The use of a psychological testing instrument as an indicator of dissatisfaction with aesthetic dental treatment – a preliminary study

Abstract Background The use of psychological testing to indicate the potential for dissatisfaction with dental treatment has many potential patient and clinician benefits but has been rarely investigated. The study aimed to explore the use of the Symptom Checklist-90-Revised (SCL-90-R) psychological...

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Main Authors: James Dudley, Lindsay Richards, Melati Mahmud
Format: Article
Language:English
Published: BMC 2020-03-01
Series:BMC Psychology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40359-020-0391-z
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author James Dudley
Lindsay Richards
Melati Mahmud
author_facet James Dudley
Lindsay Richards
Melati Mahmud
author_sort James Dudley
collection DOAJ
description Abstract Background The use of psychological testing to indicate the potential for dissatisfaction with dental treatment has many potential patient and clinician benefits but has been rarely investigated. The study aimed to explore the use of the Symptom Checklist-90-Revised (SCL-90-R) psychological testing instrument in describing the relationship between pre-treatment psychological traits and aesthetic restorative treatment satisfaction. Methods Thirty patients requiring aesthetic restorative dental treatment completed three questionnaires, namely 1) a pre-treatment expectation assessment, 2) an SCL-90-R analysis pre-treatment and 3) an outcome assessment post-treatment to assess patient’s expectations and satisfaction of the proposed dental treatment relating to function, aesthetics, comfort and tissue preservation. Logistic regression models were used to assess the impact of psychological variables on patient satisfaction after adjusting for baseline expectations (P < 0.05). Results The satisfaction for the aesthetic component of treatment was significantly associated with psychoticism and positive symptom distress index. The satisfaction for the comfort component of treatment was significantly associated with obsessive compulsive symptoms, depression and anxiety. Following adjustment for baseline expectation, tissue preservation satisfaction was associated with somatization, obsessive compulsive, interpersonal sensitivity, depression and global severity index. No baseline psychological measures were significantly associated with chewing satisfaction. Conclusions The SCL-90-R shows initial promise in assisting clinicians to identify and understanding patients who have a high risk of dissatisfaction with aesthetic dental treatment. The ability to indicate aesthetic restorative treatment dissatisfaction is of great benefit to clinicians in maximising success and mitigating risk.
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spelling doaj.art-a99914cf8e084eefae2aa44b70aba98a2022-12-21T20:31:12ZengBMCBMC Psychology2050-72832020-03-01811610.1186/s40359-020-0391-zThe use of a psychological testing instrument as an indicator of dissatisfaction with aesthetic dental treatment – a preliminary studyJames Dudley0Lindsay Richards1Melati Mahmud2Adelaide Dental Hospital, The University of AdelaideAdelaide Dental Hospital, The University of AdelaideAdelaide Dental Hospital, The University of AdelaideAbstract Background The use of psychological testing to indicate the potential for dissatisfaction with dental treatment has many potential patient and clinician benefits but has been rarely investigated. The study aimed to explore the use of the Symptom Checklist-90-Revised (SCL-90-R) psychological testing instrument in describing the relationship between pre-treatment psychological traits and aesthetic restorative treatment satisfaction. Methods Thirty patients requiring aesthetic restorative dental treatment completed three questionnaires, namely 1) a pre-treatment expectation assessment, 2) an SCL-90-R analysis pre-treatment and 3) an outcome assessment post-treatment to assess patient’s expectations and satisfaction of the proposed dental treatment relating to function, aesthetics, comfort and tissue preservation. Logistic regression models were used to assess the impact of psychological variables on patient satisfaction after adjusting for baseline expectations (P < 0.05). Results The satisfaction for the aesthetic component of treatment was significantly associated with psychoticism and positive symptom distress index. The satisfaction for the comfort component of treatment was significantly associated with obsessive compulsive symptoms, depression and anxiety. Following adjustment for baseline expectation, tissue preservation satisfaction was associated with somatization, obsessive compulsive, interpersonal sensitivity, depression and global severity index. No baseline psychological measures were significantly associated with chewing satisfaction. Conclusions The SCL-90-R shows initial promise in assisting clinicians to identify and understanding patients who have a high risk of dissatisfaction with aesthetic dental treatment. The ability to indicate aesthetic restorative treatment dissatisfaction is of great benefit to clinicians in maximising success and mitigating risk.http://link.springer.com/article/10.1186/s40359-020-0391-zPatient dissatisfactionPsychological testingAesthetic dental treatment
spellingShingle James Dudley
Lindsay Richards
Melati Mahmud
The use of a psychological testing instrument as an indicator of dissatisfaction with aesthetic dental treatment – a preliminary study
BMC Psychology
Patient dissatisfaction
Psychological testing
Aesthetic dental treatment
title The use of a psychological testing instrument as an indicator of dissatisfaction with aesthetic dental treatment – a preliminary study
title_full The use of a psychological testing instrument as an indicator of dissatisfaction with aesthetic dental treatment – a preliminary study
title_fullStr The use of a psychological testing instrument as an indicator of dissatisfaction with aesthetic dental treatment – a preliminary study
title_full_unstemmed The use of a psychological testing instrument as an indicator of dissatisfaction with aesthetic dental treatment – a preliminary study
title_short The use of a psychological testing instrument as an indicator of dissatisfaction with aesthetic dental treatment – a preliminary study
title_sort use of a psychological testing instrument as an indicator of dissatisfaction with aesthetic dental treatment a preliminary study
topic Patient dissatisfaction
Psychological testing
Aesthetic dental treatment
url http://link.springer.com/article/10.1186/s40359-020-0391-z
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