Farjo
Philip Weinstein
Susan E Coldwell
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2010
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/1472-6831-10-12

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