A1 Refereed original research article in a scientific journal

Anxiety and depressive disorders and dental fear among adults in Finland




AuthorsPohjola V, Mattila AK, Joukamaa M, Lahti S

Publication year2011

JournalEuropean Journal of Oral Sciences

Journal name in sourceEuropean journal of oral sciences

Journal acronymEur J Oral Sci

Volume119

Issue1

First page 55

Last page60

Number of pages6

ISSN0909-8836

eISSN1600-0722

DOIhttps://doi.org/10.1111/j.1600-0722.2010.00795.x


Abstract
We studied the association between dental fear and anxiety or depressive disorders, as well as the comorbidity of dental fear with anxiety and depressive disorders, controlling for socio-demographic characteristics, dental attendance, and dental health. Nationally representative data on Finnish adults, ≥ 30 yr of age (n = 5,953), were gathered through interviews and clinical examination. Dental fear was measured using the question: 'How afraid are you of visiting a dentist?' Anxiety and/or depressive disorders were assessed using a standardized structured psychiatric interview according to criteria presented in the Diagnostic and Statistical Manual of Mental Disorders (4th edition) (DSM-IV).Those with depressive disorders, generalized anxiety disorder or social phobia more commonly reported high dental fear than did those without these disorders. When age, gender, education, dental attendance, and the number of decayed, missing, and restored teeth were considered, those with generalized anxiety disorder were more likely to have high dental fear than were participants with neither anxiety nor depressive disorders. The comorbidity of depressive and anxiety disorders also remained statistically significantly associated with dental fear; those with both depressive and anxiety disorders were more likely to have high dental fear than were those without these disorders. Our findings support the suggestion that some individuals may have a personality that is vulnerable to dental fear.



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