Psychometric properties of the Dental Fear Schedule Subscale in a Portuguese pediatric population: exploratory study
Objectives: To conduct a psychometric evaluation of the Dental Fear Schedule Subscale-Short Form (DFSS-SF) in a Portuguese pediatric population. Methods: In this cross-sectional study, the DFSS-SF was applied to a convenience sample of 48 children (aged 3–9 years) in a university dental clinic. Chil...
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Sociedade Portuguesa de Estomatologia e Medicina Dentária
2024-12-01
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| Series: | Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial |
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| Online Access: | https://administracao.spemd.pt/app/assets/imagens/files_img/1_19_6788dd8486d7c.pdf |
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| author | Inês Esteves Andreia Costa Ana Coelho Canta Sónia Mendes |
| author_facet | Inês Esteves Andreia Costa Ana Coelho Canta Sónia Mendes |
| author_sort | Inês Esteves |
| collection | DOAJ |
| description | Objectives: To conduct a psychometric evaluation of the Dental Fear Schedule Subscale-Short Form (DFSS-SF) in a Portuguese pediatric population. Methods: In this cross-sectional study, the DFSS-SF was applied to a convenience sample of 48 children (aged 3–9 years) in a university dental clinic. Child behavior during the consultation was assessed using the Frankl Behaviour Rating Scale (FBRS). The analysis included item frequency, internal consistency (Cronbach's α), and factor structure of the DFSS-SF. Criterion validity was assessed by correlating the DFSS-SF and FBRS scores (Spearman correlation). Discriminant validity was analyzed using the variables sex, age, treatment complexity, and child´s behavior during the appointment, employing the Mann-Whitney test (for items) and Student’s t test (for the scale's total score) (α=0.05). Results: Anxiety prevalence was 20.8%. Items linked to higher anxiety included extractions, injections, and drills. Items showed good distribution, and the scale's internal consistency was α=0.49. Factor analysis identified two factors: “Fear of unknown people” and “Fear of invasive procedures,” explaining 54.1% of the variance. A significant inverse correlation was observed between DFSS-SF and FBRS scores (r=-0.346; p=0.008). Younger children exhibited higher anxiety levels (p=0.03). Conclusion: The DFSS-SF demonstrated adequate performance in assessing anxiety related to dental consultations in the studied sample. Items showed good distribution and inter- item correlation. Internal consistency was acceptable, and there was an inverse correlation between anxiety and the child's behavior. |
| format | Article |
| id | doaj-art-6ed9f61fe39945d3a87d0bc154377f70 |
| institution | Kabale University |
| issn | 1646-2890 1647-6700 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Sociedade Portuguesa de Estomatologia e Medicina Dentária |
| record_format | Article |
| series | Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial |
| spelling | doaj-art-6ed9f61fe39945d3a87d0bc154377f702025-01-28T09:48:28ZengSociedade Portuguesa de Estomatologia e Medicina DentáriaRevista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial1646-28901647-67002024-12-0165416517210.24873/j.rpemd.2024.12.1409Psychometric properties of the Dental Fear Schedule Subscale in a Portuguese pediatric population: exploratory studyInês Esteves0https://orcid.org/0009-0009-5405-1149Andreia Costa1https://orcid.org/0009-0001-0930-4997Ana Coelho Canta2https://orcid.org/0000-0003-2419-771XSónia Mendes3https://orcid.org/0000-0001-8831-5872Universidade de Lisboa, Faculdade de Medicina Dentária, Unidade de Investigação e Ciências Orais e Biomédicas (UICOB), Lisbon, PortugalUniversidade de Lisboa, Faculdade de Medicina Dentária, Unidade de Investigação e Ciências Orais e Biomédicas (UICOB), Lisbon, PortugalUniversidade de Lisboa, Faculdade de Medicina Dentária, Unidade de Investigação e Ciências Orais e Biomédicas (UICOB), Lisbon, PortugalUniversidade de Lisboa, Faculdade de Medicina Dentária, Unidade de Investigação e Ciências Orais e Biomédicas (UICOB), Lisbon, PortugalObjectives: To conduct a psychometric evaluation of the Dental Fear Schedule Subscale-Short Form (DFSS-SF) in a Portuguese pediatric population. Methods: In this cross-sectional study, the DFSS-SF was applied to a convenience sample of 48 children (aged 3–9 years) in a university dental clinic. Child behavior during the consultation was assessed using the Frankl Behaviour Rating Scale (FBRS). The analysis included item frequency, internal consistency (Cronbach's α), and factor structure of the DFSS-SF. Criterion validity was assessed by correlating the DFSS-SF and FBRS scores (Spearman correlation). Discriminant validity was analyzed using the variables sex, age, treatment complexity, and child´s behavior during the appointment, employing the Mann-Whitney test (for items) and Student’s t test (for the scale's total score) (α=0.05). Results: Anxiety prevalence was 20.8%. Items linked to higher anxiety included extractions, injections, and drills. Items showed good distribution, and the scale's internal consistency was α=0.49. Factor analysis identified two factors: “Fear of unknown people” and “Fear of invasive procedures,” explaining 54.1% of the variance. A significant inverse correlation was observed between DFSS-SF and FBRS scores (r=-0.346; p=0.008). Younger children exhibited higher anxiety levels (p=0.03). Conclusion: The DFSS-SF demonstrated adequate performance in assessing anxiety related to dental consultations in the studied sample. Items showed good distribution and inter- item correlation. Internal consistency was acceptable, and there was an inverse correlation between anxiety and the child's behavior.https://administracao.spemd.pt/app/assets/imagens/files_img/1_19_6788dd8486d7c.pdfchild behaviordental anxietyoral healthreliability and validity |
| spellingShingle | Inês Esteves Andreia Costa Ana Coelho Canta Sónia Mendes Psychometric properties of the Dental Fear Schedule Subscale in a Portuguese pediatric population: exploratory study Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial child behavior dental anxiety oral health reliability and validity |
| title | Psychometric properties of the Dental Fear Schedule Subscale in a Portuguese pediatric population: exploratory study |
| title_full | Psychometric properties of the Dental Fear Schedule Subscale in a Portuguese pediatric population: exploratory study |
| title_fullStr | Psychometric properties of the Dental Fear Schedule Subscale in a Portuguese pediatric population: exploratory study |
| title_full_unstemmed | Psychometric properties of the Dental Fear Schedule Subscale in a Portuguese pediatric population: exploratory study |
| title_short | Psychometric properties of the Dental Fear Schedule Subscale in a Portuguese pediatric population: exploratory study |
| title_sort | psychometric properties of the dental fear schedule subscale in a portuguese pediatric population exploratory study |
| topic | child behavior dental anxiety oral health reliability and validity |
| url | https://administracao.spemd.pt/app/assets/imagens/files_img/1_19_6788dd8486d7c.pdf |
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