Internet-Based Cognitive Behavioral Therapy for Children With Dental Anxiety

Launched by KAROLINSKA INSTITUTET · Oct 26, 2015

Keywords

ClinConnect Summary

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Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • The participant is between 8-15 years of age
• • The patient and parents agree to participate in the research project
• • A diagnosis of specific phobia (dental anxiety or intraoral needle phobia) can be established by a psychologist according to the Diagnostic and Statistical Manual of Mental Disorders, 4th. Edition. The internet parent version of Development and Well-Being Assessment (Dawba) and Kiddie Sads (phobic disorders supplement) are used.
• • The patient and parents have sufficient language skills in Swedish to manage the treatment and questionnaires
• • Have regularly access to computer and the internet
• • Have the time, the possibility and motivation to work and practice with ICBT 3 hours each week in 12 weeks
• • Parents agree to at least book three visits at the dentist during the 12 weeks treatment
• • Parents agree to exposure for intraoral injection at the dentist even if the child does not need dental treatment but suffers from injection phobia
• Exclusion Criteria:
• • Full points on both child and parent versions of the picture guided behavioral approach test. A maximum score of 17 means that both the child and the parent assess that the child can manage the most challenging situations in dentistry
• • A score of 31 or less on both children and parent version of CFSS-DS and do not fulfill criteria for intra-oral injection phobia
• • Already have or according to DAWBA and/or telephone interview by psychologist likely to fulfill criteria for a neurodevelopmental disorder diagnosis
• • Other psychiatric disorders such as severe depression, eating disorder or self harm behavior that need treatment prior to dentistry related specific phobia
• • The participant is undergoing or has planned psychiatric/ psychological examination
• • The participant has current/planed psychological treatments
• • Stressful life experiences during the past 12 months, such as divorce in the family, somatic illness that parent or the psychologist see as an obstacle in the treatment
• • Have received cognitive behavioral treatment for dental anxiety or needle phobia during the past three years