Table 5.
Categories | Themes | Examples a |
---|---|---|
Physiological Responses | ||
Heart rate increase | “My chest feels lie it closes up” “Pounding in my chest” “Racing heartbeat” |
|
Blood pressure increase | “Their blood pressure will increase” | |
Breathing rate increase | “Breath heavily” “Feelings of suffocation” “I need to work out my breathing and calm myself” |
|
Sweating | “I was sweating” “Sweaty palms” |
|
Shaky | “I was shaky when doing so” | |
Stomachache | “Pit in my stomach” “Pitting of stomach that butterfly kind of feeling” |
|
Nausea | “Feeling nauseous” “Urge to gag or vomit before dental treatment” |
|
Dizziness | “Feel dizzy” | |
Behavioral Responses | ||
Avoidance of dental visit | “They always schedule appointment but not show up” “I avoid call to the dentist, it was stressful for me” “Delay going to the dentist” “They don’t often present to a dentist until they have a problem” |
|
Search for alternative | “Taking over-the counter pain medications to manage the pain” | |
Hesitation | “I stand in front of the door of the dental office but not going in” “Debating whether or not I should head back” |
|
Being sleepless | “I’m not able to sleep” “Sleep badly” |
|
Nightmares | “I have nightmares from the dentist” | |
Extreme behaviors | “I grabbed the dentist hand to stop him” “I wasn’t flossing every day, because I found that even flossing made me kind of look in my mouth and think about my dental state” “Refuse to be reclined in the dental chair” |
|
Crying | “I sit in the car and cry, because being there made me so afraid” | |
Cognitive Responses | ||
Irrational thought | “I found that even flossing made me think about the dentist, I know it is irrational” “I was feeling vulnerable and thinking I’m going to die” |
a Examples from both patients and dental professions.