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Sökning: WFRF:(Abrahamsson Kajsa H. 1956 )

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1.
  • Abrahamsson, Kajsa H., 1956-, et al. (författare)
  • Evaluation of the Dental Hygienist Beliefs Survey; test-retest assessment in a group of general dental patients.
  • 2012
  • Ingår i: International journal of dental hygiene. - 1601-5037. ; 10:1, s. 30-35
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective:  To evaluate the Dental Hygienist Beliefs Survey (DHBS) and the test–retest reliability of DHBS in a group of general dental patients.Material and methods:  The DHBS, which is a questionnaire constructed to assess patients’ specific attitudes towards dental hygienists (DHs), was distributed together with the Dental Anxiety Scale adapted to specifically assess fear of DH treatment (DHAS). It was hypothesized that DHBS would correlate with DHAS and gender. The questionnaires were consecutively distributed to 80 patients at their first visit and after a clinical examination performed by a DH student. Retest assessments of DHBS were conducted approximately two weeks later in conjunction with the next visit at the DH student and before treatment (scaling session). The final study sample included 77 adult general dental patients in treatment at an education clinic for DH students.Results:  The results verified a statistically significant correlation between DHBS and DHAS. The DHBS sum of scores showed high internal consistency with Cronbach’s a coefficient of 0.88 and 0.91 at the first and second assessments, respectively, and the test–retest reliability of the DHBS was acceptable with intraclass correlation coefficient of 0.76. No statistically significant association was found between DHBS and gender.Conclusion:  The results suggest that the DHBS is a reliable and stable scale to use to assess patients’ specific attitudes towards DHs. Moreover, DH beliefs are associated with fear of DH treatment.
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2.
  • Lindmark, U., et al. (författare)
  • Oral health-related resources - a salutogenic perspective on Swedish 19-year-olds
  • 2015
  • Ingår i: International Journal of Dental Hygiene. - 1601-5029. ; 13:1, s. 56-64
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim was to explore health-oriented resources among 19-year-olds and, specifically, how these resources interact with oral health-related attitudes and behaviour. To represent individuals with various psychosocial environments and socioeconomic areas, the participants were selected from different geographical locations of the Public Dental Service clinics in the county of Jönköping, Sweden. A structured questionnaire was distributed, including the instrument ‘sense of coherence’, for description of the study group, followed by a semi-structured thematized interview. The qualitative method used for sampling and analyses was grounded theory. Data sampling and analysis were performed in parallel procedures and ended up in a sample of ten informants (five women). In the analysis of interview data, a core category was identified, ‘Resources of Wealth and Balance in Life – a Foundation for Healthy Choices’, describing the central meaning of the informants’ perceptions of resources with an essential beneficial impact on oral health. The core category was built on five themes, which in turn had various subthemes, describing different dimensions of resources interacting with beneficial oral health-related attitudes and behaviour: ‘Security-building Resources and Support’, ‘Driving force and Motivation’, ‘Maturity and Insight’, ‘Health Awareness’ and ‘Environmental influences.’ The results elucidate personal and environmental health-oriented resources with influence on oral health-related attitudes and behaviours of young individuals. Such beneficial recourses should be recognized by dental personnel to promote oral health.
3.
  • Dellve, Lotta, et al. (författare)
  • Grounded theory in public health research
  • 2002
  • Ingår i: Qualitative Methods in Public Health Research - Theoretical foundations and practical examples. - Lund : Studentlitteratur. - 9789144021799 ; s. 137-173
  • Bokkapitel (övrigt vetenskapligt)
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4.
  • Abrahamsson, Kajsa H., 1956-, et al. (författare)
  • Ambivalence in Coping with Dental Fear and Avoidance: A Qualitative Study
  • 2002
  • Ingår i: Journal of Health Psychology. ; 7:6, s. 653-664
  • Tidskriftsartikel (refereegranskat)abstract
    • Dental phobia is a widespread problem, which can have significant impact on the individual's health and daily life. This grounded theory study aims to explore the situation of dental phobic patients: how dental phobia interferes with their normal routines and functioning, social activities and relationships, what factors contribute to the maintenance of dental fear and how they cope with their fear. In the qualitative analysis of thematized in-depth interviews four main categories were developed: threat to self-respect and well-being, avoidance, readiness to act and ambivalence in coping. The results show that several psychological and social factors interact in determining how dental phobic individuals cope with their fear, and demonstrate in what way dental fear affects their daily lives.
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6.
  • Abrahamsson, Kajsa H., 1956-, et al. (författare)
  • Dental beliefs: factor structure of the revised dental beliefs survey in a group of regular dental patients
  • 2009
  • Ingår i: Eur J Oral Sci. - 0909-8836. ; 117:6, s. 720-727
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to investigate the factor structure of the revised dental beliefs survey (DBS-R) in a group of regular dental patients. The study group consisted of 278 patients (mean age 54 yr), 61% of whom were women. The DBS-R item mean value was 1.6. Principal component analysis (PCA) and confirmatory factor analysis (CFA) were performed. The initial PCA among the 28 DBS-R items showed four factors with eigenvalues of > 1 explaining 67% of the total variance. Five different CFA models were tested. The final model revealed a four-factor solution with one second-order factor (i.e. a hierarchical CFA). Thus, the latent second-order variable, 'dental beliefs', explains the variance from all DBS-R items through the four first-order factors labeled 'ethics', 'belittlement', 'communication and empathy', and 'control and anxiety'. The results suggest a somewhat different factor structure of DBS-R than previously reported for dental-fear patients. Hence, the underlying factor structure of the DBS-R may differ between different patient groups. The results point towards the use of the original 28-item DBS-R and interpreting the scale as measuring an overall construct of 'dental beliefs' and thus patients' attitudes and feelings related to dentists and dentistry.
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7.
  • Abrahamsson, Kajsa H., 1956- (författare)
  • Dental fear and oral health behavior. Studies on psychological and psychosocial factors
  • 2003
  • Doktorsavhandling (övrigt vetenskapligt)abstract
    • The general aim of this thesis was to study psychological and psychosocial factors in relation to the development, maintenance and expression of dental fear, how individuals cope with their fear, and how dental fear may impact on health and daily life. The study samples consisted of adult dental fear patients seeking treatment at a specialized dental fear clinic. Both quantitative and qualitative research methods were used. The qualitative interview protocols were analyzed using the constant comparative method of grounded theory. It was found that dental fear patients with concomitant high general fear differ in several ways from patients with less frequent and wide-spread fear. These differences concern dental fear reactions and related emotions, as well as general psychological dimensions. The results indicated an overall more negative and complex situation for patients with high dental and general fear. Comparisons between severe dental fear patients reporting different attendance patterns showed a higher education level and more filled teeth among patients with a history of regular dental care, while patients with phobic dental avoidance behavior had more anticipatory dental anxiety, more missing teeth, and reported a stronger negative impact from dental fear/poor oral status on daily life. General fearfulness was not related to phobic dental avoidance. According to the qualitative interviews the onset of dental fear was commonly related to an individual vulnerability and to traumatic dental care experiences, where perceived negative dentist behavior played a significant role. The patient was caught in a "vicious circle" that was difficult to break, and fear and anxiety were maintained by negative expectations about treatment and about the patient's own ability to cope in dental care situations. The interviews brought out the patients' ambivalence in coping with dental fear. The ambivalence was between, on the one hand the tendency to avoid dental care, and on the other hand the need for dental care and their attempt to find active problem-solving strategies. This left patients in a state of conflict with negative consequences for self-respect and well-being. It was obvious that dental fear and deteriorated oral health status resulted for many patients in wide-spread negative life consequences. It was also obvious that several psychological and social factors interact in determining how individuals cope with their dental fear, and demonstrate how dental fear affects their daily lives. Finally, the importance of dental beliefs in dental fear treatment was investigated. The interpretation of the results suggests that the assessment of dental beliefs provides valuable information and that patients' subjective perceptions about how dentists communicate are important for treatment outcome. However, initial dental beliefs were not found to predict clinical treatment outcome, and dental beliefs are one of several factors interacting in dental fear treatment. The results emphasize the complexity of dental fear and oral health behavior, where personality characteristics and environmental factors interact. This further elucidates the need for a broad-spectrum approach in dentistry.
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8.
  • Abrahamsson, Kajsa H., 1956-, et al. (författare)
  • Dental phobic patients' view of dental anxiety and experiences in dental care: a qualitative study.
  • 2002
  • Ingår i: Scandinavian journal of caring sciences. - 0283-9318. ; 16:2, s. 188-96
  • Tidskriftsartikel (refereegranskat)abstract
    • Dental phobic patients' view of dental anxiety and experiences in dental care: a qualitative study The aim of this study was to explore and describe dental phobic patients' perceptions of their dental fear and experiences in dental care. The study sample consisted of 18 participants (12 women), with a mean age of 39.4 years, selected consecutively from patients applying for treatment at a specialized dental fear clinic in G?teborg, Sweden. Dental fear, assessed by the Dental Anxiety Scale, showed score levels well over established levels for severe dental fear. The method for sampling and analysis was inspired by the constant comparative method for Grounded Theory (GT). The thematized in-depth interviews took place outside the clinic and lasted for 1-1.5 h. All the interviews were conducted by the first author (KHA), audiotaped and transcribed verbatim. Three higher-order categories were developed and labelled existential threat, vulnerability and unsupportive dentist. Existential threat was identified as the core category, describing the central meaning of the subjects' experiences in dental care. The core category included two dimensions, labelled threat of violation and threat of loss of autonomy and independence. The core category and the descriptive categories are integrated in a model framing the process of dental fear, as described by the informants. In conclusion, the onset of dental fear was commonly related to individual vulnerability and to traumatic dental care experiences, where perceived negative dentist behaviour played a significant role. The patient was caught in a 'vicious circle' that was difficult to break, and where fear and anxiety were maintained by negative expectations about treatment and about patient's own ability to cope in dental care situations.
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