Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
State-Trait Anxiety Levels, Dental Anxiety Levels and Vaccine Hesitancy in a Group of Turkish Dental Patients During COVID-19 Pandemic in Söke Region: Analytical Survey
Söke Bölgesi'nde COVID-19 Pandemi Sürecinde Diş Hekimine Başvuran Bir Grup Türk Hastada Durumluk-Sürekli Anksiyete Seviyelerinin, Dental Anksiyete Seviyelerinin ve Aşıya Karşı Tutumlarının Belirlenmesi: Analitik Araştırma
Pınar NAİBOĞLUa, Arif Yiğit GÜLERb, Sevde GÖKSELc
aDepartment of Restorative Dentistry, Giresun University Faculty of Dentistry, Giresun, Türkiye
bDepartment of Oral and Maxillofacial Surgery, Ankara Medipol University Faculty of Dentistry, Ankara, Türkiye
cDepartment of Dentomaxillofacial Radiology, Ankara Medipol University Faculty of Dentistry, Ankara, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(3):526-34
doi: 10.5336/dentalsci.2021-86686
Article Language: EN
Full Text
ABSTRACT
Objective: A new disease called coronavirus disease2019 (COVID‐19), was discovered in the city of Wuhan in China and has quickly reached many countries. During this period, mental health of people was affected negatively. This study aimed to evaluate the anxiety levels of dental patients during the COVID-19 pandemic, determine the reasons for admission to the dental center, and to investigate the rate of COVID-19 vaccine hesitancy. Material and Methods: A questionnaire consisting of the stated topics and demographic data was completed by the patients. State-Trait Anxiety Inventory (STAI) scales were used to determine anxiety levels and the Corah-Dental Anxiety Scale (DAS) was also used to assess dental anxiety. Results: The DAS scores showed that patients had low levels of dental anxiety, while STAI-State and STAI-Trait scores showed that most patients were moderately anxious. Gender, age, marital status, education, and location of residence were associated with higher DAS and/or STAI scores. Vaccine hesitancy was reported in 28.31% of patients. Side effects and the unknown long-term effects of the COVID-19 vaccine were given as major reasons for vaccine hesitancy (34.13%). Conclusion: Our results reveal that there was a concerning level of anxiety and vaccine hesitancy in a group of Turkish dental patients during COVID-19 pandemic in Soke Region.

Keywords: Coronavirus; anxiety; stress; psychological; dental anxiety
ÖZET
Amaç: Çin'in Wuhan şehrinde 2019 yılında koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] adı verilen yeni bir hastalık keşfedildi ve hızla birçok ülkeye ulaştı. Bu dönemde insanların ruh sağlığı olumsuz etkilendi. Bu çalışmanın amacı, diş hekimine gelen hastaların COVID-19 pandemisi sırasındaki anksiyete düzeylerini değerlendirmek, diş merkezine başvuru nedenlerini belirlemek ve COVID-19 aşı tereddüt oranlarını araştırmaktır. Gereç ve Yöntemler: Hastalara, belirtilen konular ve demografik verilerden oluşan anket formu dolduruldu. Anksiyete düzeylerini belirlemek için Durumluk-Sürekli Kaygı Envanteri [State-Trait Anxiety Inventory (STAI)] skalası ve dental anksiyeteyi değerlendirmek için de CorahDental Anksiyete Skalası (DAS) kullanıldı. Bulgular: DAS skorları, hastaların düşük düzeyde dental anksiyeteye sahip olduğunu gösterirken; STAI-S ve STAI-T skorları, çoğu hastanın orta derecede anksiyeteye sahip olduğunu gösterdi. Cinsiyet, yaş, medeni durum, eğitim ve ikamet yeri daha yüksek DAS ve/veya STAI puanları ile ilişkilendirildi. Hastaların %28,31'inde aşı tereddüdü bildirildi. COVID-19 aşısının yan etkileri ve bilinmeyen uzun vadeli etkileri, aşı tereddüdünün ana nedenleri olarak gösterildi (%34,13). Sonuç: Sonuçlarımız COVID-19 pandemisi sırasında Söke Bölgesi'nde diş hekimine başvuran bir grup Türk hastada, anksiyete ve aşı tereddüdü olduğunu ortaya koymaktadır.

Anahtar Kelimeler: Koronavirüs; endişe; stres; psikolojik; diş kaygısı
REFERENCES:
  1. Coulthard P. Dentistry and coronavirus (COVID-19)-moral decision-making. Br Dent J. 2020;228(7):503-5. [Crossref]  [PubMed] 
  2. Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed. 2020;91(1):157-60. [PubMed]  [PMC] 
  3. Magro F, Perazzo P, Bottinelli E, Possenti F, Banfi G. Managing a tertiary orthopedic hospital during the COVID-19 epidemic, main challenges and solutions adopted. Int J Environ Res Public Health. 2020;17(13):4818. [Crossref]  [PubMed]  [PMC] 
  4. Chisini LA, dos Santos Costa F, Demarco GT, da Siveira ER, Demarco FF. COVID-19 pandemic impact on paediatric dentistry treatments in the Brazilian Public Health System. Int J Paediatr Dent. 2021;31(1):31-4. [Crossref]  [PubMed]  [PMC] 
  5. Guo H, Zhou Y, Liu X, Tan J. The impact of the COVID-19 epidemic on the utilization of emergency dental services. J Dent Sci. 2020;15(4):564-7. [Crossref]  [PubMed]  [PMC] 
  6. Özdin S, Bayrak Özdin Ş. Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: the importance of gender. Int J Soc Psychiatry. 2020;66(5):504-11. [Crossref]  [PubMed]  [PMC] 
  7. Torales J, O'Higgins M, Castaldelli-Maia JM, Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatry. 2020;66(4):317-20. [Crossref]  [PubMed] 
  8. MacDonald NE. Vaccine hesitancy: definition, scope and determinants. Vaccine. 2015;33(34):4161-4. [Crossref]  [PubMed] 
  9. Dubé E, Vivion M, MacDonald NE. Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications. Expert Rev Vaccines. 2015;14(1):99-117. [Crossref]  [PubMed] 
  10. Harrison EA, Wu JW. Vaccine confidence in the time of COVID-19. Eur J Epidemiol. 2020;35(4):325-30. [Crossref]  [PubMed]  [PMC] 
  11. Sherman SM, Smith LE, Sim J, Amlôt R, Cutts M, Dasch H, et al. COVID-19 vaccination intention in the UK: results from the COVID-19 vaccination acceptability study (CoVAccS), a nationally representative cross-sectional survey. Hum Vaccin Immunother. 2021;17(6):1612-21. [Crossref]  [PubMed]  [PMC] 
  12. Murphy J, Vallières F, Bentall RP, Shevlin M, McBride O, Hartman TK, et al. Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom. Nat Commun. 2021;12(1):29. [Crossref]  [PubMed]  [PMC] 
  13. Özdede M, Sahin S. Views and anxiety levels of Turkish dental students during the COVID-19 pandemic. J Stoma. 2020;73(3):123-8. [Crossref] 
  14. Corah NL, Gale EN, Illig SJ. Assessment of a dental anxiety scale. J Am Dent Assoc. 1978;97(5):816-19. [Crossref]  [PubMed] 
  15. Spielberger CD. State-trait anxiety inventory. In: Weiner IB, Craighead WE, eds. The Corsini Encyclopedia of Psychology. 4th ed. Hoboken, NJ: John Wiley & Sons; 2010. p.1-1. [Crossref] 
  16. López-Jornet P, Camacho-Alonso F, Sanchez-Siles M. Assessment of general pre and postoperative anxiety in patients undergoing tooth extraction: a prospective study. Br J Oral Maxillofac Surg. 2014;52(1):18-23. [Crossref]  [PubMed] 
  17. Yıldırım E, Adıgüzel A, Karaçay Ş. Assessment of the anxiety levels of orthodontic patients during the COVID-19 pandemic. International Dental Research. 2021;11(Suppl 1):74-80. [Crossref] 
  18. Hyland P, Shevlin M, McBride O, Murphy J, Karatzias T, Bentall RP, et al. Anxiety and depression in the Republic of Ireland during the COVID-19 pandemic. Acta Psychiatr Scand. 2020;142(3):249-56. [Crossref]  [PubMed] 
  19. Yildirim TT, Dundar S, Bozoglan A, Karaman T, Dildes N, Kaya FA, et al. Is there a relation between dental anxiety, fear and general psychological status? PeerJ. 2017;5:e2978. [Crossref]  [PubMed]  [PMC] 
  20. Ilgüy D, Ilgüy M, Dinçer S, Bayirli G. Reliability and validity of the Modified Dental Anxiety Scale in Turkish patients. J Int Med Res. 2005;33(2):252-9. [Crossref]  [PubMed] 
  21. Zhou F, Yu T, Du R, Fan G, Liu Z, Xiang J, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-62. [Crossref]  [PubMed]  [PMC] 
  22. Nam PT, Dung NH, Liem NK, Hung NT, Ly DK, Van Minh H. Anxiety among the Vietnamese population during the COVID-19 pandemic: implications for Social Work Practice. Soc Work Public Health. 2021;36(2):142-9. [Crossref]  [PubMed] 
  23. Shevlin M, McBride O, Murphy J, Miller JG, Hartman TK, Levita L, et al. Anxiety, depression, traumatic stress and COVID-19-related anxiety in the UK general population during the COVID-19 pandemic. BJPsych Open. 2020;6(6):e125. [Crossref]  [PubMed]  [PMC] 
  24. Harrel SK, Molinari J. Aerosols and splatter in dentistry: a brief review of the literature and infection control implications. J Am Dent Assoc. 2004;135(4):429-37. [Crossref]  [PubMed]  [PMC] 
  25. Salali GD, Uysal MS. COVID-19 vaccine hesitancy is associated with beliefs on the origin of the novel coronavirus in the UK and Turkey. Psychol Med. 2020;1-3. [Crossref]  [PubMed]  [PMC] 
  26. Neumann-Böhme S, Varghese NE, Sabat I, Barros PP, Brouwer W, van Exel J, et al. Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19. Eur J Health Econ. 2020;21(7):977-82. [Crossref]  [PubMed]  [PMC] 
  27. Malik AA, McFadden SM, Elharake J, Omer SB. Determinants of COVID-19 vaccine acceptance in the US. EClinicalMedicine. 2020;26:100495. [Crossref]  [PubMed]  [PMC] 
  28. Robinson E, Jones A, Lesser I, Daly M. International estimates of intended uptake and refusal of COVID-19 vaccines: a rapid systematic review and meta-analysis of large nationally representative samples. Vaccine. 2021;39(15):2024-34. [Crossref]  [PubMed]  [PMC] 
  29. Khubchandani J, Sharma S, Price JH, Wiblishauser MJ, Sharma M, Webb FJ. COVID-19 vaccination hesitancy in the United States: a rapid national assessment. J Community Health. 2021;46(2):270-7. [Crossref]  [PubMed]  [PMC] 
  30. Sallam M, Dababseh D, Yaseen A, Al-Haidar A, Ababneh NA, Bakri FG, et al. Conspiracy beliefs are associated with lower knowledge and higher anxiety levels regarding COVID-19 among students at the University of Jordan. Int J Environ Res Public Health. 2020;17(14):4915. [Crossref]  [PubMed]  [PMC] 
  31. Robertson E, Reeve KS, Niedzwiedz CL, Moore J, Blake M, Green M, et al. Predictors of COVID-19 vaccine hesitancy in the UK household longitudinal study. Brain Behav Immun. 2021;94:41-50. [Crossref]  [PubMed]  [PMC] 

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