Situation-specific child control: a visit to the dentist.

Abstract:

:This paper describes the development of the Child Dental Control Assessment (CDCA), a situationally-specific measure of control strategies for school-age children visiting the dentist. A pilot proceeded two definitive studies. In the pilot, the instructions and a battery of items were pretested. The first study was with 180 children and gathered data in a classroom setting to establish the psychometric characteristics of the instrument. Factor analysis, accounting for over 50% of the variance, suggested five scales: Dentist-Mediated Control, Active Coping, Cognitive Withdrawal, Reassurance, and Physical Escape. Internal consistency of the scales constructed from the factors ranged from 0.5 to 0.7. The highest standardized scale scores were for Reassurance and Dentist-Mediated Control. Younger children reported a greater need for Active Coping. In the second study in a clinical setting, children completed an assessment battery and were trained to use a signalling device. Higher CDCA scores for the Active Coping scale, but not the other scales, were associated with the use by subjects of a device to signal the dentist. The proposed measure allows assessment of individual differences among children of the same age as well as developmental differences between age groupings of children.

journal_name

Behav Res Ther

authors

Weinstein P,Milgrom P,Hoskuldsson O,Golletz D,Jeffcott E,Koday M

doi

10.1016/0005-7967(96)00057-i

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

11-21

issue

1

eissn

0005-7967

issn

1873-622X

pii

000579679600057I

journal_volume

34

pub_type

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