title: Modulation of dental anxiety--the role of past experiences, psychopathologic traits and individual attachment patterns.
abstract: OBJECTIVE
  To evaluate factors affecting modulation of dental anxiety among adults.
  
  
  METHODS
  A total of 183 adult members of a closed communal society (Kibbutz), who have been treated since childhood only by the dentists employed in their community, were investigated concerning their past and present dental anxiety, evaluation of their past and present dentists, psychopathologic symptoms and individual pattern of attachment.
  
  
  RESULTS
  The best predictor of subjects' evaluation of their present dental anxiety was the scale of anxiety as recorded by the SCL-90R questionnaire. The best predictors of the decrease in subjects' dental anxiety over time were the evaluation of their past and present dentists and the secure and avoidant patterns of attachment. Patterns of attachment (avoidant and ambivalent) were the best predictors of subjects' evaluation of their present dentist.
  
  
  CONCLUSIONS
  While psychopathologic traits are involved in subjects' present dental anxiety, pattern of attachment may have a dominant affect as to whether anxiety persists throughout life or can be modulated through a corrective emotional experience.
authors.affiliation: Department of Occlusion and Behavioral Sciences, School of Dental Medicine, Tel Aviv University, Israel. elilana@post.tau.ac.il
authors.forename: I
authors.initials: I
authors.lastname: Eli
authors.forename: N
authors.initials: N
authors.lastname: Uziel
authors.forename: R
authors.initials: R
authors.lastname: Blumensohn
authors.forename: R
authors.initials: R
authors.lastname: Baht
mesh_terms: D000328:Adult; D001362:Avoidance Learning; D016854:Dental Anxiety / Q000209:etiology* / Q000523:psychology*; D003812:Dentist-Patient Relations; D005260:Female; D006801:Humans; D007557:Israel; D008297:Male; D009769:Object Attachment; D011599:Psychopathology; D012111:Residence Characteristics; D011795:Surveys and Questionnaires