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N L Corah

Publications and source records attributed to N L Corah.

40 records · Page 3Linked to original sources

Development of an interval scale of anxiety response.

This paper reports the development of an interval scale of anxiety response. Magnitude estimation procedures were used with three different groups of subjects to develop a suitable scale of seven anxiety descriptors. The ratio of the highest to lowest descriptor magnitudes was 21 to 1. Analyses of the descriptor sets in the various groups indicated high reliability of meaning and high objectivity. In addition, high agreement on meaning was shown for groups of differing education and socioeconomic status. A preliminary study using the scale indicates appropriate preliminary construct validity. Further reliability and validity research is needed. This scale may be useful for assessing anxiety response changes in a variety of contexts.

Adult↗

Validity and reliability of the interval scale of anxiety response.

The Interval Scale of Anxiety Response (ISAR) is shown to be a valid and reliable instrument for measuring situation dental anxiety in adults. The ISAR demonstrates differences that are known or expected between various population subgroups. Thus, significantly higher scores, indicating greater levels of anxiety, are reported by women compared with men; by hospital clinic patients compared with private practice patients; by occasional compared with regular users of dental care; by those with lower educational levels; and by those patients undergoing exodontia compared with patients having other dental procedures. Younger adults also report significantly higher anxiety scores during treatment than older adults. The ISAR is also significantly associated with other measures of anxiety and pain, and with a measure of dentistrated difficulty of extraction. Reliability is assessed favorably and present-time administration is found to improve ISAR accuracy over its retrospective use.

Adolescent↗

The dentist's role in cessation of cigarette smoking.

Dentists in general practice were surveyed by mail questionnaire to determine the actions they were taking to promote cigarette smoking cessation among their patients. Findings are based on replies from 376 of the 466 dentists in western New York State to whom the questionnaire was sent in 1981. The responses indicate that less than 18 percent of western New York State dentists smoke. The proportion is continuing its gradual decline, and dentists lead the general population in smoking abstention. Sixty-two percent of the dentists in the survey do not permit smoking in their waiting rooms, and 84 percent advise patients not to smoke. There is clear evidence of a relationship between the dentists' own smoking habits and their inclination to promote smoking cessation among patients. As fewer dentists smoke, more will be inclined to foster nonsmoking. Dentists can use a variety of smoking cessation techniques. To carry out a minimal program of antismoking measures, dentists in general practice can serve as nonsmoking role models for their patients, provide information about the health hazards of smoking, give advice, refer patients to cessation programs, recommend cessation measures, and monitor patients' efforts to quit smoking. While smoking cessation measures taken by dentists are not likely to convert more than 1 or 2 percent of patients who smoke per year, in time the dentists' efforts to promote smoking cessation can have an appreciable impact.

Dentist-Patient Relations↗