Psychophysiological reactions in dental phobic patients with direct vs. indirect fear acquisition.

Dental phobic patients with reported traumatic experiences at onset of dental anxiety were compared to subjects with an indirect fear acquisition in their psychophysiological responses to video scenes showing dental procedures. It has been suggested that individuals with conditioned fear would respond with higher levels of physiological arousal in response to threat compared to subjects with indirect fear acquisition. Although the overall pattern indicates support for this hypothesis, subjects grouped on the basis of their reported fear-etiology did not statistically differ in recorded muscle tension, heart rate or skin conductance reactions to fear-provoking conditions.

[1]  J. Wolpe The dichotomy between classical conditioned and cognitively learned anxiety. , 1981, Journal of behavior therapy and experimental psychiatry.

[2]  B. Willershausen,et al.  Fear of dental treatment and its possible effects on oral health. , 1999, European journal of medical research.

[3]  W. Hubert,et al.  Psychophysiological response patterns to positive and negative film stimuli , 1990, Biological Psychology.

[4]  Lars-Göran Öst,et al.  Individual response patterns and the effects of different behavioral methods in the treatment of claustrophobia. , 1982, Behaviour research and therapy.

[5]  G. Davey Dental phobias and anxieties: evidence for conditioning processes in the acquisition and modulation of a learned fear. , 1989, Behaviour research and therapy.

[6]  N. L. Corah,et al.  Assessment of a dental anxiety scale. , 1978, Journal of the American Dental Association.

[7]  P Milgrom,et al.  The prevalence and practice management consequences of dental fear in a major US city. , 1988, Journal of the American Dental Association.

[8]  Norman L. Corah,et al.  Controlled Study of Psychologic Stress in a Dental Procedure , 1968, Journal of dental research.

[9]  Lars-Göran Öst Acquisition of blood and injection phobia and anxiety response patterns in clinical patients. , 1991 .

[10]  M. Hakeberg,et al.  Assessment of patients with direct conditioned and indirect cognitive reported origin of dental fear. , 1997, European journal of oral sciences.

[11]  F. Deane,et al.  Acquisition and severity of driving-related fears. , 1999, Behaviour research and therapy.

[12]  F. Scheutz,et al.  Prevalence and characteristics of dental anxiety in Danish adults. , 1993, Community dentistry and oral epidemiology.

[13]  Lars-Göran Öst Ways of acquiring phobias and outcome of behavioral treatments , 1985 .

[14]  L. F. Barrett,et al.  Handbook of Emotions , 1993 .

[15]  O. Vassend Anxiety, pain and discomfort associated with dental treatment. , 1993, Behaviour research and therapy.

[16]  P. Venables,et al.  A Manual of Psychophysiological Methods , 1967 .

[17]  J. Lundgren,et al.  Psychophysiological reactions in dental phobic patients during video stimulation. , 2001, European journal of oral sciences.

[18]  A. Linde,et al.  Reduction of dental fear: psychophysiological correlates. , 1986, Community dentistry and oral epidemiology.

[19]  D. Mcleod,et al.  Somatic manifestations in women with generalized anxiety disorder. Psychophysiological responses to psychological stress. , 1989, Archives of general psychiatry.

[20]  S. Rachman The conditioning theory of fearacquisition: A critical examination , 1977 .

[21]  P. Lang,et al.  Emotional imagery and the differential diagnosis of anxiety. , 1988, Journal of consulting and clinical psychology.

[22]  N. L. Corah,et al.  Development of a Dental Anxiety Scale , 1969, Journal of dental research.

[23]  U. Berggren,et al.  Dental fear and avoidance: causes, symptoms, and consequences. , 1984, Journal of the American Dental Association.

[24]  T Greitz,et al.  Regional cerebral blood flow during experimental phobic fear. , 2007, Psychophysiology.

[25]  S. Carlsson,et al.  Psychosocial aspects of dental and general fears in dental phobic patients , 2000, Acta odontologica Scandinavica.

[26]  Arne Öhman,et al.  Fear and anxiety as emotional phenomena: Clinical phenomenology, evolutionary perspectives, and information-processing mechanisms. , 1993 .

[27]  M. Hakeberg,et al.  Prevalence of dental anxiety in an adult population in a major urban area in Sweden. , 1992, Community dentistry and oral epidemiology.

[28]  R. McNally,et al.  Differentiation between classically conditioned and cognitively based neurotic fears: two pilot studies. , 1985, Journal of behavior therapy and experimental psychiatry.

[29]  M. Hakeberg,et al.  Assessment of patients with phobic dental anxiety. , 1997, Acta odontologica Scandinavica.

[30]  J. Hoogstraten,et al.  Prevalence of dental anxiety in The Netherlands. , 1990, Community dentistry and oral epidemiology.

[31]  D. S. Scott,et al.  Psychological aspects of dental anxiety in adults. , 1982, Journal of the American Dental Association.

[32]  A. Linde,et al.  Reduction of tension in fearful dental patients. , 1980, Journal of the American Dental Association.

[33]  Mats Fredrikson,et al.  A functional cerebral response to frightening visual stimulation , 1993, Psychiatry Research: Neuroimaging.

[34]  D. Locker,et al.  Negative dental experiences and their relationship to dental anxiety. , 1996, Community dental health.

[35]  S. Fiske,et al.  The Handbook of Social Psychology , 1935 .

[36]  S. Stone-Elander,et al.  Functional neuroanatomy of visually elicited simple phobic fear: additional data and theoretical analysis. , 1995, Psychophysiology.

[37]  D. Locker,et al.  Diagnostic categories of dental anxiety: a population-based study. , 1999, Behaviour research and therapy.

[38]  S. Carlsson,et al.  Psychometric measures of dental fear. , 1984, Community dentistry and oral epidemiology.

[39]  R. Poulton,et al.  Dishabituation processes in height fear and dental fear: an indirect test of the non-associative model of fear acquisition. , 2000, Behaviour research and therapy.