International Journal of Clinical Pediatric Dentistry

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VOLUME 10 , ISSUE 1 ( January-March, 2017 ) > List of Articles

Original Article

Identifying Dental Anxiety in Children's Drawings and correlating It with Frankl's Behavior Rating Scale

Jyoti Mathur, Amish Diwanji, Bhumi Sarvaiya, Dipal Sharma

Keywords : Children's drawings, Dental treatment anxiety, Stress markers

Citation Information : Mathur J, Diwanji A, Sarvaiya B, Sharma D. Identifying Dental Anxiety in Children's Drawings and correlating It with Frankl's Behavior Rating Scale. Int J Clin Pediatr Dent 2017; 10 (1):24-28.

DOI: 10.5005/jp-journals-10005-1401

License: CC BY-NC 4.0

Published Online: 01-12-2008

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Aim: To develop a simple method to assess the level of anxiety by using children's drawings and correlating them with Frankl's behavior rating scale. Materials and methods: A total of 178 patients aged of 3 to 14 years were handed out two-page forms which contained three sections on coloring and drawing, along with general information, and Frankl's behavior rating scale for the visit. The three types of drawing exercises given to the patients were geometric copy drawings, coloring a nonthreatening figure, and an empty sheet for freehand drawing. Results: Out of 178 patients, 60 showed definitely positive behavior, 73 exhibited positive behavior, 37 showed negative behavior, and 8 were definitely negative on Frankl's behavior rating scale; 133 children had none or, 1 stress marker and 45 exhibited 2 or 3 stress markers in their drawings. Chisquare (ƒÔ2) analysis was done with a 2 ˜ 2 contingency table. Observed ƒÔ2 value was 46.166, which at 1 degree of freedom was much greater than that at 0.995 percentile. Therefore, the result was highly significant. Conclusion: Children requiring specialized behavioral techniques can be identified by the presence of stress markers in their drawings. This nonverbal activity by itself can have an overall positive effect on the behavior displayed in the dental clinic.


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