Cognitive Behavioral Therapy for Dental Phobia and Anxiety 1st Edition by Lars Göran Öst, Erik Skaret 9781118499511 1118499514

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ISBN 10: 1118499514
ISBN 13: 9781118499511 
Author: Lars-Göran Öst, Erik Skaret

The first book to describe evidence-based treatment of dental phobia using brief CBT, based on the pioneering single-session treatment for specific phobias developed by Lars-Göran Öst.   Brings together research, experience and techniques from clinical psychology and dentistry to describe evidence-based treatment of dental phobia in clinical and dental contexts Chapters describe epidemiology, diagnosis and differential diagnosis, symptoms, clinical characteristics and consequences, and aetiology of dental phobia Also covers related issues including intra-oral injection phobia, dental treatment of fearful children, and the use of medication to supplement psychological treatment of fear  

Cognitive Behavioral Therapy for Dental Phobia and Anxiety 1st Table of contents:

Part I: Background, Assessment and Aetiology
1. Symptoms, Clinical Characteristics and Consequences
Introduction
Symptoms, Characteristics and Consequences of Dental Anxiety and Dental Phobia
Conclusion

2. Background Description and Epidemiology
Background
Dental Fear, Dental Anxiety and Dental Phobia
Consequences
Measurement of Dental Fear and Anxiety
Prevalence
Conclusion

3. Assessment of Dental Phobia and Anxiety
Differential Diagnoses
Assessment Tools
Future Developments

4. Aetiology of Dental Phobia
Introduction
Psychological and Interpersonal Aspects of Dental Treatment
Elements of the Fear Reaction
Aetiological Theories of Dental Fear and Anxiety
The Multi-factorial Aetiology of Dental Phobia
From Dental Fear to Dental Phobia – Three Vicious Circles
General Conclusions

5. Intra-Oral Injection Phobia
Blood-Injury-Injection Phobia
Prevalence, Subtypes and Gender Differences
Catastrophic Beliefs in BII Phobics
Aetiology
Overlap between BII Phobia and High Dental Anxiety
Dental Health in Intra-Oral Injection Phobics
Quality of Life in Persons with BII Phobia
Assessment of BII Anxiety
Clinical Challenges
Case Presentation

6. Dental Anxiety in Children and Adolescents
Definitions of Dental Fear and Anxiety and Dental Behaviour Management Problems
Relationship between Dental Fear and Anxiety and Behaviour Management Problems
Prevalence
Psychological Factors Associated with the Development of DFA and DBMP

Part II: Treatments
7. Cognitive Behaviour Therapy
The Birth and Early Development of Behavior Therapy
The Birth and Early Development of Cognitive Therapy
CBT: The Combination of Two Therapies
Characteristic Features of Cognitive Behaviour Therapy
Myths and Misconceptions about CBT
Important CBT Principles
Treatment Principles in CBT for Emotional Disorders
The Evidence Base of CBT
Which CBT Treatments are effective for which Disorders?

8. Multimodal Cognitive Behavioural Treatment
Historical Background
The First Treatment Method
The Revised Treatment
The Current Treatment

9. One-Session Treatment of Dental Phobia
Background
General Description of the One-Session Treatment
One-Session Treatment of Dental Phobia
Training Dentists to do the One-Session Treatment
Evaluation of Dentists Carrying Out OST

10. The Combined Treatment
Background
Characteristics of the Dental Treatment Situation
The Dentist as Therapist
CBT in the Dental Chair
Intra-Oral Injection Phobia
Patients with Blood-Injury-Injection (BII) Phobia
Patients Afraid of Drilling
Patients Afraid of Extractions
Patients Afraid of Endodontic Treatment
Patients with Gagging Problems
Coping with Future Dental Treatment
When Does the Psychologist Need to be There?
Conclusions

11. Dental Treatment under Sedation
Introduction
Pain and Pain Control
Indications for Sedation and General Anaesthesia
Preoperative Assessment
Sedatives and Techniques
Side Effects and Safety
Documentation and Records
Sedation and CBT

12. Effects of Cognitive Behavioural Treatments
Description of Treatments Evaluated in Randomized Controlled Trials
Systematic Review
Meta-Analysis
Summary and Conclusions

Part III: Cultural Aspects, Prevention and Future Research
13. Different Treatment Approaches in Different Cultures and Health-Care Systems
Introduction
Dental Fear and Phobia in Non-Western Countries
Considerations for CBT in Non-Western Cultures
Providing CBT in Different Health-Care Systems
Alternatives to Face-to-Face CBT for Dental Phobia
Pharmacological Strategies
Summary

14. Prevention of Dental Phobia
Aetiology as the Background for Prevention
Dentist Behaviour
Meeting the Child and the Parent in the Waiting Room
Child and Parent in the Dental Clinic
Behaviour Shaping
Cognitive Behavioural Therapy in Fearful Children and Adolescents
Exploring the child’s negative thoughts
Explaining the fear and the principles of gradual exposure
The Complexity of Pain
Pain Control
Local Anaesthesia in Children with Blood-Injury-Injection (BII) Phobia Activation
Patient Control
Pharmacological Methods
Aspects of Prevention in the Dental Health Service
The Role of the Dental Hygienist (DH) in Prevention and Treatment of DA and BMP
Counselling and Health Behaviour Change
Conclusions

15. Future Research and Applications
Symptoms, Clinical Characteristics and Consequences
Epidemiology
Assessment
Aetiology
Intra-Oral Injection Phobia
Dental Anxiety in Children and Adolescents
Multi-Modal Cognitive-Behavioural Treatment
One-Session Treatment
The Combined Treatment
The Meta-analysis
Prevention of Dental Phobia
Conclusions

Index

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