Abstract
Abstract The effects of flooding and coping skills training in reducing fear and avoidance of dental treatment were examined by using a crossover design. Results showed that flooding and coping skills training were equally effective in increasing approach behavior, reducing subjective anxiety, and increasing level and strength of perceived self-efficacy. The combination of these treatments resulted in further clinical improvement which was maintained at 4-month follow-up. It was observed that dental appointments were more effectively promoted when coping skills training preceded rather than followed exposure to dental stimuli. The possibility that perceived self-efficacy could be a useful predictor of making and keeping dental appointments is raised.
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