ArticleBMC oral health2021
Translation and validation of modified dental anxiety scale based on adult Taiwan population.
Article in BMC oral health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Estimating the reliability of the modified dental anxiety scale: A systematic review and reliability generalization meta-analysis.Journal of health psychology · 2026Pooled it
- Thai Modified Dental Anxiety Scale (Thai-MDAS): cross-cultural adaptation, psychometric validation, and preliminary diagnostic accuracy.BMC oral health · 2026Article
- Associations of dental anxiety, depression, and general anxiety: A structural equation modeling study in the Northern Finland Birth Cohort 1986.European journal of oral sciences · 2026Article
- Evaluation of Pain and Anxiety Levels After Periodontal Treatment.Medicina (Kaunas, Lithuania) · 2025Article
- Cross-cultural adaptation and validation of the Swedish version of the Modified Dental Anxiety Scale.Acta odontologica Scandinavica · 2024Article
- Adverse childhood experiences and dental anxiety among Chinese adults in Hong Kong: a cross-sectional study.Frontiers in psychology · 2024Article
- Dental anxiety is related to postoperative symptoms in third molar surgery.Frontiers in psychiatry · 2022Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDental anxiety is associated with negative experiences of dental treatment and dental-visiting behavior. The Modified Dental Anxiety Scale (MDAS) is widely used for assessing dental anxiety. The study aims to establish the psychometric properties of a Chinese version of the MDAS based on the Taiwan sample (i.e., T-MDAS).
methodsThe T-MDAS and dental-visiting behavior and experience were assessed for 402 adult subjects recruited from community and clinical sites. The following psychometric properties were assessed: (a) internal consistency, (b) temporal stability, (c) criterion-related validity (i.e., the association with the score of Index of Dental Anxiety and Fear, IDAF-4C), (d) discrimination validity (i.e., the difference in scores between the subjects with and without a habit of a regular dental visit, and (e) the construct validity from a confirmatory factor analysis (CFA).
resultsThe T-MDAS showed good internal consistency (Cronbach's α = 0.88) and temporal stability (ρ = 0.69, p < 0.001). The score was significantly correlated with the score of the IDAF-4C (ρ = 0.76, p < 0.001) and differed between subjects who regularly visited a dentist or not, supporting good criterion-related validity and discrimination validity. Results from CFA supports good construct validity. Furthermore, higher dental anxiety was related to the lack of a regular dental visit, feeling pain during treatment, and feeling insufficient skills and empathy of dentists. A higher proportion of high-dental anxiety subjects in female subjects (8.5%), compared to male subjects (5.0%), was noted.
conclusionsThe T-MDAS is a valid tool for assessing adult dental anxiety. The score is highly associated with dental-visiting behavior and experience of dental patients.
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