Table 4.
Changes in symptoms of depression, anxiety and PTSD during treatment
| T0 | T1 | T2 | Difference T2-T0 | Time-effect | Group-effect | ||
|---|---|---|---|---|---|---|---|
| Median | Median | Median | Median | Wilcoxon | Mann- | ||
| (Min,Max) | (Min,Max) | (Min,Max) | (Min,Max) | Signed rank | Whitney test | ||
| MDAS | D-CBT: | 22.0 | 16.0 | 15.5 | 5.0 | p < 0.001 | |
| Level of dental | (n = 48) | (12,25) | (6,24) | (5,25) | (-1,16) | ||
| anxiety | FHM: | 21.0 | 16.0 | 15.0 | 5.5 | p < 0.001 | |
| (n = 48) | (14,25) | (5,25) | (5,25) | (-3,15) | |||
| HADS-D | D-CBT: | 3.0 | 2.5 | 3.0 | 0.0 | p = 0.669 | p = 0.172 |
| Symptoms of | (n = 48) | (0,16) | (0,16) | (0,16) | (-10,7) | ||
| Depression | FHM: | 4.0 | 2.0 | 2.0 | 0.5 | p = 0.015 | |
| (n = 48) | (0,14) | (0,12) | (0,12) | (-3,7) | |||
| HADS-A | D-CBT: | 9.0 | 8.0 | 7.0 | 1.0 | p = 0.005 | p = 0.968 |
| Symptoms of | (n = 48) | (0,18) | (0,17) | (0,17) | (-7,9) | ||
| Anxiety | FHM: | 9.0 | 7.0 | 7.0 | 1.0 | p = 0.023 | |
| (n = 48) | (1,20) | (1,18) | (0,17) | (-11,11) | |||
| PCL-S | D-CBT: | 45.5 | 42.5 | - | 4.0 | p = 0.200 | p = 0.646 |
| Symptoms of | (n = 26/22/17) | (18,67) | (19,69) | - | (-9,23) | ||
| PTSD | FHM: | 41.5 | 38.5 | - | 0.0 | p = 0.762 | |
| (n = 28/24/19) | (18,74) | (17,57) | - | (-17,37) | |||
Intention to treat analysis of symptoms of anxiety and depression before (T0) and after treatment (T1) as well as one year after treatment (T2). Completers analyses of symptoms of PTSD at T0 and T1. The median values of PCL-S are estimated based on a different number of patients at T0 and T1. (There was no registration of PCL-S values at T2). The number of patients is indicated chronologically entre parenthesis. The difference is calculated between T2 and T0 when measures were available for T2. D-CBT: dentist-administered cognitive behavioural therapy. FHM The four habits model/midazolam, MDAS Modified dental anxiety scale, HADS-A Hospital anxiety and depression scale, anxiety subscale, HADS-D Hospital anxiety and depression scale, depression subscale, PCL-S The PTSD-checklist for DSM-IV, specific version, PTSD Post-traumatic stress disorder