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The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age
Open accessAbstract
BACKGROUND: The Modified Dental Anxiety Scale (MDAS) is a brief, self-complete questionnaire consisting of five questions and summed together to produce a total score ranging from 5 to 25. It has reasonable psychometric properties, low instrumental effects and can be integrated into everyday dental practice as a clinical aid and screen for dental anxiety. The objectives were to (i) produce confirmatory evidence of reliability and validity for the MDAS, (ii) provide up-to-date UK representative norms for the general public to enable clinicians to compare their patients' scores, (iii) to determine the nature of the relationship between dental anxiety and age. METHODS: Telephone survey of a representative quota sample of 1000 UK adults (>18 years of age) conducted between 7-21 April, 2008. RESULTS: Attrition of potential participants was high in the recruitment process, although bias was minimal. Estimated proportion of participants with high dental anxiety (cut-off score = 19) was 11.6%. Dental anxiety was four times greater in the youngest age group (18-39 yrs) compared to older participants (60+ yrs), controlling for sex, social class and self-reported dental visiting behaviour confirming previous developed-world reports. CONCLUSION: The scale's psychometrics is supportive for the routine assessment of patient dental anxiety to compare against a number of major demographic groups categorised by age and sex. Dental anxiety was high in younger compared to older people.
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“In the main analysis the differences between groups at baseline was adjusted for various characteristics: baseline health- related quality of life (in the QALY equation), modified dental anxiety scale (MDAS) score [25], education level, Indices of Multiple Deprivation (IMD) quintile of the patients' home postcode (as per the published English indices of deprivation, 2019 (https:// www. gov. uk/ go”
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Metadata
- Authors
- Humphris, G. M., Dyer, T. A., & Robinson, P. G.
- Affiliations
- University of St Andrews (GB)
- University of Sheffield (GB)
- Corresponding author
- Humphris, Gerry M
- Venue
- BMC Oral Health
- Published
- 2009-08-26
- Volume
- 9
- Issue
- 1
- Pages
- 20-20
- ISSN
- 1472-6831 (ISSN-L)
- PMC
- PMC2743651
- OpenAlex
- W2024852213
- Cited by
- 270
- References
- 33
- Citations by year
- 2026: 26 · 2025: 25 · 2024: 25 · 2023: 13 · 2022: 26 · 2021: 34 · 2020: 21 · 2019: 21 · 2018: 14 · 2017: 11 · 2016: 8 · 2015: 7 · 2014: 8 · 2013: 10 · 2012: 7
- FWCI
- 6.46
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Oral Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- St Andrews Research Repository (St Andrews Research Repository) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (submittedVersion, cc-by)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Dentistry › General Dentistry › Dental Health and Care Utilization
- Keywords
- Modified Dental Anxiety Scale, dental anxiety, psychometric validation, reference values, age differences, anxiety screening, questionnaire reliability and validity, general population, young adults, older adults
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