A model of pain and anxiety associated with acute stressors: Distress in dental procedures

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Abstract

Many acute stressful experiences are not inherently very harmful, yet are associated with great pain and anxiety. The characteristics and experiences that the person brings to the situation are more important than any objective characteristics of the experience itself in determining how aversive the experience will be. Dental procedures are excellent examples of this type of stressor. Drawing primarily on the literature related to dental procedures, the present article discusses the nature of pain and anxiety in the face of an acute stressor, and presents the dispositional and situational factors that contribute to the perception of an acute stressor as aversive. A model is presented illustrating how the various factors interact. It is argued that, in addition to being descriptive, the model is also prescriptive of measures that may be taken to ameliorate the distress of persons subjected to acute stressors like dental procedures.

References (102)

  • G. Kent

    Anxiety, pain, and type of dental procedure

    Behaviour Research and Therapy

    (1984)
  • G. Kent

    Memory of dental pain

    Pain

    (1985)
  • R.A. Kleinknecht et al.

    Origins and characteristics of fear of dentistry

    Journal of the American Dental Association

    (1973)
  • R.K. Klepac et al.

    Characteristics of clients seeking therapy for the reduction of dental avoidance: reactions to pain

    Journal of Behavior Therapy and Experimental Psychiatry

    (1982)
  • S. Lautenbacher et al.

    Sex differences in responsiveness to painful and non-painful stimuli are dependent upon the stimulation method

    Pain

    (1993)
  • D.W. McNeil et al.

    Components of dental fear in adults

    Behaviour Research and Therapy

    (1989)
  • R. Melzack

    The McGill Pain Questionnaire: major properties and scoring methods

    Pain

    (1975)
  • H. Merskey et al.

    The concept of pain

    Journal of Psychosomatic Research

    (1967)
  • T. Miles

    Dental pain: self-observations by a neurophysiologist

    Journal of Endodontics

    (1993)
  • P. Milgrom et al.

    Origins of childhood dental fear

    Behaviour Research and Therapy

    (1995)
  • R. Moore et al.

    Manifestations, acquisition and diagnostic categories of dental fear in a self-referred population

    Behaviour Research and Therapy

    (1991)
  • T.H. Ollendick et al.

    Origins of childhood fears: an evaluation of Rachman's theory of fear acquisition

    Behaviour Research and Therapy

    (1991)
  • S.J. Rachman

    The conditioning theory of fear acquisition: a critical examination

    Behaviour Research and Therapy

    (1977)
  • S.S. Richardson et al.

    Expectancy effects on anxiety and self-generated cognitive strategies in high and low dental-anxious females

    Journal of Behavior Therapy and Experimental Psychiatry

    (1984)
  • N.M. Steblay et al.

    Reduction of fear during dental treatment through reattribution techniques

    Journal of the American Dental Association

    (1982)
  • J. Van Buren et al.

    An evaluation of the McGill Pain Questionnaire for use in dental pain assessment

    Pain

    (1979)
  • J. Wardle

    Dental pessimism: negative cognitions in fearful dental patients

    Behaviour Research and Therapy

    (1984)
  • S.M. Auerbach et al.

    Anxiety, locus of control, type of preparatory information, and adjustment to dental surgery

    Journal of Consulting and Clinical Psychology

    (1976)
  • J.R. Averill et al.

    Vigilant and non-vigilant coping strategies and psychophysiological stress reactions during the anticipation of electric shock

    Journal of Personality and Social Psychology

    (1972)
  • A. Bandura

    Principles of Behavior Modification

  • A. Bandura

    Self-efficacy in human agency

    American Psychologist

    (1982)
  • A. Bandura et al.

    Microanalysis of action and fear arousal as a function of differential levels of perceived self-efficacy

    Journal of Personality and Social Psychology

    (1982)
  • A. Bandura et al.

    Catecholamine secretion as a function of perceived coping self-efficacy

    Journal of Consulting and Clinical Psychology

    (1985)
  • A. Bandura et al.

    Perceived self-efficacy and pain control: opioid and nonopioid mediators

    Journal of Personality and Social Psychology

    (1987)
  • R.S. Baron et al.

    Desired control, felt control, and dental pain: recent findings and remaining issues

    Motivation and Emotion

    (1993)
  • R.S. Baron et al.

    Emotional and sensory focus as mediators of dental pain among patients differing in desired and felt control

    Health Psychology

    (1993)
  • J. Bell

    Psychological aspects of dental treatment of children

    Journal of Dental Education

    (1978)
  • D.J. Bem

    Perception theory

  • D.A. Bernstein et al.

    Comparative evaluation of three social-learning approaches to the reduction of dental fear

  • G.H. Bower

    Mood and memory

    American Psychologist

    (1981)
  • J. Burger et al.

    The desirability of control

    Motivation and Emotion

    (1979)
  • N.L. Corah

    Effect of perceived control on pedodontic patients

    Journal of Dental Research

    (1973)
  • N.L. Corah et al.

    Effect of perceived control on stress reduction in adult dental patients

    Journal of Dental Research

    (1978)
  • N.L. Corah et al.

    Psychological stress reduction during dental procedures

    Journal of Dental Research

    (1979)
  • F.I.M. Craik et al.

    Depth of processing and the retention of words in episodic memory

    Journal of Experimental Psychology: General

    (1975)
  • S.H. Croog et al.

    Pain response after psychological preparation for repeated periodontal surgery

    Journal of the American Dental Association

    (1994)
  • R. D'Arcy

    Low stress dentistry

    Family Circle

    (1990)
  • A. DeJongh et al.

    What do anxious patients think: an exploratory investigation of anxious dental patients' thoughts

    Community Dentistry and Oral Epidemiology

    (1993)
  • A. DeJongh et al.

    Cognitive correlates of dental anxiety

    Journal of Dental Research

    (1994)
  • E. Fernandez et al.

    Sensory and affective components of pain: separation and synthesis

    Psychological Bulletin

    (1992)
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