title: Impact of pictorial story on pain perception, situational anxiety and behavior in children: a cognitive-behavioral schema.
abstract: OBJECTIVE
  The present study evaluated the effect of listening to a pictorial story about going to the dentist on pain perception, situational anxiety and behavioral feedback during dental treatment in pediatric dental patients.
  
  
  METHODS
  Eighty, 6-7-year-old children were included The childhood anxiety-related disorders using Screen for Child Anxiety Related Disorders (SCARED) Parent Version scale and intelligence quotient using Raven's Progressive Matrices were evaluated The subjects were randomly assigned to two groups, listening to a pictorial story about going to a dentist (test), or listening to a pictorial story about going to a barbershop (control). A dental treatment was performed on each subject, during which, behavior was assessed using Sound, Eye, and Motor Scale. Pain perception and situational anxiety were then assessed using Wong-Baker Fasces Pain Rating Scale and Faces version of the Modified Child Dental Anxiety Scale, respectively.
  
  
  RESULTS
  There was a significant decrease in pain perception (P=0.02) and situational anxiety (P<0.001) in the test group. In addition, the test intervention significantly improved children behavioral feedback during dental treatment (P<0.001).
  
  
  CONCLUSIONS
  Preparation of children with pictorial story can be effective in decreasing pain perception and situational anxiety as well as improving behavior during dental treatment.
authors.affiliation: Department of Pediatric Dentistry, School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran. aslaminabadi@gmail.com
authors.forename: N A
authors.initials: NA
authors.lastname: Aminabadi
authors.forename: A
authors.initials: A
authors.lastname: Vafaei
authors.forename: L
authors.initials: L
authors.lastname: Erfanparast
authors.forename: S G
authors.initials: SG
authors.lastname: Oskouei
authors.forename: Z
authors.initials: Z
authors.lastname: Jamali
mesh_terms: D000704:Analysis of Variance; D016009:Chi-Square Distribution; D002648:Child; D002652:Child Behavior; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D016854:Dental Anxiety / Q000517:prevention & control*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007360:Intelligence; D008297:Male; D008347:Manifest Anxiety Scale; D010147:Pain Measurement; D058748:Pain Perception; D010353:Patient Education as Topic / Q000379:methods*; D011932:Reading