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Related Experiment Videos

Situation-specific child control: a visit to the dentist

P Weinstein1, P Milgrom, O Hoskuldsson

  • 1Department of Dental Public Health Sciences, University of Washington, Seattle 98195-7475, USA.

Behaviour Research and Therapy
|January 1, 1996
PubMed
Summary

The Child Dental Control Assessment (CDCA) measures how children cope during dental visits. Higher active coping scores correlated with using a signaling device, aiding dental anxiety management.

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Area of Science:

  • Pediatric Psychology
  • Dental Anxiety Research
  • Psychometric Instrument Development

Background:

  • Dental visits can induce anxiety in school-aged children.
  • Assessing children's coping strategies is crucial for managing dental fear.
  • Existing measures may not adequately capture situation-specific control strategies.

Purpose of the Study:

  • To develop and validate the Child Dental Control Assessment (CDCA).
  • To identify distinct control strategies used by children during dental appointments.
  • To examine the relationship between coping strategies and the use of a signaling device.

Main Methods:

  • Development and pilot testing of the CDCA instrument.
  • Two studies involving 180 children in classroom and clinical settings.

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  • Psychometric analyses including factor analysis and internal consistency checks.

    • Main Results:

    • Factor analysis identified five scales: Dentist-Mediated Control, Active Coping, Cognitive Withdrawal, Reassurance, and Physical Escape.
    • Internal consistency ranged from 0.5 to 0.7.
    • Higher Active Coping scores were linked to the use of a signaling device in a clinical setting.

    Conclusions:

    • The CDCA is a psychometrically sound measure for assessing children's dental control strategies.
    • The findings highlight the importance of active coping and dentist-mediated control.
    • The CDCA can assess individual and developmental differences in children's coping during dental care.