ArticleActa odontologica Scandinavica2024
Cross-cultural adaptation and validation of the Swedish version of the Modified Dental Anxiety Scale.
Article in Acta odontologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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
- Level of Dental Anxiety and Its Role Among Barriers to Habitual Use of Oral Health Care in Adult Finns.Dentistry journal · 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
- Dental and periodontal health, oral health-related quality of life and life satisfaction in patients with severe dental phobia.Scientific reports · 2025Article
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Authors and funding
4 authors.
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Abstract
introductionThe impact of dental anxiety is profound. At the same time, dental anxiety is sometimes difficult to detect. Therefore, a patient-reported outcome measure is needed. The Modified Dental Anxiety Scale (MDAS) is a short, internationally used self-assessment questionnaire for screening of dental anxiety.
aimTo cross-culturally adapt the original English MDAS to Swedish (MDAS-S), and to validate it in a Swedish setting. MATERIALS AND
methodsThe adaptation was conducted in accordance with recommended guidelines. Field testing was performed both among adults presenting for their regular dental check-ups and among adults diagnosed by a psychologist as dentally phobic.
resultsThe MDAS-S was formed during the adaptation procedure. Field testing included 246 adults presenting for their regular dental check-ups and 7 adults diagnosed with dental phobia. The MDAS-S score was significantly higher (p < 0.001) in the dentally phobic group than in the regular dental check-up group. Reliability was good with Cronbach's Alpha values between 0.880 to 0.909. Test-retest of 37 individuals showed an excellent Intraclass Correlation Coefficient of 0.956. Confirmatory factor analysis (CFA) finds support for a two-factor model although with 78% shared variance between the factors.
conclusionsThe MDAS-S demonstrates good reliability and appears valid as a screening tool for dental anxiety among Swedish adults.
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