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Child dental fear as measured with the Dental Subscale of the Children's Fear Survey Schedule : the impact of referral status and type of informant (child versus parent)
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- Gustafsson, Annika (author)
- Postgrad Dent Educ Ctr, Dept Pedodont, Publ Dent Hlth Serv, Region Örebro County, Örebro, Sweden,Dept Psychol, Univ Gothenburg, Gothenburg, Sweden
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- Arnrup, Kristina (author)
- Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,Postgrad Dent Educ Ctr, Dept Pedodont, Publ Dent Hlth Serv, Region Örebro County, Örebro, Sweden
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- Broberg, Anders G, 1950 (author)
- Gothenburg University,Göteborgs universitet,Psykologiska institutionen,Department of Psychology
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- (creator_code:org_t)
- 2010-01-14
- 2010
- English.
- In: Community Dentistry and Oral Epidemiology. - : Wiley. - 0301-5661 .- 1600-0528. ; 38:3, s. 256-266
- Journal article (peer-reviewed)
Abstract
Subject headings
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- Objectives: The first aim of this methodological study was to investigate the agreement between self-ratings of Children's Fear Survey Schedule (CFSS-DS). The second aim was to explore using differentiated cut-off scores, and to compare these cut-off scores with those commonly used. Methods: Three different data collections included study groups (n = 497) of children and adolescents who had been referred to specialized pediatric dentistry clinics, and reference groups (n = 499) of dental patients and children rating the analyses were limited to the Ostergotland sample (n = 210 + 228). Patients and their accompanying parents (mainly mothers) were asked to fill in the CFSS-DS independently. Cut-off scores on the CFSS-DS scale were determined using receiver-operating characteristic analysis; patient-parent agreement was illustrated with Bland-Altman plots. Results: The patient-parent agreement was modest, particularly among those who were referred because of dental behaviour management problems (DBMP). Cut-off scores differentiated by age and gender, suggested by exploration according to two different methods, were with few exceptions clearly below the standard cut-off score. Conlusion: The validity of parental ratings of their children dental fear should be questioned, particularly in high-fear populations. Self-ratings should, as far as possible, be used to complement parental ratings. One consequence of using the standard cut-off score is the risk of overlooking some patients needs for special attention. Further research is needed to establish and validate age-and gender-differentiated cut-off scores on the CFSS-DS.
Subject headings
- NATURVETENSKAP -- Matematik -- Sannolikhetsteori och statistik (hsv//swe)
- NATURAL SCIENCES -- Mathematics -- Probability Theory and Statistics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Keyword
- anxiety
- behavioral science
- pediatric dentistry
- Statistics
- Statistik
- Statistik
- Statistics
Publication and Content Type
- ref (subject category)
- art (subject category)
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- NATURAL SCIENCES
- NATURAL SCIENCES
- and Mathematics
- and Probability Theo ...
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- Örebro University
- University of Gothenburg
- Karolinska Institutet
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