Assessing anxious emotion: A review of psychophysiological assessment in children (original) (raw)
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Anxiety Levels of Children During Electrophysiological Study
The Journal of Tepecik Education and Research Hospital, 2021
Objective: Electrophysiological study (EPS) has been widely used in the diagnosis and treatment of tachycardia. The objective of this study was to determine the anxiety levels in children before EPS procedure. Method: Patients (n=45) who were hospitalized for EPS between March and September of 2019 were included n this cross-sectional study, The patient group consisting of children aged 8-18 years old was compared with age- and sex- matched controls (n=46). We evaluated the severity of anxiety at the time of assessment using the Screen for Child Anxiety Related Emotional Disorders (SCARED) scale. The forms were filled out by both children and their parents. Results: The mean age of the patients in the study group consisting of 23 girls and 22 boys was 13.91±2.84 years. Diagnoses of cases treated due to arrhythmia were as follows: atrioventricular reentrant tachycardia (44.4%), atrioventricular nodal reentrant tachycardia (31%), ventricular tachycardia (11.2%), sinus tachycardia (8.8...
Indian Journal of Dental Research, 2006
Anxiety is a special variety of fear, experienced in anticipation of threatening stimuli. While some research workers have said that the response of a child improves with the number of visits, many have felt otherwise. The present study is yet another effort to find the patterns of anxiety in children during sequential dental visits. The m a i n a i m w a s t o d e t e r m i n e t h e physiological and behavioral variations during sequential dental visits and its impact on age and sex. The study was conducted at the outpatient Department of Pedodontics and preventive dentistry, Meenakshi Ammal Dental College and Hospital, Chennai to evaluate the physiological and behavioural measures of stress and anxiety in children. One hundred and fifteen children, between four and eleven years of age who reported for dental treatment were selected for the study.
Evaluation of children’s dental anxiety levels at a kindergarten and at a dental clinic
Brazilian Oral Research, 2016
This study evaluated the dental anxiety levels of preschool children at a kindergarten and at a dental clinic. The anxiety levels of ninety 4-6-year-old (4.99 ± 0.81) preschool children were evaluated according to pulse rates, the facial image scale (FIS), the Venham picture test (VPT), and the Frankl behavior rating scale. The children's mothers were asked to complete the state-trait anxiety inventory (STAI) forms 1 and 2 (STAI 2 and STAI 2). The sample t-test, Mann-Whitney U test, and Pearson's correlation test were used. A statistically significant difference was observed between the children's pulse rates when measured at the dental clinic and those when measured at the kindergarten (p < 0.001). Although the results were not statistically significant, more negative facial expressions were observed in the children at the dental clinic than in those at the kindergarten when assessed using FIS and VPT (p = 0.090 and p = 0.108, respectively). There was a statistically significant correlation between the transient anxiety levels (STAI 1) of mothers and the VPT scores of their children evaluated at the dental clinic (r = 0.506, p < 0.001). The continuous anxiety level of the mothers of males was found to be significantly higher (p = 0.033) than that of the mothers of females (STAI 2). Although the children had been informed about dentistry and were introduced to a dentist at the kindergarten, their anxiety levels seemingly increased as they arrived at the dental clinic. The significant increase observed in the children's pulse rates was a physical indicator that their anxiety levels had increased. It can be concluded that the children felt more anxious at the dental clinic that at the kindergarten.
Evaluation of children’s dental anxiety levels at a kindergarten and at a dental clinic
Brazilian Oral Research, 2016
This study evaluated the dental anxiety levels of preschool children at a kindergarten and at a dental clinic. The anxiety levels of ninety 4-6-year-old (4.99 ± 0.81) preschool children were evaluated according to pulse rates, the facial image scale (FIS), the Venham picture test (VPT), and the Frankl behavior rating scale. The children's mothers were asked to complete the state-trait anxiety inventory (STAI) forms 1 and 2 (STAI 2 and STAI 2). The sample t-test, Mann-Whitney U test, and Pearson's correlation test were used. A statistically significant difference was observed between the children's pulse rates when measured at the dental clinic and those when measured at the kindergarten (p < 0.001). Although the results were not statistically significant, more negative facial expressions were observed in the children at the dental clinic than in those at the kindergarten when assessed using FIS and VPT (p = 0.090 and p = 0.108, respectively). There was a statistically significant correlation between the transient anxiety levels (STAI 1) of mothers and the VPT scores of their children evaluated at the dental clinic (r = 0.506, p < 0.001). The continuous anxiety level of the mothers of males was found to be significantly higher (p = 0.033) than that of the mothers of females (STAI 2). Although the children had been informed about dentistry and were introduced to a dentist at the kindergarten, their anxiety levels seemingly increased as they arrived at the dental clinic. The significant increase observed in the children's pulse rates was a physical indicator that their anxiety levels had increased. It can be concluded that the children felt more anxious at the dental clinic that at the kindergarten.
ASSESSMENT OF CHILDREN'S ANXIETY IN DENTAL CLINICS BY THREE DIFFERENT TECHNIQUES
This study was conducted to assess dental anxiety of children in dental clinics, using different techniques. This study was conducted among one hundred children of 6 to 12 years old (males and females). They were examined in the Pediatric Dental Clinics, Faculty of Dentistry, Mansoura University. Tooth restoration under local ansthesia, was carried out for each child, and anxiety was measured by using Venham 6 point index. After tooth restoration Simple direct questionnaire was used for assessment of dental anxiety. Each child was given a set of color pencils and instructed to draw a person in dental clinic and children drawings were scored using Child drawing: Hospital (CD:H) scale. The majority of children's drawing scores were in the anxiety level of low stress (70%), then average stress (28%) and in very low stress (2%). Through simple direct questionnaire the majority of children showed a positive perception to dental treatment. There was no significant difference between males and females in assessment of anxiety in all scales except, questionnaire in group A and Venham 6 point index in group B, which showed significant differences. According to age there was no significant difference
Journal of Family Medicine and Primary Care, 2019
Introduction: Dental anxiety is a kind of fear exerted due to threatening stimuli. Assessing a child's dental anxiety level is very important to perform a particular treatment. The aim of this study is to examine the various factors that determine the anxiety levels in children and evaluate their anxiety levels. Materials and Methods: A total of 50 children participated in the survey conducted. Each participant had fulfilled the inclusion and exclusion criteria to answer the questionnaire. It included questions regarding their habits, fears, and dental visit experience. Evaluation of their anxiety levels was done using the facial image scale (FIS) and the modified dental anxiety scale and was correlated with various factors using the Statistical Package for Social Science Software. Results: Female children are more anxious than male children toward dental treatment. About 38% were anxious and 16% refused while undergoing radiographic examination and showed significant anxiety levels (P = 0.012). About 16% of the population were highly uncooperative and were necessary to implement behavioral shaping techniques on them. It influences the FIS anxiety score before initiation of the treatment (P = 0.003). About 48% of children had maintained a good rapport with the dentist and showed strong significance with the child's anxiety (P = 0.025). Conclusion: Gender and behavior of the child while diagnosis and radiographic examination, implementation of behavioral shaping techniques, and rapport developed between child and dentist are all influencing factors of dental anxiety. The number of visits to the dental clinic, socioeconomic status, kind of amount of consumption of sugars, and type of treatment being done do not contribute to a child's anxiety level.
Relation of anxiety and pulse rate before tooth exctraction of 6-9 years old children
Padjadjaran Journal of Dentistry
Introduction: Anxiety in children during dental treatment is a common problem that affects the success of dental care. Only a few patients come to the dentist without anxiety and it will be far more difficult for dentists to provide satisfactory dental care for tense patients compared to patients who are relaxed and cooperative.The purpose of this study was to analized relationship of the anxiety in children with pulse rate aged 6-9 years old before tooth extraction. Methods: This method of this study was descriptive with a sample of 30 children aged 6-9 years old. The samples collected by using purposive sampling at the first time they would get dental extraction treatment. Measurement used questionnaire with Corah method and measure their pulse before tooth extraction. Results: The result shows in 30 children aged 6-9 years old who first came to the dentist there are 90% children who have no anxiety, 3,3% children who have high anxiety, and 6,7% children who have highest anxiety....
Comparative efficacy of a self-report scale and physiological measures in dental anxiety of children
Journal of Investigative and Clinical Dentistry, 2013
Aim: To determine and correlate dental anxiety in children, using psychometric and physiological measures. Methods: One hundred children (51 boys and 49 girls) were selected and anxiety was assessed using psychometric (Modified Child Dental Anxiety Scale) and physiological measures (pulse rate and oxygen saturation levels), for local anesthetic administration. Statistical analysis was carried out with SPSS software version 11.0. Metric continuous data are presented as mean AE standard deviation. Analysis between groups was carried out by using one way ANOVA. Categorical variables were analyzed with "Fisher's exact test". For statistical significance, the probability value of < 0.05 was considered. The correlation among psychometric and physiological measures was assessed using the Spearman rank correlation. Results: A very weak negative correlation between pulse rate and MCDAS (f) values was observed. The oxygen saturation level did not show significant variations and was not a reliable indicator of anxiety. Conclusion: Both psychometric and physiological measures have their own merits and are important clinically. Even behavioral measures, although having observer bias, can be used as an adjuvant along with these measures. It is essential to take two or more measures into consideration rather than just one to assess dental anxiety.