Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Comparison of the Effect of Acceptance and Commitment Therapy and Cognitive Behavioral Therapy on Pain Tolerance and Intensity Perception in Patients With Dental Anxiety: A Randomized Trial Publisher



Feizi G1 ; Binandeh E2, 3 ; Goli F4, 5 ; Serajkhorrami N6 ; Khalifehsoltani F2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Dental Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
  4. 4. Energy Medicine University, CA, United States
  5. 5. Danesh-e Tandorosti Institute, Isfahan, Iran
  6. 6. Department of Psychology, Dezful Branch, Islamic Azad University, Dezful, Iran

Source: Dental Research Journal Published:2023


Abstract

Background: Dental anxiety has negative effects on dentists' pain management. Patients have different levels of pain tolerance. Therefore, providing psychological interventions can reduce treatment avoidance and promote oral health. This study compared the effect of acceptance and commitment therapy (ACT) and cognitive behavioral therapy (CBT) on pain coping strategies and pain perception intensity in patients with dental anxiety. Materials and Methods: This clinical trial with a pretest-posttest control group design and a 3-month follow-up period was performed on 45 patients with dental anxiety. They were randomly selected by convenience sampling method and assigned to two experimental groups and one control group. The first experimental group underwent 10 sessions of ACT, the second experimental group underwent 10 sessions of CBT, and the control group underwent oral care training. Data were collected by the Rosenstiel and Keefe's Coping Strategies Questionnaire and McGill Pain Questionnaire and analyzed by SPSS (version 24) software. The considered significance level is 0.05. Results: The results showed no significant difference between ACT and CBT in pain coping strategies and pain perception intensity (P < 0.05) but indicated a significant difference between the treatment groups and the control group. Moreover, the results showed a significant difference between posttest and follow-up and pretest in pain coping strategies and pain perception intensity (P < 0.01) but indicated no significant difference between posttest and follow-up (P < 0.05). Conclusion: ACT and CBT can play an important role in the sustainable improvement of pain coping strategies and pain perception intensity in patients with dental anxiety. © 2023 Wolters Kluwer Medknow Publications. All rights reserved.
Related Docs
View other Related Docs
1. Comparing the Effect of Acceptance and Commitment Therapy and Cognitive Behavioral Therapy on Dental Anxiety, International Journal of Body, Mind and Culture (2020)
2. A Comparative Study of the Effectiveness of Acceptance and Commitment Therapy and Transcranial Direct Current Stimulation on Anxiety, Depression, and Physical Symptoms of Individuals Suffering From Chronic Pain, Journal of Biomolecular Techniques (2022)
3. The Effectiveness of Group-Based Acceptance and Commitment Therapy on Pain-Related Anxiety, Acceptance of Pain and Pain Intensity in Patients With Chronic Pain, Journal of Isfahan Medical School (2014)
4. Summary Of: Communicating New Policy on Antibiotic Prophylaxis With Patients: A Randomised Controlled Trial, British Dental Journal (2013)
5. The Prevalence of Dental Anxiety and Fear in Patients Referred to Isfahan Dental School, Iran, Dental Research Journal (2015)
6. Psychometric Properties of the Persian Version of the Chronic Pain Acceptance Questionnaire in Patients With Chronic Pain in Isfahan, Tehran, and Yazd, Iran, International Journal of Body, Mind and Culture (2021)
7. Effect of Virtual Reality During Periodontal Treatment of Patients With Anxiety, Journal of Research in Dental and Maxillofacial Sciences (2019)
8. Communicating New Policy on Antibiotic Prophylaxis With Patients: A Randomised Controlled Trial, British Dental Journal (2013)
Experts (# of related papers)
View all Related Experts
Fatemeh Zargar (6)
Hamid Afshar Zanjani (6)
Other Related Docs
9. Effect of Lavender Oral Drops in Reducing Dental Anxiety Among Patients Requiring Endodontic Treatment: A Randomised Clinical Trial, European Endodontic Journal (2025)
10. Comparative Evaluation of the Cortisol Level of Unstimulated Saliva in Patients With and Without Chronic Periodontitis, Dental Research Journal (2019)
11. The Effect of Electronical Film on the Anxiety of Patients Candidate for Lumbar Disc Surgery, Iranian Journal of Nursing and Midwifery Research (2019)
12. Association Between Psychological Factors and Pain Perception in Patients With Symptomatic Irreversible Pulpitis During Endodontic Treatment, Giornale Italiano di Endodonzia (2021)
13. Psychologic Status and Influence of Surgery Techniques on Acute Nonneuropathic Pain After Dental Implant Surgery: Systematic Review and Meta-Analyses, International Journal of Oral and Maxillofacial Implants (2021)
14. The Effectiveness of Acceptance and Commitment Group Therapy on Social Anxiety in Female Dormitory Residents in Isfahan University of Medical Sciences, Journal of Education and Health Promotion (2019)
15. Effect of Opaque Eye Coverage on Anxiety in Candidates for Surgical Removal of Impacted Third Molars: A Randomized Clinical Trial, Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology (2021)
16. Cognitive Behavioural Intervention for Adults With Anxiety Complications of Asthma: Prospective Randomised Trial, Respiratory Medicine (2012)
17. Efficacy of Acceptance and Commitment Therapy on the Perceived Stress and Sense of Coherence in the Patients With Ulcerative Colitis, Journal of Applied Psychological Research (2023)
18. The Structural Model of Pain, Cognitive Strategies, and Negative Emotions in Functional Gastrointestinal Disorders, Journal of Research in Medical Sciences (2016)
19. Exploring Stressors and Coping Strategies Among Dental Students During Covid-19 Pandemic in British Columbia, Journal of Dental Education (2023)
20. The Frequency and the Etiology of Re-Treatment in Patients and Candidates for Dental Procedure Under General Anesthesia, Dental Research Journal (2023)
21. The Effect of a Death Anxiety Therapeutic Package Based on Acceptance and Commitment Therapy on Death Avoidance, Mental Health and Quality of Life of Cancer Patients, Iranian Journal of Psychiatry and Clinical Psychology (2020)
22. Can Ambient Orange Fragrance Reduce Patient Anxiety During Surgical Removal of Impacted Mandibular Third Molars?, Journal of Oral and Maxillofacial Surgery (2014)
23. Comparison of Oral Melatonin and Midazolam As Premedication in Children Undergoing General Anesthesia for Dental Treatment, Anesthesiology and Pain Medicine (2018)
24. The Mediating Role of Pain Catastrophe, Depression and Anxiety in the Relationship Between Psychological Flexibility and Pain Self-Efficacy in Patients With Musculoskeletal Pain, Journal of Isfahan Medical School (2022)
25. Relationship Between Anger Expression in Mothers and Acceptance of Behavior Management Techniques in Pediatric Dentistry, Journal of Dentistry (Iran) (2023)
26. Effect of Acceptance-Based Behavior Therapy on Severity of Symptoms, Worry and Quality of Life in Women With Generalized Anxiety Disorder, Iranian Journal of Psychiatry and Behavioral Sciences (2012)
27. Improving Student’S Self-Efficacy and Perceived Susceptibility Toward Oral and Dental Health: A Randomized Controlled Trial, Oman Medical Journal (2018)
28. Dynamic Postural Control in Women Athletes With and Without Nonspecific Low Back Pain With High and Low Pain-Related Anxiety- a Case-Control Study, BMC Sports Science, Medicine and Rehabilitation (2023)
29. Psychological Effects of the Covid-19 Pandemic on Dentistry: A Systematic Review Study, Journal of Education and Health Promotion (2021)
30. The Effect of Internet-Delivered Mindfulness Stress Reduction Combined With Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by Covid-19: A Randomized Clinical Trial, International Journal of Community Based Nursing and Midwifery (2023)
31. The Effectiveness of Coping Strategies Training on Symptom Severity, Quality of Life and Psychological Symptoms Among Patients With Irritable Bowel Syndrome, Journal of Isfahan Medical School (2010)
32. The Effect of Acupressure at Spleen 6 Acupuncture Point on the Anxiety Level and Sedative and Analgesics Consumption of Women During Labor: A Randomized, Single-Blind Clinical Trial, Iranian Journal of Nursing and Midwifery Research (2018)
33. Iranian Version of a Face Version of the Modified Child Dental Anxiety Scale: Transcultural Adaptation and Reliability Analysis, Journal of Research in Medical Sciences (2011)
34. Effect of Dexmedetomidine Added to Lidocaine Cartridge on the Level of Patient Sedation, Cooperation, and Patient and Surgeon Satisfaction During Mandibular Third-Molar Extraction Surgery: A Randomized Double-Blind Controlled Trial, International Journal of Dentistry (2022)
35. Development and Validation of the Iranian Version of the Children's Experiences of Dental Anxiety Measure (Cedam), Clinical and Experimental Dental Research (2024)
36. The Relationship Between Tooth Loss and Psychological Factors, Community Dental Health (2015)
37. The Effect of Using Articaine Versus Lidocaine for Inferior Alveolar Nerve Block on Pain After Root Canal Treatment: A Prospective, Randomized Clinical Study, Dental Hypotheses (2018)
38. The Present and Future Status of Oral and Maxillofacial Pathology in Iran:A Multicenter Study, Dental Research Journal (2023)
39. The Effect of Group Acceptance and Commitment Therapy on the Management of Asthma: A Randomized Clinical Trial, Iranian Journal of Psychiatry and Behavioral Sciences (2022)
40. The Effect of External Cold and Vibration on Infiltration-Induced Pain in Children: A Randomized Clinical Trial, International Journal of Dentistry (2022)
41. Anxiolytic Effect of Jasmine Aromatherapy in Pediatric Dental Procedures: A Single-Blinded Randomized Placebo-Controlled Trial, Frontiers in Dentistry (2024)
42. Effectiveness of Acceptance and Commitment Therapy on Interpersonal Problems and Difficulties in Emotion Regulation Among University Students, Iranian Journal of Psychiatry and Behavioral Sciences (2017)
43. Investigating the Effect of Swedish Massage With Chamomile Oil on Labor Pain and Anxiety of Primiparous Women: A Clinical Trial, Journal of Education and Health Promotion (2023)
44. Effectiveness of Educational Strategies to Teach Evidence-Based Dentistry to Undergraduate Dental Students: A Systematic Review, Evidence-Based Dentistry (2024)
45. Comparing the Effectiveness of Acceptance-Based Behavior Therapy and Applied Relaxation on Acceptance of Internal Experiences, Engagement in Valued Actions and Quality of Life in Generalized Anxiety Disorder, Journal of Research in Medical Sciences (2013)
46. The Effectiveness of Acceptance and Commitment Therapy on Pain Severity, Perceived Stress, and Aggression in Patients With Multiple Sclerosis in Isfahan, Iran, International Journal of Body, Mind and Culture (2019)
47. Effects of Mindfulness-Based Stress Reduction on Perceived Stress and Psychological Health in Patients With Tension Headache, Journal of Research in Medical Sciences (2015)
48. The Relationship of Mindfulness and Physical and Psychological Functioning Among Women With Chronic Low Back Pain: The Mediating Role of Anxiety, Journal of Isfahan Medical School (2013)
49. Examining the Prevalence of Major Malformation at Birth and Some Related Factors in Fereidan District in 2015-2016; [بررسی شیوع ناهنجار ی عمد هی بدو تولد و برخ ی عوامل مرتبط با آن در شهرستان فریدن 1394-1395 در سال], Journal of Isfahan Medical School (2024)
50. Evaluation of Parental View Toward Dental Treatment Under General Anesthesia in Isfahan, Journal of Zanjan University of Medical Sciences and Health Services (2010)