A dental fears typology of oral surgery patients: matching patients to anxiety interventions.

Two studies are described in which dental patients were administered the Dental Fear Survey (DFS) and then received 1 of 5 anxiety reduction interventions to prepare them for extraction of 3rd-molar teeth. Interventions included standard clinic treatment, oral premedication, and several relaxation-based procedures. Dependent variables were self-reported and observer-rated distress. In the 1st study (N = 231), cluster analyses of the DFS subscales revealed that patients could be subtyped as low-fear, high-fear, or cue-anxious patients who admitted fear only in response to specific stimuli. Dental fear subtypes were distinguishable by situational cognitions reported, and fear subtype interacted with anxiety intervention to predict distress. These results were replicated in the 2nd study (N = 150). The results are seen as supportive of a multidimensional view of dental anxiety.     

恐惧的代价：疼痛恐惧、心理忧虑和躯体化对疼痛感知预测作用的比较

首次在无痛群体中比较疼痛恐惧、心理忧虑和躯体化对疼痛感知的预测作用大小及调节和中介关系。以多个同类量表得分的Z分数加和作为三者的因子分,以冷压痛觉测验（CPT）疼痛指标（阈限、耐受性、强度、不愉快度）为目标变量,通过分层回归及调节和中介作用分析,发现疼痛恐惧对疼痛不愉快度的预测作用最强,心理忧虑对疼痛体验（强度、不愉快度）的预测作用被疼痛恐惧完全中介,躯体化只有在高疼痛恐惧条件下才显著负向预测疼痛不愉快度。综上,疼痛恐惧是三因素中预测CPT疼痛体验的主要因素。     

大学生的成就动机和成功恐惧研究

运用成就动机问卷和投射测验研究了大学生的成就动机和成功恐惧。结果表明 ,大学生的成功恐惧有四种 ,分别与人际、家庭、学业和事业有关。由投射测验引起的成功恐惧有明显的性别差异和专业差异。成就动机、追求成功的动机与成功恐惧负相关显著 ,避免失败的动机与成功恐惧正相关显著。     

The Effects of Hurricane Katrina on Females with a Pre-Existing Fear of Storms

The purpose of this study was to determine the effects of Hurricane Katrina on those with preexisting storm fear. Participants were divided into two groups, those with a fear of storms and control participants with no reported fears of any specific stimuli. Differences were examined on measures of exposure to and distress from trauma, fear, coping self-efficacy, and demographic variables. The participants were 62 female undergraduate college students who completed an online survey examining the effects of Hurricane Katrina. Despite no differences in the overall occurrence of trauma between the two groups, storm-fearful participants reported significantly more overall distress from their exposure when compared to the non-fearful participants. Those with storm-fears also reported significantly poorer coping self-efficacy following the storm than those who were not fearful. Overall, individuals with a fear of storms reported experiencing greater psychological impact and poorer coping self-efficacy from the same degree of storm exposure.     

Manifestations, acquisition and diagnostic categories of dental fear in a self-referred population

This study aimed to clarify how manifestations and acquisition relate to diagnostic categories of dental fear in a population of self-referred dental fear patients, since diagnostic criteria specifically related to dental fear have not been validated. DSM III-R diagnostic criteria for phobias were used to compare with four existing dental fear diagnostic categories, referred to as the Seattle system. Subjects were 208 persons with dental fear who were telephone interviewed, of whom a subsample of 155 responded to a mailed Dental Anxiety Scale (DAS), State-Trait Anxiety Inventory and a modified FSS-II Geer Fear Scale (GFS). Personal interviews and a Dental Beliefs Scale of perceived trust and social interaction with dentists were also used to evaluate a subsample of 80 patients selected by sex and high dental fear. Results showed that the majority of the 80 patients (66%), suffered from social embarrassment about their dental fear problem and their inability to do something about it. The largest cause of their fear (84%) was reported to be traumatic dental experiences, especially in childhood (70%). A minority of patients (16%) could not isolate traumatic experiences and had a history of general fearfulness or anxiety. Analysis of GFS data for the 155 subjects showed that fear of snakes and injuries were highest among women; heights and injections among men. Fear of blood was rarely reported. Spearman correlations between GFS individual items and DAS scores indicated functional independence between dental fear and common fears such as blood, injections and enclosures in most cases. Only in specific types of dental fear did these results support Rachman and Lopatka's contention that fears are thought to summate.(ABSTRACT TRUNCATED AT 250 WORDS)     

Dental phobias and anxieties: evidence for conditioning processes in the acquisition and modulation of a learned fear

The present study investigated some of the factors which differentiate individuals with dental anxieties and phobias from those without such fears. In particular, two questions were addressed: (i) What differentiates subjects who have never been anxious about dental treatment from subjects who at some time have been anxious? and (ii) What factors lead to subjects changing their attitudes either from anxious to relaxed or from relaxed to anxious? The results suggest that the factors which influence the acquisition and modulation of dental anxieties are consistent with the associative and representational processes portrayed in contemporary models of human conditioning. Subjects who reported never having had anxieties about dental treatment were less likely to have had a painful dental treatment than subjects who did report an anxiety. Subjects who did report a painful dental experience but did not acquire anxiety reported a history of dental treatment favourable to the operation of latent inhibition. Subjects who reported that they were good at enduring pain were more likely to report a longer interval between their very first dental treatment and their first painful dental treatment. Under some conditions in which latent inhibition should have precluded the acquisition of a dental fear, an anxiety appeared to be acquired because a very painful experience had attenuated the latent inhibition process. Subjects whose dental anxiety did not remit reported significantly more painful and traumatic dental experiences than subjects whose anxiety did remit.     

A Comparison of Eating Disorder Symptomatology, Role Concerns, Figure Preference and Social Comparison Between Women Who Have Attended Single Sex and Coeducational Schools

This study sought to examine the effect of high school gender composition on eating disorder symptomatology and attitudes of female Australian university students. We compared female students who had previously attended single sex (n?=?52) or coeducational (n?=?43) high schools on measures of eating disorder symptomatology, role concerns, figure preference and social comparison so as to examine the effect of high school gender composition on these measures. Importantly, the groups compared here were not significantly different in age, body mass index, socioeconomic status, or whether they had previously sought advice about their weight. Contrary to predictions based on previous research, there were no significant differences between the groups on eating disorder symptomatology, role concern, or social comparison measures. However, students who had previously attended single sex schools endorsed significantly thinner figure preferences overall, suggesting that school environment was an important cultural factor in the development of aspiration towards a thin idea. Additionally, both groups perceived their current figure to be larger than the figure they perceived as most attractive. Our findings provide mixed support for the notion that high school gender composition impacted on the eating-related behaviour and attitudes of university students. Methodological differences that may account for the discrepancies between the findings of the current study and those of earlier work are discussed. Further research including longitudinal studies that employ larger sample sizes is required to clarify these findings.     

Analyses of Student Demonstrators Involved in the Overthrow of the Greek Military Dictatorship

Data collected in a survey of Greek college students were reanalyzed to compare personality, attitudes, and social class scores of students at colleges which did and did not instigate demonstrations and riots during the 1973 overthrow of the military dictatorship. Results indicate that at colleges where demonstrations occurred, males had higher needs for affiliation and lower needs for achievement and order than males at other colleges. Demonstrators indicated general dissatisfaction with many aspects of their university programs and came from higher social class backgrounds than students who did not demonstrate. Results are briefly compared with analyses of student demonstrators in the United States.     

Mortality salience, martyrdom, and military might: the great satan versus the axis of evil

Study 1 investigated the effect of mortality salience on support for martyrdom attacks among Iranian college students. Participants were randomly assigned to answer questions about either their own death or an aversive topic unrelated to death and then evaluated materials from fellow students who either supported or opposed martyrdom attacks against the United States. Whereas control participants preferred the student who opposed martyrdom, participants reminded of death preferred the student who supported martyrdom and indicated they were more likely to consider such activities themselves. Study 2 investigated the effect of mortality salience on American college students' support for extreme military interventions by American forces that could kill thousands of civilians. Mortality salience increased support for such measures among politically conservative but not politically liberal students. The roles of existential fear, cultural worldviews, and construing one's nation as pursing a heroic battle against evil in advocacy of violence were discussed.     

Trauma-related sequelae in individuals with a high level of dental anxiety. Does this interfere with treatment outcome?

This study assessed trauma-related sequelae of 56 highly anxious patients attending a dental fear clinic. It was also examined whether such symptomatology interferes with anxiety reduction in response to a cognitive-behavioral treatment approach. About 34 patients (59%) indicated that they had experienced one or more aversive dental events that could explain the onset of their dental anxiety. There was no difference between the dental anxiety scores of patients who reported such a background and those who did not. Severity of trauma-related symptomatology was indexed by the Impact of Event Scale (IES). The mean IES score of patients with a traumatically induced dental fear was remarkably high (33.0; SD=19.7). Furthermore, there was a strong direct relationship between severity of trauma-related symptomatology and severity of dental anxiety (shared variance was 38%). Two patients (10%) met all DSM-IV diagnostic criteria for Posttraumatic Stress Disorder (PTSD) on the basis of the Self-Rating Scale for PTSD. However, no evidence was found to suggest that either a traumatic background, or level of trauma-related symptomatology, has a negative effect on treatment outcome.     

General self-efficacy,dental anxiety and multiple fears among 20-year-olds in Norway

This paper examines the extent to which low general self-efficacy and painful dental and medical experiences are related to dental anxiety, multiple fears and to avoidance of dental care. A total of 754 20-year-olds completed a series of questionnaires, including the General Self-efficacy Scale (GSE), Geer Fear Scale (GFS) and Dental Fear Survey (DFS). Females had lower self-efficacy, higher dental anxiety and higher scores on the GFS than males. Multivariate analyses (linear stepwise regression) indicated that painful dental experiences, a high score on the GFS and negative opinions about own dental health explained 37% of the variance in DFS scores. Self-efficacy had no predictive power for dental anxiety, and only dental anxiety had predictive power for dental avoidance behavior. Thirty-eight percent of the total variance in GFS scores was explained by the following variables: being a female, high dental anxiety (DFS), low general self-efficacy (GSE) and low educational level of the mother.     

Fear of Anxiety in Fearful Adults: An Analysis of Heterogeneity Among Phobia Types

Fear of anxiety, the fear of developing physiological symptoms associated with anxiety, is investigated in this study and the extent to which fear of anxiety is differentially present in the various subtypes of specific phobias. Participants were 260 undergraduate students divided into those having fears corresponding to one of the specific phobia types and those having no reported fears. Participants completed a variety of measures including the Agoraphobic Cognitions Questionnaire and the Body Sensations Questionnaire. Results indicated fearful participants had more fear of anxiety than non-fearful participants. In addition, non-fearful participants reported significantly less frequent catastrophic cognitions than fearful participants of the situational and other types. Non-fearful control participants also reported less fear of bodily sensations than fearful participants of the animal and other subtypes. This study provides supporting evidence that the phenomenon of fear of anxiety is present in fears similar to specific phobias.     

SEXIST DISCRIMINATION MAY ACCOUNT FOR WELL-KNOWN GENDER DIFFERENCES IN PSYCHIATRIC SYMPTOMS

It was hypothesized that women may have more depressive, anxious, and somatic symptoms than men because they experience a deleterious stressor that men do not: sexist treatment. A total of 255 students (180 females, 75 males) at a state university completed an anonymous questionnaire containing measures of these symptoms. Women were found to exhibit significantly greater symptoms than men on all of them. Further, women who experienced frequent sexism had significantly more symptoms than men on all symptom measures, whereas women who experienced little sexism did not differ from men on any symptom measure. These findings suggest that gender-specific stressors not only play a role in psychiatric symptoms among women but may account for well-known gender differences in those symptoms as well.     

Character strengths: a study of Argentinean soldiers

The primary objective of this research was to study the differences in positive traits between military and civilian college students and between cadets in their first and final years at a military academy. Second, the research aimed to study the relations between positive traits and the academic and military performance of cadets in their first and final years, according to the classification of positive traits by Peterson and Seligman (2004). To accomplish these objectives, a sample of university students from a military educational institution and a sample of civilian university students were studied. The instruments used were a 24-item self-report measure of positive traits, a measure of social desirability, and objective scores of academic and military performance. The results generally showed that when age and career stage were held constant, the scores of the military students were higher than the scores of the civilian students across various strengths. Military students reported higher levels of the character strength of spirituality than did civilian students. The relationships between strengths and performance differed for students in their first and final years at the military academy. In particular, cadets with the higher levels of academic or military performance in their last year, i.e., the cadets best adapted to the academy, reported higher levels of the character strength of persistence when compared to low-performing cadets in the same year of study.     

Communicator Similarity,Fear Arousing Communications,and Compliance with Health Care Recommendations1

Using a pretest-treatment-multiple posttest design, two studies were conducted to investigate the effects of race of communicator and different levels of fear-arousing dental health appeals on reported anxiety, attitudes, information retention, and behavior change among 304 black, junior high school students. In addition to paper-and-pencil measures, a chemical dye (erythrosin), which stains red the bacteria concentrations on teeth, was used to measure changes of actual toothbrushing behavior. The results of the two studies for behavior change were reasonably consistent. Irrespective of the fear level of the message, the similar communicator produced more immediate behavior change than the dissimilar communicator, and correlations showed that anxiety reports were unrelated to behavior change. Overall, fear communications positively influenced anxiety and attitudes but did not affect behavior. The findings suggest that caution be exercised in using self reports as measures of effectiveness of persuasive communications and additional factors need to be incorporated into existing theories to account for differential reactions to threat appeals.     

Loneliness and fear of intimacy among adolescents who were taught not to trust strangers during childhood

This study explored feelings of loneliness and fear of intimacy among adolescents as a function of whether they were taught not to trust strangers during childhood. Eighty college students and their parents completed the Revised UCLA Loneliness Scale, both versions of the Fear of Intimacy Scale (FIS-D and FIS-F), and a background information questionnaire. It was found that students whose parents taught them not to trust strangers during childhood had greater fear of intimacy. Further, females who were taught to distrust strangers also experienced more loneliness than did their male counterparts, as well as females and males who were not taught to distrust strangers.     

Does graduation give rise to increased poignancy? Moderation roles of university identity and emotion regulation

Cross-sectional (Study 1) and longitudinal (Study 2) designs were used to examine the relationship between graduation and poignancy (i.e. feeling both happy and sad at the same time). Participants included college students who completed a short emotion checklist, and measures of university identity and emotion regulation strategies. Students who were about to graduate, experienced a higher level of poignancy than those who were further away from graduation. Yet, university identity and emotion regulation moderated this relationship. Students with a higher level of university identity and those with a lower level of emotional suppression experienced a higher level of poignancy when approaching graduation. These findings not only provide support for the postulate of socioemotional selectivity theory that anticipated endings increase poignancy, but also qualify it in terms of the moderators.     

Perceived sources and levels of stress,general self-efficacy and coping strategies in clinical dental students

The aims of this study were to identify sources of stress among clinical students and to evaluate the students’ perceived levels of stress, general self-efficacy and effective coping strategies in a private dental school environment. The study group consisted of 130 undergraduate clinical dental students in a Turkish private dental school, during the academic year 2014–2015. The students were surveyed using modified version of the dental environment stress (DES) survey, the perceived stress scale, the general self-efficacy scale (G-SES) and the brief coping scale. Age, sex, year of study, history of psychiatric treatment and factors that affected the choice of dentistry were also recorded. Final year and female clinical dental students, who were found to be the most stressful students, had moderate to high perceived stress scores. Total and ‘Faculty and administration’ related DES scores increased with the year of study. Stressors related to ‘Workload’ and ‘Clinical training’ affected females more than males. G-SES scores were higher in male students and students, who had no history of psychiatric treatment. The most and the least common coping strategies were ‘Planning’ and ‘Substance abuse’, respectively. ‘Religion’ was found to be one of the main coping strategies. Stress factors affecting Turkish clinical dental students studying at private dental school differed from the previously reported stress factors affecting students studying at a governmental dental school. Advanced year and female students experienced more stress than the other students.     

A Study of Panic Attacks in University Students of Iran

This study examined the parameters of panic, fear, and avoidance among university students in Iran. Data were collected from 347 students using Farsi translations of the Panic Attack Questionnaire, Beck Depression Inventory, Taylor Manifest Anxiety Scale, State-Trait Anxiety Inventory, and Anxiety Sensitivity Index. Thirty-eight percent of participants reported panic attacks in the past year and 21.4% reported panic attacks in the past 4 weeks when prompted by a broad definition of panic. Men and those with unexpected panic reported greater panic severity whereas women with panic attacks reported greater situational fear and avoidance. Panickers who satisfied DSM-III-R panic disorder (PD) criteria reported greater lifestyle restriction and general psychopathology. The findings provide tentative support for cross-cultural similarity in panic phenomenology and the validity of DSM-III-R PD criteria among university students in Iran. The results are discussed by reference to nonclinical panic research and general themes of Iranian culture.     

Personality characteristics of fighter pilots and ground personnel

The training of fighter plane pilots is expensive, yet instruments are rarely used to screen potential pilots prior to flight training. Hence, a measure that can differentiate fighter pilots from other military personnel is needed. This study was an investigation of personality traits that are contributing factors for becoming a pilot in the Air Force, which could serve as screening tools. One hundred and twelve males were recruited from the Air Force university in Taiwan. Follow-up was conducted 2 years later with 73 students who became pilots and 39 who became ground personnel. A further 53 male military personnel of the same age served as controls. Structural equation modeling was used to show that pilots were more extraverted and less neurotic than the ground personnel, and more extraverted than the controls. Paternal overprotection had an indirect association with becoming a pilot through the mediation of the personality traits of extraversion and neuroticism. Mental health was not associated with becoming a pilot. The optimal cut-off point of 4/5 on a scale of extraversion resulted in a high sensitivity (96%) for differentiating between fighter pilots and controls. Independent of psychosocial stressors (mental health), extraversion is associated with the biological mechanisms of an individual, and plays a unique role in the process of becoming a pilot. Therefore, an extraversion index can be used for screening potential military pilots prior to flight training, as a means of reducing costs and managing human resources.