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Table 4 Various anxiety management techniques and total MDAS scores

From: The variables associated with dental anxiety and their management in primary care dental clinics in Bahrain: a cross-sectional study

Anxiety management technique used (n)

Pre-treatment MDAS

Post-treatment MDAS

Mean difference

P value**

Mean (SD)

95% CI

Mean (SD)

95% CI

Single technique used

Referral to specialist, recall, counselling (n = 21)

9.52 (4.3)

7.7–11.4

8.54 (4.2)

6.7–10.3

0.98

0.457

Distraction only technique (n = 15)

10.25 (3.8)

8.3–12.2

7.69 (2.68)

6.3–9

2.56

0.0416*

Positive reinforcement only technique (n = 49)

10.12 (4.3)

8.9–11.3

8.00 (3.08)

7.1–8.8

2.12

0.0062*

Control only technique (n = 57)

10.67 (4.6)

9.5–11.9

8.91 (3.95)

7.9–9.9

1.76

0.0309*

Systematic desensitization only technique (n = 10)

11.60 (3.14)

9.6–13.5

9.30 (4.19)

6.7–11.9

2.30

0.007*

Rest and breaks during the procedure only (n = 39)

10.25 (4.09)

8.9–11.5

8.23 (3.51)

7.1–9.3

2.02

0.0219*

Short appointment and only emergency procedure undertaken (n = 7)

10.71 (5.31)

6.8–14.6

10 (5.23)

6.1–13.9

0.71

0.805

Few combination techniques are presented below

Distraction, positive reinforcement, Short appointment with rest and breaks (n = 2)

12 (3.41)

7.3–16.7

11.67 (4.32)

5.7–17.7

0.33

NA

Positive reinforcement, control, systematic desensitization, rest and break, short appointment (n = 2)

9.10 (5.5)

1.5–16.7

7.60 (4.72)

1.1–14.1

1.50

NA

Positive reinforcement and control (n = 12)

9.33 (1.53)

8.5–10.2

7.67 (3.06)

5.94–9.4

1.73

0.106

Distraction, positive reinforcement, systematic desensitization, control (irrespective of length of the appointment and rest and breaks)(n = 9)

10.13 (4.02)

7.5–12.8

10 (4.84)

6.8–13.2

0.13

0.951

Significance of rest and breaks and short appointment time

Short appointments (irrespective of the technique used for anxiety management) (n = 31)

9.19 (3.7)

7.9–10.5

8.0 (3.89)

6.6–9.37

1.19

0.222

Rest and breaks (irrespective of the technique) (n = 149)

9.08 (3.12)

8.6–9.6

7.42 (2.5)

7–7.8

1.66

0.001*

Rest and breaks, and short appointments (irrespective of the technique) (n = 13)

10.92 (3.4)

9.1–12.8

9.08 (3.59)

7.1–11

1.84

0.192

  1. CI, confidence intervals; NA, not assessable
  2. *P ≤ 0.05 was considered statistically significant
  3. **Wilcoxon signed rank test was used for non-parametric data. For parametric data, paired t test was used