journal article·2020-02-08Open access

The Italian Validation of the Level of Exposure-Dental Experiences Questionnaire

Cristiano Scandurra, Roberta Gasparro, Pasquale Dolce, Vincenzo Bochicchio, Benedetta Muzii, Gianrico Spagnuolo, Gaetano Marenzi, Gilberto Sammartino, Nelson Mauro Maldonato

Applied Sciences· Volume 10· Issue 3

Abstract

The aim of this monocentric cross-sectional study was to evaluate the psychometric characteristics of the Italian version of the Level of Exposure-Dental Experiences Questionnaire (LOE-DEQ) in an Italian sample of 253 dental patients ranging from 18–80 years of age. The LOE-DEQ assesses 16 potential dental distressing experiences and 7 general traumatic life events through 4 subscales: (1) dentists’ behaviour and patients’ emotions (DBPE); (2) distressing dental procedures (DDP); (3) other distressing dental events (ODDE); and (4) general traumatic events (GTE). Confirmatory factor analysis showed that the original 4-factor model had adequate fit to the data obtained from the Italian sample. Criterion validity was partially confirmed as only DBPE and DDP positively correlated with dental anxiety. Similarly, convergent validity was also partially confirmed as DBPE, DDP, and ODDE correlated with negative beliefs towards the dentist and the dental treatment. Discriminant validity was fully confirmed, as all correlations were below 0.60. Finally, DDP was the factor most associated with high dental anxiety. This study offers evidence of the reliability and validity of the LOE-DEQ in the Italian context, providing Italian researchers and dentists with a tool to assess dental and general distressing experiences in dental patients.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Dental Anxiety and Anesthesia Techniques · Healthcare professionals’ stress and burnout · Patient Satisfaction in Healthcare

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

University of Naples Federico II, Department of Neuroscience, Reproductive Sciences and Dentistry, Naples 80131, Italy

University of Naples Federico II, Department of Public Health, Naples 80131, Italy

University of Calabria, Department of Humanistic Studies, Cosenza 87036, Italy

University of Naples Federico II, Department of Humanities, Naples 80133, Italy

References (23)

Show source-provided references
1. Towards a better understanding of dental anxiety and fear: Cognitions vs. experiences10.1111/j.1600-0722.2010.00740.x ↗
2. Dental anxiety, oral health-related quality of life, and general well-being: A self-determination theory perspective10.1111/jasp.12583 ↗
3. Adult Dental Health Survey 2009: Relationships between dental attendance patterns, oral health behaviours and the current barriers to dental care10.1038/sj.bdj.2012.1176 ↗
4. Oral health-quality of life predictors depend on population10.1007/s11482-009-9081-y ↗
5. Humphris, G., Crawford, J.R., Hill, K., Gilbert, A., and Freeman, R. (2013). UK population norms for the Modified Dental Anxiety Scale with percentile calculator: Adult dental health survey 2009 results. BMC Oral Health, 13.10.1186/1472-6831-13-29 ↗
6. Öst, L.G., and Skaret, E. (2013). Aetiology of dental phobia. Cognitive Behaviour Therapy for Dental Phobia and Anxiety, John Wiley & Sons.10.1002/9781118499825 ↗
7. Psychological trauma exposure and trauma symptoms among individuals with high and low levels of dental anxiety
8. The Level of Exposure-Dental Experiences Questionnaire (LOE-DEQ): A measure of severity of exposure to distressing dental events
9. Kazdin, A. (2003). Preparing and evaluating research reports. Methodological Issues & Strategies in Clinical Research, The American Psychological Association.
10. The Modified Dental Anxiety Scale: Validation and United Kingdom norms
11. Milgrom, P., Weinstein, P., and Getz, T. (1995). Treating Fearful Dental Patients: A Patient Management Handbook, University of Washington. [2nd ed.].
12. Behling, O., and Law, K.S. (2000). Translating Questionnaires and Other Research Instruments: Problems and Solutions, Sage Publications.10.4135/9781412986373 ↗
13. Mice: Multivariate imputation by chained equations
14. Comparing maximum likelihood and PLS estimates for structural equation modeling with formative blocks10.1007/s11135-014-0106-8 ↗
15. Kline, R.B. (2015). Principles and Practice of Structural Equation Modeling, Guilford Publications.
16. Scandurra, C., Bochicchio, V., Dolce, P., Caravà, C., Vitelli, R., Testa, R.J., and Balsam, K.F. The Italian Validation of the Gender Minority Stress and Resilience Measure. Psychol. Sex. Orientat. Gend. Divers., in press.
17. Validation of the Modified Dental Anxiety Scale (MDAS) in an Italian sample and invariance across gender and mode of administration10.1027/1015-5759/a000182 ↗
18. The prevalence of dental anxiety across previous distressing experiences10.1016/j.janxdis.2010.09.007 ↗
19. Do traumatic events have more impact on the development of dental anxiety than negative, non-traumatic events?10.1111/eos.12348 ↗
20. Group psychodynamic counselling with final-year undergraduates in clinical psychology: A clinical methodology to reinforce academic identity and psychological well-being
21. Group psychodynamic counselling as a clinical training device to enhance metacognitive skills and agency in future clinical psychologists10.5964/ejop.v14i2.1528 ↗
22. Using complex networks to model, simulate and understand the dynamics of psychotherapeutic processes: An experimental study proposal
23. Co-regulation of the voice between patient and therapist in psychotherapy: Machine learning for enhancing the synchronization of the experience of anger emotion: An experimental study proposal