Journal of Korean Academy of Dental Administration (대한치과의료관리학회지)

Korean Academy of Dental Administration (대한치과의료관리학회)
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Association between social phobia level and dental fear level of college students

대학생의 사회공포수준과 치과공포수준의 관련성

  • Bo Young Park (Department of Dental Hygiene, Shinhan University) ;
  • Han A Cho (Department of Dental Hygiene, Shinhan University) ;
  • So Yeong Bang (Department of Dental Hygiene, Shinhan University) ;
  • Min Jeung Oh (Department of Dental Hygiene, Shinhan University) ;
  • Eun Ji Lee (Department of Dental Hygiene, Shinhan University) ;
  • Whan Hui Lee (Department of Dental Hygiene, Shinhan University) ;
  • Jae Min Joung (Department of Dental Hygiene, Shinhan University) ;
  • Mi Sook Yoon (Department of Dental Hygiene, Shinhan University)
  • 박보영 (신한대학교 치위생학과) ;
  • 조한아 (신한대학교 치위생학과) ;
  • 방소영 (신한대학교 치위생학과) ;
  • 오민정 (신한대학교 치위생학과) ;
  • 이은지 (신한대학교 치위생학과) ;
  • 이환희 (신한대학교 치위생학과) ;
  • 정재민 (신한대학교 치위생학과) ;
  • 윤미숙 (신한대학교 치위생학과)
  • Received : 2023.12.22
  • Accepted : 2023.12.26
  • Published : 2023.12.31
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Abstract

Social phobia is a mental disorder that triggers physical reactions, such as cold sweats, headaches, and panic attacks, as a result of anxiety about a particular situation. Individuals with social phobia are thought to be more sensitive to dental anxiety and may have difficulty visiting the dentist as a result. This study aimed to determine the relationship between social phobia and dental fear among college students, who are reported to have a high prevalence of social phobia. A total of 120 survey responses were analyzed. To investigate the variation in dental fear levels based on the level of social phobia, the total social phobia score was divided into two groups: 41 points or more, and 40 points or less. The disparity in dental fear scores was then analyzed using a t-test. The study found that the average score for dental fear was statistically significantly higher in the group with a total social phobia score of 41 points or more compared to the group with a total score of 40 points or less (p<0.05). Furthermore, the group that scored 41 points or higher on the social phobia scale reported experiencing symptoms such as feeling nauseous at the dentist (3.29 points), sweating upon entering the dentist (3.13 points), and feeling afraid when looking at the dentist (3.13 points). The score was high (p<0.05). Therefore, dental patients exhibiting anxiety symptoms require a comfortable treatment environment to alleviate dental fear, and safe, pain-free dental treatment techniques must be employed.

Keywords

References

  1. American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders. Text revision (DSM-IV-TR). 4th ed. Washington, D.C.: APA: 2000.
  2. Armfield JM, Stewart JF, Spencer AJ. The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health 2007;7:1.
  3. Choi SS. Factors related to the dental fear and decayed teeth of middle & high school students [dissertation]. Gyeongsan: Yeungnam University; 2009.
  4. Dams J, Konig HH, Bleibler F, Hoyer J, Wiltink J, Beutel ME, et al. Excess costs of social anxiety disorder in Germany. J Affect Disord 2017;213:23-9. https://doi.org/10.1016/j.jad.2017.01.041
  5. Dobros K, Hajto-Bryk J, Wnek A, Zarzecka J, Rzepka D. The level of dental anxiety and dental status in adult patients. J Int Oral Health 2014;6(3):11-4.
  6. Hajure M, Abdu Z. Social phobia and its impact on quality of life among regular undergraduate students of Mettu University, Mettu, Ethiopia. Adolesc Health Med Ther 2020;11:79-87. https://doi.org/10.2147/AHMT.S254002
  7. Health Insurance Review & Assessment Service. Analysis of treatment status for depression and anxiety disorders over the past 5 years (2017-2021). Available from: URL: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=10627
  8. Hong JS, Kim YS, Lee HJ, Kim JY, Chang KW. Review on dental fear and anxiety factors by DFS. J Korean Acad Oral Health 2015;39(4):229-36. https://doi.org/10.11149/jkaoh.2015.39.4.229
  9. Jaiswal A, Manchanda S, Gautam V, Goel AD, Aneja J, Raghav PR. Burden of internet addiction, social anxiety and social phobia among University students, India. J Family Med Prim Care 2020;9(7):3607-12. https://doi.org/10.4103/jfmpc.jfmpc_360_20
  10. Khambaty T, Stewart JC. Associations of depressive and anxiety disorders with periodontal disease prevalence in young adults: analysis of 1999-2004 National Health and Nutrition Examination Survey (NHANES) data. Ann Behav Med 2013;45(3):393-7. https://doi.org/10.1007/s12160-013-9471-0
  11. Kim HS. Memory bias in subtypes of social phobia [dissertation]. Seoul: Seoul National University; 2001.
  12. Kisely S, Sawyer E, Siskind D, Lalloo R. The oral health of people with anxiety and depressive disorders - a systematic review and meta-analysis. J Affect Disord 2016;200:119-32. https://doi.org/10.1016/j.jad.2016.04.040
  13. Kleinknecht RA, Klepac RK, Alexander LD. Origins and characteristics of fear of dentistry. J Am Dent Assoc 1973;86(4):842-8. https://doi.org/10.14219/jada.archive.1973.0165
  14. Koyuncu A, Ertekin E, Ertekin BA, Binbay Z, Yuksel C, Deveci E, et al. Relationship between atypical depression and social anxiety disorder. Psychiatry Res 2015;225(1-2):79-84. https://doi.org/10.1016/j.psychres.2014.10.014
  15. Lee K, Kim S, Gu J, Kim C, Choi DH. Relationship between dental fear and subjective oral health-related quality of life. J Korean Soc Dent Hyg 2015;15(4):695-703. https://doi.org/10.13065/jksdh.2015.15.04.695
  16. Lee SH, Kim EH, Cheon SH. The effect of self-esteem and anxiety on dental fear of some university students. J Korean Soc Oral Health Sci 2020;8(2):22-30. https://doi.org/10.33615/jkohs.2020.8.2.22
  17. Mattick RP, Clarke JC. Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behav Res Ther 1998;36(4):455-70. https://doi.org/10.1016/S0005-7967(97)10031-6
  18. Newton T, Asimakopoulou K, Daly B, Scambler S, Scott S. The management of dental anxiety: time for a sense of proportion? Br Dent J 2012;213(6):271-4. https://doi.org/10.1038/sj.bdj.2012.830
  19. Ohayon MM, Schatzberg AF. Social phobia and depression: prevalence and comorbidity. J Psychosom Res 2010;68(3):235-43. https://doi.org/10.1016/j.jpsychores.2009.07.018
  20. Park ES. Effects of dental fear on depression symptom and stress in adults. J Korea Contents Assoc 2017;17(9):203-11.
  21. Roth D, Antony MM, Swinson RP. Interpretations for anxiety symptoms in social phobia. Behav Res Ther 2001;39(2):129-38. https://doi.org/10.1016/S0005-7967(99)00159-X
  22. Stein MB, Torgrud LJ, Walker JR. Social phobia symptoms, subtypes, and severity: findings from a community survey. Arch Gen Psychiatry 2000;57(11):1046-52. https://doi.org/10.1001/archpsyc.57.11.1046
  23. Tran D, Edenfield SM, Coulton K, Adams D. Anxiolytic intervention preference of dental practitioners in the Savannah, Chatham County area: a pilot study. J Dent Hyg 2010;84(3):151-5.
  24. Wong N, Sarver DE, Beidel DC. Quality of life impairments among adults with social phobia: the impact of subtype. J Anxiety Disord 2012;26(1):50-7. https://doi.org/10.1016/j.janxdis.2011.08.012
  25. Yu W, Li S, Xiao W, Li X, Wang R, Liu J, et al. Childhood maltreatment and non-suicidal self-injury among Chinese college students: the moderating roles of social phobia and perceived family economic status. Child Abuse Negl 2023;139:106113.