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Publication Detail
The development of a dental anxiety scale with a cognitive component for children and adolescents
  • Publication Type:
    Journal article
  • Publication Sub Type:
    Journal Article
  • Authors:
    Al-Namankany A, Ashley P, Petrie A
  • Publication date:
  • Journal:
    Pediatric Dentistry
  • Volume:
  • Issue:
  • Status:
  • Print ISSN:
Purpose: To validate a dental anxiety scale with a cognitive component for use in children and adolescents. Methods: A total of 439 children (≥6 years old) were evaluated. For each child, 2 operators each assessed using the Abeer Children Dental Anxiety Scale (ACDAS) at visit-1, and the chief investigator also assessed using the Child Fear Survey Schedule-Dental Subscale (CFSS-DS) at visit-1 and using the ACDAS 2 weeks later. A sample of 274 children was assessed for external validity. Results: A receiver operating characteristic curve showed that the cutoff 26 gave the optimal results for sensitivity (96%, 95% confidence interval [CI]=81.7∼99.9) and specificity (66%, 95% CI=57.4∼73.8), with an area under the curve of 0.80 (95% CI=0.73∼0.87). ACDAS had substantial to almost perfect intra- and inter examiner reliability along with good concurrent validity (r=0.77) and discriminative validity (r=0.79). For convergent validity, ACDAS had a significant relationship between the Dental Anxiety (DA) scores and cognitive status P < .001. Cronbach's alpha (α) was 0.90, which indicated good internal consistency. The external validity results indicated that the scale was generalizable. Conclusions: The Abeer Children Dental Anxiety Scale is a valid cognitive scale to measure dental anxiety, and it encompasses the required criteria to be regarded as the gold standard among dental anxiety scales.
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