Association of depression and anxiety with different aspects of dental anxiety in pregnant mothers and their partners

Satu M. Lahiti; Mimmi M. Tolvanen; Gerald Michael Humphris; Ruth Freeman; Kari Rantavuori; Linnea Karlsson; Hasse Karlsson

doi:10.1111/cdoe.12511

Association of depression and anxiety with different aspects of dental anxiety in pregnant mothers and their partners

Satu M. Lahiti, Mimmi M. Tolvanen, Gerald Michael Humphris, Ruth Freeman, Kari Rantavuori, Linnea Karlsson, Hasse Karlsson

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives

The aim was to confirm the factor structure of Modified Dental Anxiety Scale (MDAS) and to investigate whether the association of these factors with general anxiety and depression varied across gender.

Methods

The FinnBrain Birth Cohort Study (www.finnbrain.fi) data from the first collection point at gestational week 14 were used. Of the invited participants (n = 5790), 3808 (66%) expectant mothers and 2623 fathers or other partners of the mother agreed to participate, and 3095 (81.3%) mothers and 2011 (76.7%) fathers returned the self‐report questionnaire. Dental anxiety was measured with the MDAS, general anxiety symptoms with Symptom Checklist‐90 (anxiety subscale) and depressive symptoms with the Edinburgh Postnatal Depression Scale. Multiple group confirmatory factor analysis (MGCFA) was conducted to test the equivalence of the factor structure and multiple group SEM (MGSEM) to test the configural invariance (unconstrained model) and metric invariance (structural weights model), across genders.

Results

Of those consenting, 3022 (98%) women and 1935 (96%) men answered the MDAS. The MGCFA indicated good convergent validity for the two‐factor model for MDAS, but somewhat low discriminant validity (factors demonstrated 72% shared variance). The MDAS items loaded clearly higher for the assigned factor than to the other factor (differences in loadings >0.2), indicating that the 2‐factor model has merit. According to the final MGSEM model, anxiety symptoms were directly related to anticipatory dental anxiety, but not to treatment‐related dental anxiety.

Conclusions

When assessing dental anxiety with MDAS, considering also its two factors may help clinicians in understanding the nature of patient's dental anxiety.

Original language	English
Journal	Community Dentistry and Oral Epidemiology
Volume	Early View
Early online date	6 Dec 2019
DOIs	https://doi.org/10.1111/cdoe.12511
Publication status	E-pub ahead of print - 6 Dec 2019

Keywords

Dental anxiety
Depression
General anxiety
Structural equation modelling
FinnBrain
Pregnant mothers

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/cdoe.12511

DA_depression_anxiety_Lahti_etal_R2_06112019
Copyright © 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. This work has been made available online in accordance with publisher policies or with permission. Permission for further reuse of this content should be sought from the publisher or the rights holder. This is the author created accepted manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1111/cdoe.12511
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Cite this

@article{e2946fa8461643c4a7ad25855b0127c1,

title = "Association of depression and anxiety with different aspects of dental anxiety in pregnant mothers and their partners",

abstract = " Objectives The aim was to confirm the factor structure of Modified Dental Anxiety Scale (MDAS) and to investigate whether the association of these factors with general anxiety and depression varied across gender. Methods The FinnBrain Birth Cohort Study (www.finnbrain.fi) data from the first collection point at gestational week 14 were used. Of the invited participants (n = 5790), 3808 (66%) expectant mothers and 2623 fathers or other partners of the mother agreed to participate, and 3095 (81.3%) mothers and 2011 (76.7%) fathers returned the self‐report questionnaire. Dental anxiety was measured with the MDAS, general anxiety symptoms with Symptom Checklist‐90 (anxiety subscale) and depressive symptoms with the Edinburgh Postnatal Depression Scale. Multiple group confirmatory factor analysis (MGCFA) was conducted to test the equivalence of the factor structure and multiple group SEM (MGSEM) to test the configural invariance (unconstrained model) and metric invariance (structural weights model), across genders. Results Of those consenting, 3022 (98%) women and 1935 (96%) men answered the MDAS. The MGCFA indicated good convergent validity for the two‐factor model for MDAS, but somewhat low discriminant validity (factors demonstrated 72% shared variance). The MDAS items loaded clearly higher for the assigned factor than to the other factor (differences in loadings >0.2), indicating that the 2‐factor model has merit. According to the final MGSEM model, anxiety symptoms were directly related to anticipatory dental anxiety, but not to treatment‐related dental anxiety. Conclusions When assessing dental anxiety with MDAS, considering also its two factors may help clinicians in understanding the nature of patient's dental anxiety. ",

keywords = "Dental anxiety, Depression, General anxiety, Structural equation modelling, FinnBrain, Pregnant mothers",

author = "Lahiti, {Satu M.} and Tolvanen, {Mimmi M.} and Humphris, {Gerald Michael} and Ruth Freeman and Kari Rantavuori and Linnea Karlsson and Hasse Karlsson",

note = "Funding: Academy of Finland and Signe and Ane Gyllenberg Foundation.",

year = "2019",

month = dec,

day = "6",

doi = "10.1111/cdoe.12511",

language = "English",

volume = "Early View",

journal = "Community Dentistry and Oral Epidemiology",

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T1 - Association of depression and anxiety with different aspects of dental anxiety in pregnant mothers and their partners

AU - Lahiti, Satu M.

AU - Tolvanen, Mimmi M.

AU - Humphris, Gerald Michael

AU - Freeman, Ruth

AU - Rantavuori, Kari

AU - Karlsson, Linnea

AU - Karlsson, Hasse

N1 - Funding: Academy of Finland and Signe and Ane Gyllenberg Foundation.

PY - 2019/12/6

Y1 - 2019/12/6

N2 - Objectives The aim was to confirm the factor structure of Modified Dental Anxiety Scale (MDAS) and to investigate whether the association of these factors with general anxiety and depression varied across gender. Methods The FinnBrain Birth Cohort Study (www.finnbrain.fi) data from the first collection point at gestational week 14 were used. Of the invited participants (n = 5790), 3808 (66%) expectant mothers and 2623 fathers or other partners of the mother agreed to participate, and 3095 (81.3%) mothers and 2011 (76.7%) fathers returned the self‐report questionnaire. Dental anxiety was measured with the MDAS, general anxiety symptoms with Symptom Checklist‐90 (anxiety subscale) and depressive symptoms with the Edinburgh Postnatal Depression Scale. Multiple group confirmatory factor analysis (MGCFA) was conducted to test the equivalence of the factor structure and multiple group SEM (MGSEM) to test the configural invariance (unconstrained model) and metric invariance (structural weights model), across genders. Results Of those consenting, 3022 (98%) women and 1935 (96%) men answered the MDAS. The MGCFA indicated good convergent validity for the two‐factor model for MDAS, but somewhat low discriminant validity (factors demonstrated 72% shared variance). The MDAS items loaded clearly higher for the assigned factor than to the other factor (differences in loadings >0.2), indicating that the 2‐factor model has merit. According to the final MGSEM model, anxiety symptoms were directly related to anticipatory dental anxiety, but not to treatment‐related dental anxiety. Conclusions When assessing dental anxiety with MDAS, considering also its two factors may help clinicians in understanding the nature of patient's dental anxiety.

AB - Objectives The aim was to confirm the factor structure of Modified Dental Anxiety Scale (MDAS) and to investigate whether the association of these factors with general anxiety and depression varied across gender. Methods The FinnBrain Birth Cohort Study (www.finnbrain.fi) data from the first collection point at gestational week 14 were used. Of the invited participants (n = 5790), 3808 (66%) expectant mothers and 2623 fathers or other partners of the mother agreed to participate, and 3095 (81.3%) mothers and 2011 (76.7%) fathers returned the self‐report questionnaire. Dental anxiety was measured with the MDAS, general anxiety symptoms with Symptom Checklist‐90 (anxiety subscale) and depressive symptoms with the Edinburgh Postnatal Depression Scale. Multiple group confirmatory factor analysis (MGCFA) was conducted to test the equivalence of the factor structure and multiple group SEM (MGSEM) to test the configural invariance (unconstrained model) and metric invariance (structural weights model), across genders. Results Of those consenting, 3022 (98%) women and 1935 (96%) men answered the MDAS. The MGCFA indicated good convergent validity for the two‐factor model for MDAS, but somewhat low discriminant validity (factors demonstrated 72% shared variance). The MDAS items loaded clearly higher for the assigned factor than to the other factor (differences in loadings >0.2), indicating that the 2‐factor model has merit. According to the final MGSEM model, anxiety symptoms were directly related to anticipatory dental anxiety, but not to treatment‐related dental anxiety. Conclusions When assessing dental anxiety with MDAS, considering also its two factors may help clinicians in understanding the nature of patient's dental anxiety.

KW - Dental anxiety

KW - Depression

KW - General anxiety

KW - Structural equation modelling

KW - FinnBrain

KW - Pregnant mothers

U2 - 10.1111/cdoe.12511

DO - 10.1111/cdoe.12511

M3 - Article

SN - 0301-5661

VL - Early View

JO - Community Dentistry and Oral Epidemiology

JF - Community Dentistry and Oral Epidemiology

ER -

Association of depression and anxiety with different aspects of dental anxiety in pregnant mothers and their partners

Abstract

Keywords

UN SDGs

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