A1 Refereed original research article in a scientific journal

Changes in dental fear and its relations to anxiety and depression in the FinnBrain Birth Cohort Study




AuthorsHagqvist Outi, Tolvanen Mimmi, Rantavuori Kari, Karlsson Linnea, Karlsson Hasse, Lahti Satu

PublisherWILEY

Publication year2020

JournalEuropean Journal of Oral Sciences

Journal name in sourceEUROPEAN JOURNAL OF ORAL SCIENCES

Journal acronymEUR J ORAL SCI

Volume128

Issue5

First page 429

Last page435

Number of pages7

ISSN0909-8836

eISSN1600-0722

DOIhttps://doi.org/10.1111/eos.12736

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/50249327


Abstract
This study aimed to: (i) evaluate short-term changes in dental fear during a 9-month period among women and men, and (ii) evaluate whether the course and magnitude of changes in dental fear were associated with changes in depression and anxiety. The longitudinal data of the FinnBrain Birth Cohort Study were used. Out of 3808 women and 2623 men, 1984 women and 1082 men filled in the Modified Dental Anxiety Scale (MDAS) at gestational weeks 14 and 34, and 3 months after childbirth. Other questionnaires used were the Edinburgh Postnatal Depression Scale and the anxiety subscale of the Symptom Checklist-90. All scales were analyzed as sum scores. The MDAS was also trichotomized to assess the stability of dental fear. Statistical significances of the changes in dental fear, depression, and general anxiety were evaluated using repeated-measures Friedman tests. Correlation coefficients were used to describe the associations between measures (Spearman) and their changes (Pearson). Dental fear more often increased than decreased, but for the majority it was stable. On average, dental fear, depression, and anxiety symptoms correlated throughout the study. The correlations tended to be stronger with depressive symptoms. However, the relationships between changes in dental fear, depression, and anxiety were not systematic.

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