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Gagging Problem Assessment: a re-evaluation.

G F E C van Linden van den Heuvell1, B de Boer1,2, B J Ter Pelkwijk2

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Summary
This summary is machine-generated.

The revised Gagging Problem Assessment (GPA-R) reliably identifies dental gagging in patients but needs improvement for dentist use. Dental gagging patients frequently experience fear of choking.

Keywords:
gaggingoral healthoral physiologyoral rehabilitation

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Area of Science:

  • Dentistry
  • Psychology

Background:

  • The Gagging Problem Assessment (GPA) is used to evaluate dental gagging.
  • A pilot study suggested GPA reliability and validity, necessitating a replication study.
  • A revised version, GPA-R, was developed with fewer items based on pilot findings.

Purpose of the Study:

  • To replicate the reliability of the revised Gagging Problem Assessment (GPA-R).
  • To investigate the correlation between dental gagging and general anxiety.
  • To assess the diagnostic capacity of the GPA-R in distinguishing gagging patients from controls.

Main Methods:

  • A replication study compared dental gagging patients (n=59) with a control group (n=17) at two time points.
  • The GPA-R patient and dentist versions were used for assessment.
  • The SCL-90 anxiety scale was administered to the gagging group; their scores were compared to non-clinical populations.

Main Results:

  • The GPA-R patient part reliably discriminated between the presence and absence of dental gagging.
  • The reliability of the GPA-R dentist part was insufficient, suggesting sensitivity to subtle procedural variations.
  • Gagging patients reported a significantly higher frequency of 'fear of choking' compared to the control group.

Conclusions:

  • The GPA-R patient version is a reliable tool for identifying dental gagging.
  • Further development is needed for the GPA-R dentist version, including clearer instructions and gagging stimuli.
  • Fear of choking is a significant factor in dental gagging, potentially informing treatment strategies.