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International Journal of Clinical Pediatric Dentistry


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fs 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 (χ2) analysis was done with a 2 × 2 contingency table. Observed χ2 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.

Keywords: Children’s drawings, Dental treatment anxiety, Stress markers.

How to cite this article: Mathur J, Diwanji A, Sarvaiya B, Sharma D. Identifying Dental Anxiety in Childrenfs Drawings and correlating It with Franklfs Behavior Rating Scale. Int J Clin Pediatr Dent 2017;10(1):24-28.

Source of support: Nil

Conflict of interest: None

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