One- vs. five-session treatment of intra-oral injection phobia: a randomized clinical study.
The present study aimed to evaluate the effect of one and five sessions of treatment for intra-oral injection phobia in 55 subjects fulfilling the DSM-IV criteria for specific phobia. The subjects were randomly assigned to one or five sessions of cognitive behavioural therapy (CBT) performed by dentists. Assessments included behavioural tests and self-report instruments used pretreatment, post-treatment, and at 1 yr of follow-up. The dental anxiety scale (DAS), the injection phobia scale-anxiety, and the mutilation questionnaires were applied. Mean avoidance duration of intra-oral injections before treatment was 7.0 yr. The results showed that 89% of the subjects had received intra-oral injections from a regular dentist during the 1-yr follow-up. The only significant difference between the one- and the five-session groups was that the five-session group reported less anxiety (as measured using the DAS) at 1 yr of follow-up. It was concluded that both treatments performed by dentists specially trained in CBT have a significant treatment effect on the intra-oral injection phobia.
Vika
Margrethe
M
Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway. margrethe.vika@psykp.uib.no
Skaret
Erik
E
Raadal
Magne
M
Ost
Lars-Göran
LG
Kvale
Gerd
G
D000293:Adolescent; D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage; D001294:Attitude to Health; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D016854:Dental Anxiety / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D009339:Needles; D010349:Patient Compliance; D010698:Phobic Disorders / Q000628:therapy; D011594:Psychometrics; D012649:Self Concept; D012647:Self-Assessment; D013997:Time Factors; D055815:Young Adult
D000779:Anesthetics, Local