Development of the Turkish version of the Index of Dental Anxiety and Fear (IDAF-4C+): Dental anxiety and concomitant factors in pediatric dental patients

The Journal of Clinical Pediatric Dentistry
B Buldur, J M Armfield

Abstract

The aim of this study was to develop the Turkish version of the Index of Dental Anxiety and Fear (IDAF-4C+) and also to explore factors associated with dental anxiety in clinical pediatric dental patients (PDPs). The study sample consisted of 421 PDPs aged 12-14, 104 of whom were selected for test-retest analysis. The psychometric evaluation included linguistic validity, exploratory factor analysis, reliability by internal consistency (Cronbach's alpha) and test-retest reliability (intra-class correlation coefficient, ICC). Construct validity was tested by comparing a commonly used instrument, the Children's Fear Survey Schedule Dental Subscale (CFSS-DS). Associations between parental dental anxiety, frequency of dental visits, dental caries, dental visit behaviour and children's dental anxiety were also examined. The Turkish version of the IDAF-4C demonstrated good internal consistency (Cronbach's alpha α=.96) and test-retest reliability (ICC=.87). Factor analysis showed a fit IDAF-4C model with a single factor, 8 items. Dental anxiety scores were significantly correlated with all measured variables (p<0.001). Girls showed significantly higher dental anxiety scores than boys (p<0.05). This study suggests that the Turkish versi...Continue Reading

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Citations

Oct 18, 2019·International Journal of Paediatric Dentistry·Burak Buldur, Ozge Nur Guvendi
Oct 1, 2020·Health and Quality of Life Outcomes·Rashidah EsaZamros Yuzadi Mohd Yusof
May 28, 2021·Clinical, Cosmetic and Investigational Dentistry·Muhanad AlharekyJehan AlHumaid

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