Dentist Empathic Accuracy Is Associated With Patient-Reported Reassurance

ABSTRACT: Objectives: The aim of this work was to determine dentists’ ability to accurately estimate patients’ anxiety level during dental treatment (ie, “empathic accuracy”) and to determine the strength of the association between empathic accuracy and patient-reported reassurance. Methods: A cros...

Full description

Bibliographic Details
Main Authors: Serge A. Steenen, Moniek A.J. Zeegers, Arjen J. van Wijk, Saif Al-Zubaidi, Minakshi Jethu-Ramkrishan, Aida Loddin, Jan de Lange, Ad de Jongh
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:International Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0020653922001216
_version_ 1797950821370953728
author Serge A. Steenen
Moniek A.J. Zeegers
Arjen J. van Wijk
Saif Al-Zubaidi
Minakshi Jethu-Ramkrishan
Aida Loddin
Jan de Lange
Ad de Jongh
author_facet Serge A. Steenen
Moniek A.J. Zeegers
Arjen J. van Wijk
Saif Al-Zubaidi
Minakshi Jethu-Ramkrishan
Aida Loddin
Jan de Lange
Ad de Jongh
author_sort Serge A. Steenen
collection DOAJ
description ABSTRACT: Objectives: The aim of this work was to determine dentists’ ability to accurately estimate patients’ anxiety level during dental treatment (ie, “empathic accuracy”) and to determine the strength of the association between empathic accuracy and patient-reported reassurance. Methods: A cross-sectional study was conducted amongst 177 adult patients who underwent different invasive dental procedures (ie, extractions or procedures requiring injections and drilling) performed by 10 different dentists from 3 dental offices in the Netherlands. Patients reported their anxiety level during treatment and the extent to which they felt reassured by the dentist using a visual analogue scale (VAS). Simultaneously, the dentists estimated patients’ anxiety level. Empathic accuracy was calculated as an absolute difference between patient-reported anxiety (100-point VAS) and dentist estimation of anxiety (100-point VAS). Results: Agreement between dentists’ assessment of patients' anxiety and patient-reported anxiety proved good, intraclass correlation coefficient (177) = 0.63; 95% confidence interval [CI], 0.53-0.71. A small to medium-sized positive correlation, r (177) = 0.15; 95% CI, 0.00-0.29, was found between dentists’ empathic accuracy and patient-reported reassurance. A negative correlation was found between empathic accuracy and patients’ anxiety scores, r (177) = −0.23; 95% CI, −0.38 to −0.09. Conclusions: Given that greater empathic accuracy was associated with higher patient-reported reassurance during treatment, training young dental professionals in empathic accuracy might help patients feel reassured. Importantly, our results also suggest that with elevated levels of patient anxiety it is increasingly challenging for dentists to recognise this emotion, and thus support the patient in anoptimal manner.
first_indexed 2024-04-10T22:21:12Z
format Article
id doaj.art-a95b06735d5f49d9b63deb686595aea7
institution Directory Open Access Journal
issn 0020-6539
language English
last_indexed 2024-04-10T22:21:12Z
publishDate 2023-02-01
publisher Elsevier
record_format Article
series International Dental Journal
spelling doaj.art-a95b06735d5f49d9b63deb686595aea72023-01-18T04:29:44ZengElsevierInternational Dental Journal0020-65392023-02-01731101107Dentist Empathic Accuracy Is Associated With Patient-Reported ReassuranceSerge A. Steenen0Moniek A.J. Zeegers1Arjen J. van Wijk2Saif Al-Zubaidi3Minakshi Jethu-Ramkrishan4Aida Loddin5Jan de Lange6Ad de Jongh7Department of Oral and Maxillofacial Surgery, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Department of Oral Public Health, Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands; Corresponding author. Department of Oral and Maxillofacial Surgery, Amsterdam University Medical Center, Location AMC, Meibergdreef 9, 1105 AZ, Room D2-240, Amsterdam, The Netherlands.Department of Psychology, Mondium GGz, Clinical Health Center, Beesd, The NetherlandsDepartment of Oral Public Health, Academic Centre for Dentistry Amsterdam, Amsterdam, The NetherlandsDepartment of Oral Public Health, Academic Centre for Dentistry Amsterdam, Amsterdam, The NetherlandsDepartment of Oral Public Health, Academic Centre for Dentistry Amsterdam, Amsterdam, The NetherlandsDepartment of Oral Public Health, Academic Centre for Dentistry Amsterdam, Amsterdam, The NetherlandsDepartment of Oral and Maxillofacial Surgery, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The NetherlandsDepartment of Oral and Maxillofacial Surgery, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Institute of Health and Society, University of Worcester, Worcester, UK; School of Psychology, Queen's University, Belfast, Northern IrelandABSTRACT: Objectives: The aim of this work was to determine dentists’ ability to accurately estimate patients’ anxiety level during dental treatment (ie, “empathic accuracy”) and to determine the strength of the association between empathic accuracy and patient-reported reassurance. Methods: A cross-sectional study was conducted amongst 177 adult patients who underwent different invasive dental procedures (ie, extractions or procedures requiring injections and drilling) performed by 10 different dentists from 3 dental offices in the Netherlands. Patients reported their anxiety level during treatment and the extent to which they felt reassured by the dentist using a visual analogue scale (VAS). Simultaneously, the dentists estimated patients’ anxiety level. Empathic accuracy was calculated as an absolute difference between patient-reported anxiety (100-point VAS) and dentist estimation of anxiety (100-point VAS). Results: Agreement between dentists’ assessment of patients' anxiety and patient-reported anxiety proved good, intraclass correlation coefficient (177) = 0.63; 95% confidence interval [CI], 0.53-0.71. A small to medium-sized positive correlation, r (177) = 0.15; 95% CI, 0.00-0.29, was found between dentists’ empathic accuracy and patient-reported reassurance. A negative correlation was found between empathic accuracy and patients’ anxiety scores, r (177) = −0.23; 95% CI, −0.38 to −0.09. Conclusions: Given that greater empathic accuracy was associated with higher patient-reported reassurance during treatment, training young dental professionals in empathic accuracy might help patients feel reassured. Importantly, our results also suggest that with elevated levels of patient anxiety it is increasingly challenging for dentists to recognise this emotion, and thus support the patient in anoptimal manner.http://www.sciencedirect.com/science/article/pii/S0020653922001216Dental anxietyCross-sectional studiesDental staffEmpathic accuracyReassuranceDental extractions
spellingShingle Serge A. Steenen
Moniek A.J. Zeegers
Arjen J. van Wijk
Saif Al-Zubaidi
Minakshi Jethu-Ramkrishan
Aida Loddin
Jan de Lange
Ad de Jongh
Dentist Empathic Accuracy Is Associated With Patient-Reported Reassurance
International Dental Journal
Dental anxiety
Cross-sectional studies
Dental staff
Empathic accuracy
Reassurance
Dental extractions
title Dentist Empathic Accuracy Is Associated With Patient-Reported Reassurance
title_full Dentist Empathic Accuracy Is Associated With Patient-Reported Reassurance
title_fullStr Dentist Empathic Accuracy Is Associated With Patient-Reported Reassurance
title_full_unstemmed Dentist Empathic Accuracy Is Associated With Patient-Reported Reassurance
title_short Dentist Empathic Accuracy Is Associated With Patient-Reported Reassurance
title_sort dentist empathic accuracy is associated with patient reported reassurance
topic Dental anxiety
Cross-sectional studies
Dental staff
Empathic accuracy
Reassurance
Dental extractions
url http://www.sciencedirect.com/science/article/pii/S0020653922001216
work_keys_str_mv AT sergeasteenen dentistempathicaccuracyisassociatedwithpatientreportedreassurance
AT moniekajzeegers dentistempathicaccuracyisassociatedwithpatientreportedreassurance
AT arjenjvanwijk dentistempathicaccuracyisassociatedwithpatientreportedreassurance
AT saifalzubaidi dentistempathicaccuracyisassociatedwithpatientreportedreassurance
AT minakshijethuramkrishan dentistempathicaccuracyisassociatedwithpatientreportedreassurance
AT aidaloddin dentistempathicaccuracyisassociatedwithpatientreportedreassurance
AT jandelange dentistempathicaccuracyisassociatedwithpatientreportedreassurance
AT addejongh dentistempathicaccuracyisassociatedwithpatientreportedreassurance