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Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children

BACKGROUND: Children with high level of preoperative anxiety during their visit to dental office are more likely to develop maladaptive behavior postoperatively. First dental experience is always critical in molding child's attitude toward dentistry. Various behavior management methods are bein...

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Autores principales: Rajeswari, Sandaka Raja, Chandrasekhar, Rayala, Vinay, C, Uloopi, KS, RojaRamya, Kakarla Sri, Ramesh, Manumanthu Venkata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229371/
https://www.ncbi.nlm.nih.gov/pubmed/32440048
http://dx.doi.org/10.5005/jp-journals-10005-1661
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author Rajeswari, Sandaka Raja
Chandrasekhar, Rayala
Vinay, C
Uloopi, KS
RojaRamya, Kakarla Sri
Ramesh, Manumanthu Venkata
author_facet Rajeswari, Sandaka Raja
Chandrasekhar, Rayala
Vinay, C
Uloopi, KS
RojaRamya, Kakarla Sri
Ramesh, Manumanthu Venkata
author_sort Rajeswari, Sandaka Raja
collection PubMed
description BACKGROUND: Children with high level of preoperative anxiety during their visit to dental office are more likely to develop maladaptive behavior postoperatively. First dental experience is always critical in molding child's attitude toward dentistry. Various behavior management methods are being employed during dental treatment to complete anticipated treatment in children. AIM: The aim of the study was to evaluate the effectiveness of cognitive behavioral play therapy and audiovisual distraction for management of preoperative anxiety in children. MATERIALS AND METHODS: A total of 45 children of age 6–10 years with moderate-to-severe anxiety were allocated into three groups: group I—cognitive behavioral play therapy (CBT), group II—audiovisual (AV) distraction, and group III—tell-show-do technique (control group). Children in the CBT group were allowed to play with building blocks, asked to draw a picture and then showed a modeling video of co-operative child undergoing dental treatment. Children in group II were subjected to passive distraction with audiovisual aids, whereas group III (control) children were managed with the conventional TSD technique. Baseline and postintervention objective and subjective anxiety scores were measured with a pulse oximeter and facial image scale (FIS), respectively. RESULTS: A statistically significant reduction in the subjective and objective anxiety scores is observed in all the three groups (p = 0.001) in both intragroup and intergroup comparisons. On intergroup comparison, the reduction in subjective and objective anxiety scores was higher in CBT (p = 0.0) than in AV distraction and TSD groups (p = 0.05). CONCLUSION: Active distraction with cognitive behavioral play therapy is found to be more effective in reducing the preoperative anxiety in children compared to audiovisual distraction and tell-show-do technique. CLINICAL SIGNIFICANCE: Identification and management of preoperative anxiety in children is most critical for successful dental treatment. Active distraction is an effective psychological approach for behavior management in anxious children. HOW TO CITE THIS ARTICLE: Rajeswari SR, Chandrasekhar R, Vinay C, et al. Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children. Int J Clin Pediatr Dent 2019;12(5):419–422.
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spelling pubmed-72293712020-05-21 Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children Rajeswari, Sandaka Raja Chandrasekhar, Rayala Vinay, C Uloopi, KS RojaRamya, Kakarla Sri Ramesh, Manumanthu Venkata Int J Clin Pediatr Dent Research Article BACKGROUND: Children with high level of preoperative anxiety during their visit to dental office are more likely to develop maladaptive behavior postoperatively. First dental experience is always critical in molding child's attitude toward dentistry. Various behavior management methods are being employed during dental treatment to complete anticipated treatment in children. AIM: The aim of the study was to evaluate the effectiveness of cognitive behavioral play therapy and audiovisual distraction for management of preoperative anxiety in children. MATERIALS AND METHODS: A total of 45 children of age 6–10 years with moderate-to-severe anxiety were allocated into three groups: group I—cognitive behavioral play therapy (CBT), group II—audiovisual (AV) distraction, and group III—tell-show-do technique (control group). Children in the CBT group were allowed to play with building blocks, asked to draw a picture and then showed a modeling video of co-operative child undergoing dental treatment. Children in group II were subjected to passive distraction with audiovisual aids, whereas group III (control) children were managed with the conventional TSD technique. Baseline and postintervention objective and subjective anxiety scores were measured with a pulse oximeter and facial image scale (FIS), respectively. RESULTS: A statistically significant reduction in the subjective and objective anxiety scores is observed in all the three groups (p = 0.001) in both intragroup and intergroup comparisons. On intergroup comparison, the reduction in subjective and objective anxiety scores was higher in CBT (p = 0.0) than in AV distraction and TSD groups (p = 0.05). CONCLUSION: Active distraction with cognitive behavioral play therapy is found to be more effective in reducing the preoperative anxiety in children compared to audiovisual distraction and tell-show-do technique. CLINICAL SIGNIFICANCE: Identification and management of preoperative anxiety in children is most critical for successful dental treatment. Active distraction is an effective psychological approach for behavior management in anxious children. HOW TO CITE THIS ARTICLE: Rajeswari SR, Chandrasekhar R, Vinay C, et al. Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children. Int J Clin Pediatr Dent 2019;12(5):419–422. Jaypee Brothers Medical Publishers 2019 /pmc/articles/PMC7229371/ /pubmed/32440048 http://dx.doi.org/10.5005/jp-journals-10005-1661 Text en Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd. © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Rajeswari, Sandaka Raja
Chandrasekhar, Rayala
Vinay, C
Uloopi, KS
RojaRamya, Kakarla Sri
Ramesh, Manumanthu Venkata
Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children
title Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children
title_full Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children
title_fullStr Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children
title_full_unstemmed Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children
title_short Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children
title_sort effectiveness of cognitive behavioral play therapy and audiovisual distraction for management of preoperative anxiety in children
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229371/
https://www.ncbi.nlm.nih.gov/pubmed/32440048
http://dx.doi.org/10.5005/jp-journals-10005-1661
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