Corah NL. Development of a dental anxiety scale. J Dent Res. 1969;48(4):596–596.
Google Scholar
Tönnies S, Mehrstedt M, Eisentraut I. The dental anxiety scale (DAS) and the dental fear survey (DFS) two questionnaires for the measurement of dental fear. Z Med Psychol. 2002;2.
Enkling N, Jöhren H, Bürklein S, Lenk M, Margraf-Stiksrud J, Beck G, et al. S3-Leitlinie Zahnbehandlungsangst beim erwachsenen. AWMF-Registernummer: 083 – 020).; 2019.
Humphris GM, Dyer TA, Robinson PG. The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age. BMC Oral Health. 2009;9:1–8.
Appukuttan DP. Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent. 2016;8:35–50.
Zulfiqarova U, Dresp-Langley B. Student anxiety in the wake of the COVID-19 pandemic. Acad Ment Health Well-Being. 2024;1(2).
DeDonnoa MA. Dental anxiety, dental visits and oral hygiene practices. Oral Health Prev Dent. 2012;10(2).
Zinke A, Hannig C, Berth H. Comparing oral health in patients with different levels of dental anxiety. Head Face Med. 2018;14(1):1–5.
Rauch A, Hahnel S, Schierz O, Pain. Dental fear, and oral Health-related quality of Life-Patients seeking care in an emergency dental service in Germany. J Contemp Dent Pract. 2019;20(1):3–7.
Google Scholar
Moore R, Brødsgaard I. Dentists’ perceived stress and its relation to perceptions about anxious patients. Community Dent Oral Epidemiol. 2001;29(1):73–80.
Google Scholar
Mehrstedt M, Tonnies S, Micheelis W, John M. Oral health-related quality of life and dental fears. Dtsch Zahnarztl Z. 2009;64(4):234.
Zinke A, Hannig C, Berth H. Psychological distress and anxiety compared amongst dental patients- results of a cross-sectional study in 1549 adults. BMC Oral Health. 2019;19(1):1–6.
Sun IG, Chu CH, Lo ECM, Duangthip D. Global prevalence of early childhood dental fear and anxiety: A systematic review and meta-analysis. J Dent. 2024;142:104841.
Google Scholar
Grisolia BM, Dos Santos APP, Dhyppolito IM, Buchanan H, Hill K, Oliveira BH. Prevalence of dental anxiety in children and adolescents globally: A systematic review with meta-analyses. Int J Paediatr Dent. 2021;31(2):168–83.
Google Scholar
Silveira ER, Cademartori MG, Schuch HS, Armfield JA, Demarco FF. Estimated prevalence of dental fear in adults: A systematic review and meta-analysis. J Dent. 2021;108:103632.
Google Scholar
Thomson W, Broadbent J, Locker D, Poulton R. Trajectories of dental anxiety in a birth cohort. Community Dent Oral Epidemiol. 2009;37(3):209–19.
Google Scholar
Liinavuori A, Tolvanen M, Pohjola V, Lahti S. Longitudinal interrelationships between dental fear and dental attendance among adult Finns in 2000-2011. Community Dent Oral Epidemiol. 2019;47(4):309–15.
Google Scholar
Bürklein S, Brodowski C, Fliegel E, Jöhren HP, Enkling N. Recognizing and differentiating dental anxiety from dental phobia in adults: a systematic review based on the German guideline dental anxiety in adults. Quintessence Int. 2021;52(4).
Shoben EJ Jr, Borland L. An empirical study of the etiology of dental fears. J Clin Psychol. 1954;10(2).
Freidson E, Feldman JJ. The public looks at dental care. J Am Dent Assoc. 1958;57(3):325–35.
Google Scholar
Kleinknecht RA, Klepac RK, Alexander LD. Origins and characteristics of fear of dentistry. J Am Dent Assoc. 1973;86(4):842–8.
Google Scholar
Humphris GM, Morrison T, Lindsay S. The modified dental anxiety scale: validation and united Kingdom norms. Community Dent Health. 1995;12(3):143–50.
Google Scholar
Armfield JM. Development and psychometric evaluation of the index of dental anxiety and fear (IDAF-4 C+). Psychol Assess. 2010;22(2):279.
Google Scholar
Hakeberg M, Berggren U, Carlsson SG. Prevalence of dental anxiety in an adult population in a major urban area in Sweden. Community Dent Oral Epidemiol. 1992;20(2):97–101.
Google Scholar
McGrath C, Bedi R. The association between dental anxiety and oral health-related quality of life in Britain. Community Dent Oral Epidemiol. 2004;32(1):67–72.
Google Scholar
Östberg AL, Abrahamsson KH. Oral health locus of control in a Swedish adolescent population. Acta Odontol Scand. 2013;71(1):249–55.
Google Scholar
Bantel D, Chmielewski WX, Brähler E, Stöbel-Richter Y, Zenger M, Berth H. Variables associated with oral health-related self-efficacy – results of a cross-sectional study. BMC Oral Health. 2023;23(1):939.
Google Scholar
Hagqvist O, Tolvanen M, Rantavuori K, Karlsson L, Karlsson H, Lahti S. Changes in dental fear and its relations to anxiety and depression in the FinnBrain birth cohort study. Eur J Oral Sci. 2020;128(5):429–35.
Google Scholar
Locker D, Liddell A. Stability of dental anxiety scale scores: a longitudinal study of older adults. Community Dent Oral Epidemiol. 1995;23(5):259–61.
Google Scholar
Hägglin C, Berggren U, Hakeberg M, Hallstrom T, Bengtsson C. Variations in dental anxiety among middle-aged and elderly women in sweden: a longitudinal study between 1968 and 1996. J Dent Res. 1999;78(10):1655–61.
Google Scholar
Peretz B, Mann J. Dental anxiety among Israeli dental students: a 4-year longitudinal study. Eur J Dent Educ. 2000;4(3):133–7.
Google Scholar
Åstrøm AN, Skaret E, Haugejorden O. Dental anxiety and dental attendance among 25-year-olds in norway: time trends from 1997 to 2007. BMC Oral Health. 2011;11(1):10.
Google Scholar
Thomson WM, Locker D, Poulton R. Incidence of dental anxiety in young adults in relation to dental treatment experience. Community Dent Oral Epidemiol. 2000;28(4):289–94.
Google Scholar
Liinavuori A, Tolvanen M, Pohjola V, Lahti S. Changes in dental fear among Finnish adults: a National survey. Community Dent Oral Epidemiol. 2016;44(2):128–34.
Google Scholar
Hägglin C, Hakeberg M, Ahlqwist M, Sullivan M, Berggren U. Factors associated with dental anxiety and attendance in middle-aged and elderly women. Community Dent Oral Epidemiol. 2000;28(6):451–60.
Google Scholar
Locker D, Thomson W, Poulton R. Psychological disorder, conditioning experiences, and the onset of dental anxiety in early adulthood. J Dent Res. 2001;80(6):1588–92.
Google Scholar
Yildirim TT, Dundar S, Bozoglan A, Karaman T, Dildes N, Kaya FA, et al. Is there a relation between dental anxiety, fear and general psychological status? PeerJ. 2017;5:e2978.
Nermo H, Willumsen T, Johnsen JK. Changes in dental anxiety among 15-to 21‐year‐olds. A 2‐year longitudinal analysis based on the Tromsø study: fit futures. Community Dent Oral Epidemiol. 2019;47(2):127–33.
Google Scholar
Hägglin C, Hakeberg M, Hällström T, Berggren U, Larsson L, Waern M, et al. Dental anxiety in relation to mental health and personality factors: A longitudinal study of middle-aged and elderly women. Eur J Oral Sci. 2001;109(1):27–33.
Google Scholar
Halonen H, Nissinen J, Lehtiniemi H, Salo T, Riipinen P, Miettunen J. The association between dental anxiety and psychiatric disorders and symptoms: a systematic review. Clin Pract Epidemiol Ment Health CP EMH. 2018;14:207.
Google Scholar
Cohen S, Fiske J, Newton J. The impact of dental anxiety on daily living. Br Dent J. 2000;189(7):385–90.
Google Scholar
Mehrstedt M, Tönnies S, Eisentraut I. Dental fears, health status, and quality of life. Anesth Prog. 2004;51(3):90.
Google Scholar
Mehrstedt M, John MT, Tönnies S, Micheelis W. Oral health-related quality of life in patients with dental anxiety. Community Dent Oral Epidemiol. 2007;35(5):357–63.
Google Scholar
Humphris GM, Newton JT. Is the modified dental anxiety scale (MDAS) a single or two construct measure?? A theoretical and pragmatic perspective. Dent J. 2025;13(2):68.
Gironda MW, Maida C, Marcus M, Wang Y, Liu H. Social support and dental visits. J Am Dent Assoc. 2013;144(2):188–94.
Google Scholar
Svensson L, Hakeberg M, Wide Boman U. Dental anxiety, concomitant factors and change in prevalence over 50 years. Community Dent Health. 2016;33(02):121–6.
Google Scholar
Muneer MU, Ismail F, Munir N, Shakoor A, Das G, Ahmed AR, et al. Dental anxiety and influencing factors in adults. In MDPI; 2022. p. 2352.
Richter EP, Brähler E, Stöbel-Richter Y, Zenger M, Berth H. The long-lasting impact of unemployment on life satisfaction: results of a longitudinal study over 20 years in East Germany. Health Qual Life Outcomes. 2020;18(1):361.
Google Scholar
Berth H, Brähler E, Zenger M, Stöbel-Richter Y. 30 Jahre Ostdeutsche transformation. Sozialwissenschaftliche ergebnisse und perspektiven der Sächsischen längsschnittstudie. Gießen: Psychosozial-; 2020.
Cuschieri S. The STROBE guidelines. Saudi J Anaesth. 2019;13(Suppl 1):S31–4.
Google Scholar
Kunzelmann K. Seine angst und Seine einschatzung des Zahnarztes Als variable Im Compliance-Modell. Dtsch Zahnarztl Z. 1989;44:356–9.
Google Scholar
Dowrick C, Casey P, Dalgard O, Hosman C, Lehtinen V, Vázquez-Barquero JL, et al. Outcomes of depression international network (ODIN): background, methods and field trials. Br J Psychiatry. 1998;172(4):359–63.
Google Scholar
Kocalevent RD, Berg L, Beutel ME, Hinz A, Zenger M, Härter M, et al. Social support in the general population: standardization of the Oslo social support scale (OSSS-3). BMC Psychol. 2018;6(1):31.
Google Scholar
Hussein RS, Yousef SS. Impact of perceived social support on suicidal ideation among students at Ain Shams university. Middle East Curr Psychiatry. 2024;31(1):1.
Petrowski K, Zenger M, Schmalbach B, Bastianon CD, Strauss B. Psychometric properties and validation of the english version Giessen subjective complaints list (GBB-8). BMC Psychol. 2022;10(1):60.
Google Scholar
Gierk B, Kohlmann S, Kroenke K, Spangenberg L, Zenger M, Brähler E, et al. The somatic symptom scale–8 (SSS-8): a brief measure of somatic symptom burden. JAMA Intern Med. 2014;174(3):399–407.
Google Scholar
Schneider J, Zenger M, Brähler E, Stöbel-Richter Y, Berth H. Der G-Score – ein screeninginstrument Zur erfassung der subjektiven Körperlichen gesundheit. PPmP – Psychother · Psychosom · Med Psychol. 2018;68(08):361–8.
Google Scholar
Kroenke K, Spitzer RL, Williams JB. The patient health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41(11):1284–92.
Google Scholar
Kroenke K, Spitzer RL, Williams JB, Monahan PO, Löwe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007;146(5):317–25.
Google Scholar
Löwe B, Wahl I, Rose M, Spitzer C, Glaesmer H, Wingenfeld K, et al. A 4-item measure of depression and anxiety: validation and standardization of the patient health Questionnaire-4 (PHQ-4) in the general population. J Affect Disord. 2010;122(1–2):86–95.
Google Scholar
American Psychiatric Association, editor. Diagnostic and statistical manual of mental disorders: DSM-IV; includes ICD-9-CM codes effective 1. Oct. 96. 4. ed., 7. print. Washington, DC. 1998. 886 p.
Beierlein C, Kovaleva A, László Z, Kemper CJ, Rammstedt B. Eine single-item-skala zur erfassung der allgemeinen lebenszufriedenheit: Die kurzskala lebenszufriedenheit-1 (L-1). 2014.
Helmert U. Subjektive einschätzung der gesundheit und mortalitätsentwicklung. Gesundheitswesen. 2003;65(01):47–54.
Google Scholar
Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–91.
Google Scholar
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New York: Routledge; 2013. p. 567.
World Medical Association. World medical association declaration of helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191–4.
Hägglin C, Berggren U, Hakeberg M, Ahlqwist M. Dental anxiety among middle-aged and elderly women in sweden. A study of oral state, utilisation of dental services and concomitant factors. Gerodontology. 1996;13(1):25–34.
Google Scholar
Campos JADB, Presoto CD, Martins CS, Domingos PA dos, Maroco S. Dental anxiety: prevalence and evaluation of psychometric properties of a scale. Psychol Community Health. 2013;2:19–27.
Tönnies S, Mehrstedt M, Fritzsche A. Psychometric assessment of the German version of the index of dental anxiety and fear (IDAF-4 C +) – A new instrument for measuring dental anxiety. PPmP-Psychother Psychosom Med Psychol. 2014;64(03/04):141–9.
Weil KM, Weßlau TM, Magerfleisch LAI, Tröger H, Irmscher L, Bantel D, et al. Validity and reliability of the dental neglect scale in German. Dent J. 2025;13(5):225.