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. 1988 May-Jun;35(3):121–123.

A Visual Analogue Scale in the Assessment of Dental Anxiety

Neil H Luyk, Frank M Beck, Joel M Weaver
PMCID: PMC2168029  PMID: 3166350

Abstract

The purpose of this study is to determine the validity of the visual analogue scale (VAS) in the assessment of changing levels of dental anxiety, through correlation with the dental anxiety scale (DAS) and the state portion (A-state) of the statetrait anxiety inventory (STAI). Forty-five adult patients attending an oral surgery clinic for a routine dental extraction participated. Before any treatment, each patient completed the DAS, the STAI, and a 100mm VAS. The order of administration was randomly determined. Following completion of the dental extraction under local anesthesia and just before discharge, the patients were once more asked to complete the DAS, the A-State, and a VAS which were again randomly ordered. All three measures demonstrate a significant reduction in mean anxiety scores from presurgery to postsurgery. There are significant correlations among the three measures both pre- and postsurgery. The VAS appears to correlate well with both the DAS and the A-State under changing levels of anxiety.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baker J. P., May H. J., Revicki D. A., Kessler E. R., Crawford E. G. Use of orally administered diazepam in the reduction of dental anxiety. J Am Dent Assoc. 1984 May;108(5):778–780. doi: 10.14219/jada.archive.1984.0079. [DOI] [PubMed] [Google Scholar]
  2. Carlsson S. G., Linde A., Ohman A. Reduction of tension in fearful dental patients. J Am Dent Assoc. 1980 Oct;101(4):638–641. doi: 10.14219/jada.archive.1980.0376. [DOI] [PubMed] [Google Scholar]
  3. Corah N. L. Development of a dental anxiety scale. J Dent Res. 1969 Jul-Aug;48(4):596–596. doi: 10.1177/00220345690480041801. [DOI] [PubMed] [Google Scholar]
  4. Corah N. L., Gale E. N., Illig S. J. Psychological stress reduction during dental procedures. J Dent Res. 1979 Apr;58(4):1347–1351. doi: 10.1177/00220345790580040801. [DOI] [PubMed] [Google Scholar]
  5. Corah N. L., Gale E. N., Illig S. J. The use of relaxation and distraction to reduce psychological stress during dental procedures. J Am Dent Assoc. 1979 Mar;98(3):390–394. doi: 10.14219/jada.archive.1979.0049. [DOI] [PubMed] [Google Scholar]
  6. Corah N. L. Methodological needs and behavioral research with adult dental patients. Anesth Prog. 1986 Jan-Feb;33(1):46–49. [PMC free article] [PubMed] [Google Scholar]
  7. Gatchel R. J. Effectiveness of two procedures for reducing dental fear: group-administered desensitization and group education and discussion. J Am Dent Assoc. 1980 Oct;101(4):634–637. doi: 10.14219/jada.archive.1980.0384. [DOI] [PubMed] [Google Scholar]
  8. Harkins S. W., Chapman C. R. The perception of induced dental pain in young and elderly women. J Gerontol. 1977 Jul;32(4):428–435. doi: 10.1093/geronj/32.4.428. [DOI] [PubMed] [Google Scholar]
  9. Hindmarch I. Subjective aspects of the effects of benzodiazepines on sleep and early morning behaviour. Ir J Med Sci. 1984 Aug;153(8):272–278. doi: 10.1007/BF02939900. [DOI] [PubMed] [Google Scholar]
  10. Kent G. Anxiety, pain and type of dental procedure. Behav Res Ther. 1984;22(5):465–469. doi: 10.1016/0005-7967(84)90049-4. [DOI] [PubMed] [Google Scholar]
  11. Kent G. Cognitive processes in dental anxiety. Br J Clin Psychol. 1985 Nov;24(Pt 4):259–264. doi: 10.1111/j.2044-8260.1985.tb00658.x. [DOI] [PubMed] [Google Scholar]
  12. Lamb D. H., Plant R. Patient anxiety in the dentist's office. J Dent Res. 1972 Jul-Aug;51(4):986–989. doi: 10.1177/00220345720510044301. [DOI] [PubMed] [Google Scholar]
  13. Maxwell C. Sensitivity and accuracy of the visual analogue scale: a psycho-physical classroom experiment. Br J Clin Pharmacol. 1978 Jul;6(1):15–24. doi: 10.1111/j.1365-2125.1978.tb01676.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. McGrath P. A. Measurement issues in research on dental fears and anxiety. Anesth Prog. 1986 Jan-Feb;33(1):43–46. [PMC free article] [PubMed] [Google Scholar]
  15. Schuurs A. H., Duivenvoorden H. J., Thoden van Velzen S. K., Verhage F., Makkes P. C., Eijman M. A. Dimensionality of dental anxiety measurements. Community Dent Oral Epidemiol. 1985 Jun;13(3):152–155. doi: 10.1111/j.1600-0528.1985.tb00432.x. [DOI] [PubMed] [Google Scholar]
  16. Scott J., Huskisson E. C. Graphic representation of pain. Pain. 1976 Jun;2(2):175–184. [PubMed] [Google Scholar]
  17. Seymour R. A., Charlton J. E., Phillips M. E. An evaluation of dental pain using visual analogue scales and the Mcgill Pain Questionnaire. J Oral Maxillofac Surg. 1983 Oct;41(10):643–648. doi: 10.1016/0278-2391(83)90017-4. [DOI] [PubMed] [Google Scholar]
  18. Wardle J. Fear of dentistry. Br J Med Psychol. 1982 Jun;55(Pt 2):119–126. doi: 10.1111/j.2044-8341.1982.tb01490.x. [DOI] [PubMed] [Google Scholar]
  19. Weinstein P., Smith T., Packer M. Method for evaluating patient anxiety and the interpersonal effectiveness of dental personnel: an exploratory study. J Dent Res. 1971 Sep-Oct;50(5):1324–1326. doi: 10.1177/00220345710500054001. [DOI] [PubMed] [Google Scholar]
  20. Weisenberg M., Kreindler M. L., Schachat R. Relationship of the dental anxiety scale to the state-trait anxiety inventory. J Dent Res. 1974 Jul-Aug;53(4):946–946. doi: 10.1177/00220345740530043901. [DOI] [PubMed] [Google Scholar]

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