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Related Experiment Videos

Preparation for oral surgery: evaluating elements of coping

M D Litt1, C Nye, D Shafer

  • 1University of Connecticut School of Dental Medicine, Farmington, USA.

Journal of Behavioral Medicine
|October 1, 1995
PubMed
Summary

This study found that relaxation, perceived control, and self-efficacy equally contribute to coping during stressful medical procedures like third-molar extraction. Interventions offering multiple coping elements are most effective for reducing patient distress.

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Area of Science:

  • Psychology
  • Health Psychology
  • Surgical Patient Care

Background:

  • Effective coping strategies are crucial for managing acute stressors in medical settings.
  • Understanding the components of coping, such as relaxation, control, and self-efficacy, can inform patient preparation.
  • Individual coping styles (monitoring vs. blunting) may influence the effectiveness of interventions.

Purpose of the Study:

  • To evaluate the relative importance of relaxation, perceived control, and self-efficacy in coping with third-molar extraction stress.
  • To determine if intervention type and individual coping styles interact to affect patient distress.
  • To identify optimal preparatory interventions for surgical patients.

Main Methods:

  • 231 third-molar extraction patients received one of five preparatory interventions.

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  • Pre-surgery assessments included measures of monitoring and blunting coping styles.
  • Patient distress levels were evaluated before and during surgery.

    • Main Results:

    • Relaxation, perceived control, and self-efficacy were significant and additive contributors to coping.
    • Intervention type and its interaction with blunting scores predicted distress.
    • Coping style interacted with intervention type, influencing coping outcomes.

    Conclusions:

    • No single coping element is essential; interventions combining multiple elements are superior.
    • Interventions should consider individual coping styles for maximum effectiveness.
    • Distraction-preferring patients benefit from low-effort interventions.