Effect of Muscle Relaxation Training on Perceived Stress and Rumination in Patients with Dental Anxiety
Journal of Dental School, Shahid Beheshti University of Medical Sciences,
Vol. 39 No. 4 (2021),
13 Azar 2022
,
Page 135-139
https://doi.org/10.22037/jds.v39i4.39225
Abstract
Objectives The present study aimed to investigate the effect of muscle relaxation training on perceived stress and rumination in patients with dental anxiety.
Methods This was a quasi-experimental study (pretest-posttest design and a control group). The statistical population comprised of all patients with dental anxiety who visited dental clinics in Ahvaz city (Iran) in 2019. The sample consisted of 30 patients with dental anxiety selected through convenience sampling. The participants were randomly divided into experimental and control groups (15 participants per group). The experimental group received six 90-minute sessions of muscle relaxation, while the control group received no intervention. The research instruments included the Perceived Stress Scale (PSS), the Ruminative Responses Scale (RRS), and the Modified Dental Anxiety Scale (MDAS). The data were analyzed by MANCOVA and ANCOVA.
Results The mean ± standard deviation (SD) of the post-test scores of perceived stress and rumination in the experimental group were 21.53±5.60 and 29.06±6.70, respectively which were significantly different from the scores in the control group (54.33±3.71 and 70.86±7.55, respectively). The muscle relaxation training reduced the perceived stress and rumination in patients with dental anxiety in the experimental group compared with the control group (P<0.001).
Conclusion Muscle relaxation training may thus be administered as an effective approach to mitigate perceived stress and rumination in patients with dental anxiety.
- Muscle relaxation
- Rumination, Cognitive
- Stress, Psychological
- Dental anxiety
How to Cite
References
Park ES, Yim HW, Lee KS. Progressive muscle relaxation therapy to relieve dental anxiety: a randomized controlled trial. Eur J Oral Sci. 2019;127(1):45-51.
Mousavi S, Narimani S, Farhoudi I, Hekmatfar S. Effect of awareness and reassurance on anxiety of dental implant candidates. J Dent Sch.2019;35(1):12-5.
Wide U, Hakeberg M. Treatment of Dental Anxiety and Phobia-Diagnostic Criteria and Conceptual Model of Behavioural Treatment. Dent J (Basel). 2021;9(12):153.
Kumar S, Bhargav P, Patel A, Bhati M, Balasubramanyam G, Duraiswamy P, et al. Does dental anxiety influence oral health-related quality of life? Observations from a cross-sectional study among adults in Udaipur district, India. J Oral Sci. 2009;51(2):245-54.
Halboub E, Alhajj MN, AlKhairat AM, Sahaqi AM, Quadri MFA. Perceived Stress among Undergraduate Dental Students in Relation to Gender, Clinical Training and Academic Performance. Acta Stomatol Croat. 2018;52(1):37-45.
Emamikhah Abarghooii S, Golparvar M, Zare Jahromi M. Relationship between Level of Stress Experienced by Dental Students during Endodontic Treatment and Their Coping Strategies. J Iran Dent Assoc. 2016;28(2):52-56.
Astill S, Ricketts N, Singh LA, Kurtz D, Gim YH, Huang B. Environmental and perceived stress in Australian dental undergraduates: Preliminary outcomes. J Dent Res Dent Clin Dent Prospects. 2016;10(4):270-9.
Zinke A, Hannig C, Berth H. Psychological distress and anxiety compared amongst dental patients- results of a cross-sectional study in 1549 adults. BMC Oral Health. 2019;19(1):27.
Saatchi M, Abtahi M, Mohammadi G, Mirdamadi M, Binandeh ES. The prevalence of dental anxiety and fear in patients referred to Isfahan Dental School, Iran. Dent Res J (Isfahan). 2015;12(3):248-53.
Kołtuniuk A, Kazimierska-Zając M, Cisek K, Chojdak-Łukasiewicz J. The Role of Stress Perception and Coping with Stress and the Quality of Life Among Multiple Sclerosis Patients. Psychol Res Behav Manag. 2021;14:805-15.
Siddharthan GM, Reddy MM, Sunil BN. "Perceived stress" and its associated factors among diabetic patients receiving care from a rural tertiary health care center in South India. J Educ Health Promot. 2021;10:11.
Murray HB, Juarascio AS, Di Lorenzo C, Drossman DA, Thomas JJ. Diagnosis and Treatment of Rumination Syndrome: A Critical Review. Am J Gastroenterol. 2019;114(4):562-78.
Addicks SH, McNeil DW, Randall CL, Goddard A, Romito LM, Sirbu C, et al. Dental Care-Related Fear and Anxiety: Distress Tolerance as a Possible Mechanism. JDR Clin Trans Res. 2017;2(3):304-11.
Toussaint L, Nguyen QA, Roettger C, Dixon K, Offenbächer M, Kohls N, et al. Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation. Evid Based Complement Alternat Med. 2021;2021:5924040.
Toqan D, Ayed A, Joudallah H, Amoudi M, Malak MZ, Thultheen I, et al. Effect of Progressive Muscle Relaxation Exercise on Anxiety Reduction Among Nursing Students During Their Initial Clinical Training: A Quasi-Experimental Study. Inquiry. 2022;59:469580221097425.
Tsai ML, Cheng TH, Yang YK, Wang CJ. A School-Based Progressive Muscle Relaxation Program for Female Adolescents: Development and the Effectiveness on Physiological and Psychological Evidence. Healthcare (Basel). 2021;9(10):1319.
Akbari A, Shamsaei F, Sadeghian E, Mazdeh M, Tapak L. Effect of progressive muscle relaxation technique on self-esteem and self-efficacy in multiple sclerosis patients: A clinical trial study. J Educ Health Promot. 2022;11:8.
Zargarzadeh M, Shirazi M. The effect of progressive muscle relaxation method on test anxiety in nursing students. Iran J Nurs Midwifery Res. 2014;19(6):607-12.
Ramasamy S, Panneerselvam S, Govindharaj P, Kumar A, Nayak R. Progressive muscle relaxation technique on anxiety and depression among persons affected by leprosy. J Exerc Rehabil. 2018;14(3):375-81.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96.
Maroufizadeh S, Zareiyan A, Sigari N. Psychometric properties of the 14, 10 and 4-item “Perceived Stress Scale” among asthmatic patients in Iran. Payesh. 2014;13(4):457-65.
Nolen-Hoeksema S, Morrow J. A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of personality and social psychology. 1991;61(1):115-21.
Tanhaye Reshvanloo F, Torkamani M, Mirshahi S, Hajibakloo N, Kareshki H. Validity and Reliability Assessment of the Persian Version of the Co-Rumination Questionnaire. Journal of Clinical Psychology. 2021;13(1):79-87.
Humphris GM, Morrison T, Lindsay SJ. The Modified Dental Anxiety Scale: validation and United Kingdom norms. Community Dent Health. 1995;12(3):143-50.
Irnich C. Relaxation techniques: body and mind. In: Irnich D, editor. Myofascial Trigger Points. Oxford: Churchill Livingstone. 2013; Chap24:p:245-52.
Sabherwal P, Kalra N, Tyagi R, Khatri A, Srivastava S. Hypnosis and progressive muscle relaxation for anxiolysis and pain control during extraction procedure in 8-12-year-old children: a randomized control trial. Eur Arch Paediatr Dent. 2021;22(5):823-32.
Feldman G, Greeson J, Senville J. Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behav Res Ther. 2010;48(10):1002-11.
Xiao CX, Lin YJ, Lin RQ, Liu AN, Zhong GQ, Lan CF. Effects of progressive muscle relaxation training on negative emotions and sleep quality in COVID-19 patients: A clinical observational study. Medicine (Baltimore). 2020;99(47):e23185.
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