June 2010

Volume 27, Issue 2

Development of a measure of childhood information learning experiences related to dental anxiety

Authors: U. Klages T. Einhaus Y. Seeberger H. Wehrbein
doi: 10.1922/CDH_2345Klages07


Objective The aim of this study was to develop a measure of childhood information learning experiences related to dental anxiety according to Rachman’s theory of fear acquisition entitled “Dental Information Learning History Questionnaire (DILHQ)” and to determine its test quality with regard to factorial validity, reliability, divergent, discriminant, and predictive validity. Method Sample 1 included 228 dental patients, answering a 17-item-pool of the DILHQ, the Dental Anxiety Scale (DAS: Corah, 1969), and the Self-Consciousness Scale by Fenigstein et al. (1975). A second sample of 197 patients filled in the final 12-item test version, the DAS and the state version of the State-Trait Anxiety Inventory (Spielberger et al., 1970). Ninety-five participants constituting the third sample answered the DILHQ twice with a 14-days interval. Results An exploratory study using the first sample resulted in two dimensions underlying the DILHQ-answers after removal of the unique loading items. The two-factorial structure was confirmed in the second sample. The factor-analytically derived Danger Information and Acceptance Information subscales showed sufficient internal consistency (Alpha=0.87 and 0.72) and temporal stability (rtt=0.77 and 0.76). Dentally fearful patients remembered being exposed to more danger information and less acceptance information about dentistry during childhood than low-fearful patients did (p<0.001 each). Danger information and acceptance information predicted anxious response to the following dental procedure in opposite directions (r=0.29 and r=-0.29). Conclusion The results suggest that the DILHQ fulfils criteria of good construct validity. Exposure to threatening information about dentistry during childhood may increase the risk for dental fear acquisition and for exaggerated anxious response to treatment, while acceptance information might have a protective effect. Key words: Dental anxiety, factor analysis, information learning, test development,validity


Other articles in this issue

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Editorial - Use of qualitative data in oral health research 66-67 Download
A health equity methodology for auditing oral health and NHS General Dental Services in Sheffield, England. 68-73 Download
Effectiveness of structured comprehensive paediatric oral health education for parents of children less than two years of age in Germany 74-80 Download
An assessment of nutritional information in oral health education leaflets 81-88 Download
Reliability analysis of visual examinations carried out by schoolteachers and a dental assistant in the detection of dental caries. 89-93 Download
Oral health in children in Denmark under different public dental health care schemes 94-101 Download
Caries experience and oral health behaviour among 11 – 13-year-olds: an ecological study of data from 27 European countries, Israel, Canada and USA 102-108 Download
Caries prevalence and intra-oral pattern among young children in Ajman. 109-113 Download
Endodontic treatment completion following emergency pulpectomy 114-117 Download
Prevalence of cleft lip and palate in births from 2003 – 2006 in Iran. 118-121 Download
Development of a measure of childhood information learning experiences related to dental anxiety 122-128 Download


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