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      The Roles of Patients’ Authenticity and Accepting External Influence, and Clinicians’ Treatment Styles in Predicting Patients’ Dental Anxiety and Avoidance of Dental Appointments

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          Abstract

          A substantial proportion of adults suffer from high dental anxiety, which is related to poor oral health and functioning. Using authenticity theory and self-determination theory, we applied a model testing two moderated mediation hypotheses: (i) the negative indirect association between authenticity and avoiding dental appointments through dental anxiety would be more evident when clinicians provides higher levels of autonomy support; and (ii) the indirect positive association between accepting external influence and avoiding dental appointments through dental anxiety would be more evident when clinicians provides higher levels of controllingness. Participants (N = 208) responded to a survey with validated questionnaires. The model with hypotheses were tested using Structural Equation Modeling (SEM) in LISREL and Conditional Process Modeling (moderated mediation). The results supported our hypotheses. The SEM model tested was found to fit the data well. Patient’s personality and dental clinic treatment environments predicted 38% of the variance in dental anxiety, which explained 38% of avoidance of treatment.

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          Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives

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            Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures

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              Bad is stronger than good.

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                Author and article information

                Journal
                Eur J Psychol
                Eur J Psychol
                EJOP
                Europe's Journal of Psychology
                PsychOpen
                1841-0413
                March 2020
                03 March 2020
                : 16
                : 1
                : 45-61
                Affiliations
                [a ]Faculty of Dentistry, Department of Dental Hygienist Education, University of Oslo , Oslo, Norway
                [b ]Department of Health, Social and Welfare Studies, University of South-Eastern Norway, Bakkenteigen, Norway
                [c ]Department of Business, Marketing and Law, University of South-Eastern Norway, Hønefoss, Norway
                [d ]Department of Clinical and Social Sciences in Psychology, University of Rochester , Rochester, NY, USA
                [e ]Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia
                [6]Edinburgh Napier University, United Kingdom
                Author notes
                [* ]Faculty of Dentistry, Department of Dental Hygienist Education, University of Oslo, Geitmyrsveien 69/71, 0455 Oslo, Norway. Telephone: +47 22852173 (office) / +47 41508413 (mobile). ahalvari@ 123456odont.uio.no
                Article
                ejop.v16i1.1664
                10.5964/ejop.v16i1.1664
                7913025
                3ac601ed-4373-4b93-89f4-a521fd962d92
                Copyright @ 2020

                This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY) 4.0 License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 20 May 2018
                : 18 June 2019
                Categories
                Research Reports

                authentic living,accepting external influence,autonomy support,controlling treatment style,dental anxiety,avoiding dental appointments

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