Desired control and felt control as mediators of stress in a dental setting

Control-related variables have clearly affected stress responses in previous research (Thompson, 1981). Prior work, however, has primarily emphasized the amount of control that subjects perceive they have. In the three studies reported here, we examined the added predictive utility of assessing subjects' desire for control. Data from all three studies indicate that subjects who have a high desire for control coupled with a low feeling of control are characterized by particularly high degrees of dental distress. These results were found both in settings where patients anticipated immediate dental treatment and where treatment was not imminent. In addition, the results indicate that this "at risk" group reported greater distress before and immediately after actual dental treatment. Furthermore, they remembered their dental treatment as being more aversive 1 week after treatment. The practical implications and theoretical significance of these data are considered.