| 3405 Desired and expected control moderates dental treatment pain and relief | ||
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T.H. HUR, H. LOGAN, and J.J. GEDNEY, University of Florida, Gainesville, USA Objective: Evaluate the influence of patients' desired and expected control during their dental treatment on self-reports of expected and experienced treatment-related pain and pain relief. Methods: Visual Analog Scale (VAS) ratings of pre-treatment pain, expected treatment pain and relief, and experienced treatment pain and relief were obtained from 68 emergency dental patients. The Iowa Dental Control Index (IDCI) was used to divide the patients into four groups based on desired and predicted treatment control. A-priori planned contrasts were used to test for differences between the High Desired/Low Predicted (At-risk) group, the Low Desire/Low Predicted group, the High Desired/High Predicated group and the Combined group consisting of all non-At-risk patients combined. Outcome measures were expected and experienced treatment pain and pain relief. Results: Pre-treatment pain level was equal between groups (4cm/10cm). Expected pain: At-risk group (mean=5.2 [SEM=.60]) was greater than the Low Desire/Low Predicted (mean=1.1 [.35]; t=5.9, p<.01), High Desire/High Predicted (mean=3.2 [.81]; t=2.0, p=.05) and the Combined (mean = 2.2 [.47]; t=4.4, p<.01) groups. Experienced pain: At-risk group (mean=3.2 [.48]) was greater than the Combined group (mean = 2.2[.47]; t=2.5, p=.02). Expected relief: At-risk group (mean=6.2 [.65]) was lower than the Low Desire/Low Predicted group (mean=8.2 [.64]; t=-2.2, p=.04). Experienced relief:At-risk group (mean=5.7 [.75]) was less than the Low Desire/Low Predicted (mean = 8.6 [.89]; t=-2.5, p=.02), High Desire/High Predicted (mean=8.6 [.60]; t=-3.0, p<.01) and Combined (mean=7.2[.52]; t=-2.6, p=.02) groups. Conclusion: Dental patients with a high desire for personal control, but who predict having little control are at risk for expecting and experiencing greater treatment-related pain and less relief of pre-treatment pain. This is the first study using the IDCI demonstrating systematic differences in pain relief. Funding support provided by: UFCD Student Summer Research Fellowship, the Procter & Gamble Company and Office of Minority Health Contract #2T03050301D. | ||
| Seq #355 - Stress, Health Promotion, and Clinical Trials 10:15 AM-11:30 AM, Saturday, 13 March 2004 Hawaii Convention Center Exhibit Hall 1-2 | ||
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