Quality-of-life before and after cognitive behavioral therapy (CBT) in patients with intra-oral injection phobia

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Agdal, Maren Lillehaug (author)

Quality-of-life before and after cognitive behavioral therapy (CBT) in patients with intra-oral injection phobia

Article/chapterEnglish2012

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2011-11-30
Informa UK Limited,2012
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LIBRIS-ID:oai:DiVA.org:su-83045
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-83045URI
https://doi.org/10.3109/00016357.2011.635600DOI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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AuthorCount:4;
Objective. To evaluate quality-of-life (QoL), before and after cognitive behavioral therapy (CBT) in patients diagnosed with intra-oral injection phobia according to DSM-IV and to compare with the general population. This study also aimed to evaluate if QoL was associated with self-reported injection anxiety, dental anxiety, time since last dental treatment and oral health. Materials and methods. Subjects were 55 patients (mean age 35.5 +/- 12.2, 78.2% women) who participated in a treatment study in which 89% managed an intra-oral injection at 1 year follow-up. The patients completed a set of questionnaires including Quality of Life Inventory (QOLI), Injection Phobia Scale-Anxiety, Dental Anxiety Scale and a single-item question assessing self-perceived oral health. Objective measures of oral health and treatment needs were based on clinical examination. QOLI-scores from a non-clinical sample were used for comparison. Results. Before treatment the general and health specific QoL were lower among intra-oral injection phobics than in the non-clinical sample. At 1 year follow-up the QoL in general had improved significantly and was similar to that of the non-clinical sample. Poor self-reported oral health and long-term avoidance of dental treatment were associated with lower general and health-specific QoL. Self-reported injection anxiety and dental anxiety were not associated with QoL. Conclusions. Patients with intra-oral injection phobia report lower QoL compared with a general population. Phobia treatment seems to increase QoL to normative levels. Self-perceived poor oral health is associated with reduced QoL in these patients.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Odontologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Dentistry hsv//eng
SAMHÄLLSVETENSKAP Psykologi hsv//swe
SOCIAL SCIENCES Psychology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
BII-phobia
dental anxiety
oral health

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Raadal, Magne (author)
Öst, Lars-GöranStockholms universitet,Psykologiska institutionen(Swepub:su)ost (author)
Skaret, Erik (author)
Stockholms universitetPsykologiska institutionen (creator_code:org_t)

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In:Acta Odontologica Scandinavica: Informa UK Limited70:6, s. 463-4700001-63571502-3850

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By the author/editor: Agdal, Maren Lil ...; Raadal, Magne; Öst, Lars-Göran; Skaret, Erik

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Dentistry

SOCIAL SCIENCES: SOCIAL SCIENCES; and Psychology

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

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By the university: Stockholm University

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