Reduce Anxiety Levels Research Articles

Outdoor education program reduces anxiety levels in Indonesian sports college students

This study aims to evaluate the impact of the Outdoor Education Program on the anxiety levels of sports students in Indonesia. Using a quantitative approach with an experimental pretest-posttest design, the research included 120 participants, both male and female, aged 18 to 20 years, from sports faculties at the State University of Surabaya, the State University of Yogyakarta, and the Indonesian University of Education. Data collection to assess anxiety levels was conducted through a questionnaire. Validity testing showed all statements were valid, with Pearson Correlation values greater than 0.05, and reliability testing indicated that all items were reliable, with Cronbach's Alpha values exceeding 0.6. Questionnaires were administered via Google Forms before and after the outdoor education program. Data analysis was carried out using SPSS 25. The Wilcoxon test results showed a Sig value greater than 0.05, and the mean posttest score (34.58) was lower than the pretest score (55.66). The study concluded that the Outdoor Education Program significantly reduces anxiety levels in sports students in Indonesia. Further research is recommended to explore the program's effects on students' self-confidence, motivation, responsibility, and discipline. Keywords: Anxiety, Outdoor Education Program, Sports College Students, Indonesia

Pengaruh Murottal Terhadap Tingkat Kecemasan Pada Ibu Bersalin Kala I Di PMB Eka Susanti

Anxiety can be reduced using relaxation and ditraction therapy, one of the efforts to reduce anxiety in mothers giving birth is using Murottal therapy, namely a recording of the sound of the Al-Quran sung by a qori' or Al-Quran reader. The sound of chanting verses from the Al-quran activates endorphin hormones and can stimulate delta waves, making the listener calm, peaceful and comfortable. This research is to determine the effect of murottal before and after administration on reducing anxiety levels in mothers giving birth. This research uses Pre Experimental with a One Group Pretest Posttest Design research design. The sample in this study was 27 respondents with Purposive Sampling. Bases on analysis showed that before murottal therapy was carried out, the majority were at a moderate level of anxiety, 16 people (59.3%). After murottal therapy, the majority of respondents were at a mild level of anxiety, 18 people (66.7%). Statistical analysis used the Wilcoxon test with a p-value of 0.000 (<0.005). There is an effect on reducing maternal anxiety in the first stage of labor after being given murottal therapy.

Implementation of New Patient Orientation Through Welcome Book in the Locally Advanced Breast Cancer (LABC) Patient: A Case Study

New patients frequently experience fear or anxiety due to the unfamiliarity of the hospital environment, a phenomenon particularly evident among those with LABC. The introduction of welcome book serves as a potential intervention to enhance patient knowledge and alleviate anxiety. This study evaluates the effectiveness of a welcome book in enhancing patient knowledge and reducing anxiety levels. A case study at a hospital involved a 42-year-old patient with LABC. The study examined the patient's orientation using a welcome book that covered various aspects such as orientation of persons, places, facilities, rules, and educational resources. The patient's knowledge was assessed with a knowledge evaluation sheet, and anxiety levels were measured using the Hamilton Anxiety Rating Scale. The welcome book provided comprehensive information to enhance patient understanding and reduce anxiety. The patient’s pretest knowledge score was 20, which increased to 86.67 after using the welcome book, indicating a substantial improvement. Initially, the patient exhibited mild anxiety upon admission, but after four days of utilizing the welcome book, there was a significant reduction in anxiety levels. The implementation of welcome book for a new patient orientation significantly enhanced the knowledge and reduced the anxiety levels of patient with LABC. This study underscores the importance of comprehensive orientation materials, such as welcome books, in improving patient outcome and suggest hospitals to adopt similar strategies to enhance patient education adn reduce anxiety.

Effectiveness of Psychodrama Model Group Activity Therapy on Anxiety Levels in The Elderly

Background: Psychodrama Model Group Activity Therapy is a therapeutic approach that involves the use of dramatic roles in a group so that individuals can feel some relief. Elderly people often feel anxious because they experience changes due to the aging process. This research was conducted to determine the effectiveness of psychodrama model group activity therapy on anxiety levels in the elderly at UPT PSTW Tulungagung.Method: This research uses a pre-experimental design with one group pretest-posttest type. With purposive sampling technique, a sample of 30 respondents was obtained. Using the Geriatric Anxiety Scale questionnaire instrument. Data analysis used the Wilcoxon statistical test.Results: The results of the research from 30 respondents after carrying out psychodrama model activity therapy showed that there were 2 (6.7%) respondents with severe anxiety, 16 (53.3%) respondents with moderate anxiety, 10 (33.3%) respondents with mild anxiety, and the elderly who did not experience anxiety were 2 (6.7%) respondents. Analysis of the Wilcoxon statistical test showed that the "output" test statistics" results were known to be asymp.sig (2-talled) or the p value was 0.000. Because the value of 0.000 is smaller than <0.05, it can be concluded that the "hypothesis is accepted" which means the provision of therapy Psychodrama model group activities have an influence in reducing anxiety levels in the elderly at UPT PSTW Tulungagung.Conclusion: Anxiety can not only be treated with pharmacological therapy but can also be treated using non-pharmacological therapy. One effective intervention in alleviating anxiety is psychodrama model group activity therapy.

Penerapan Hipnosis 5 Jari terhadap Penurunan Tingkat Kecemasan pada Pasien Pre Op Batu Ureter di Ruangan Mawar RSUD Dr. Soehadi Prijonegoro Sragen

Urinary Tract Stones (Urolithiasis) are a pathological condition due to hard masses such as stones that form along the urinary tract and can cause pain, bleeding, or infection in the urinary tract. The formation of stones is caused by urine being saturated with salts that can form stones or because the urine lacks materials that can inhibit stone formation, lack of urine production, and other idiopathic conditions. To find out the results of applying five finger hypnosis therapy to reduce anxiety levels in pre-operative ureteral stone patients in the Mawar Room at RSUD dr. Soehadi Prijonegoro Sragen. The type of research used is descriptive quantitative with survey methods. The research results showed that after being given 5 finger hypnosis to patients Mr.S and Mrs. K both respondents experienced a decrease in anxiety to mild anxiety level where Mr.S's anxiety level was 43 while Mrs. K anxiety level 44. Solid 5 finger hypnosis reduces anxiety levels in preoperative patients

Penerapan Relaksasi Otot Progresif Terhadap Penurunan Tingkat Kecemasan pada Pasien Luka Kaki Diabetik

Background: Diabetic foot ulcers are one of the most common complications in patients with diabetes mellitus. Patients with diabetic foot wounds have various degrees of anxiety. One of the anxiety measurement tools is HARS (Hamilton Anxiety Rating Scale). Progressive muscle relaxation is one of the non-pharmacological treatments to reduce anxiety. Objective: To describe the results of the implementation of progressive muscle relaxation on anxiety levels in patients with diabetic foot wounds. Methods: This study used a descriptive research design case study approach by observing the anxiety level of diabetic foot wound patients on 2 respondents, carried out in the morning and evening for 5 consecutive days with a frequency of 15 minutes. The instruments used were HARS (Hamilton Anxiety Rating Scale) scale sheet, SOP (Standard Operating Procedure) progressive muscle relaxation, anxiety level observation sheet, stopwatch. Results: Results: There were changes in anxiety levels before and after progressive muscle relaxation in Mrs. S from moderate (27) to mild (15). While in Mrs. I from moderate (26) to mild (15). Conclusion: The application of progressive muscle relaxation can be useful for reducing anxiety levels in both diabetic foot wound patients.

Therapeutic Spiritual-Community Model (TSCM) for Anxiety Reduction in Haemodialysis Patients: A Controlled Pilot Study

Background: Patients undergoing haemodialysis frequently experience elevated anxiety, adversely affecting their well-being. This pilot study evaluates the Therapeutic Spiritual-Community Model (TSCM), which integrates spiritual care within community settings, for its effectiveness in reducing anxiety in chronic kidney disease patients undergoing haemodialysis. Methods: This randomized controlled trial was conducted at PKU Muhammadiyah Gombong Hospital, Indonesia, from January to March 2024, involving 60 haemodialysis patients. Participants were randomly assigned to either the TSCM intervention group (n=30) or a control group (n=30) receiving standard care. The TSCM, based on spiritual mindfulness, community engagement, and holistic well-being, was delivered through community-led sessions. Content validity and reliability were assessed by a panel of six experts, including nephrologists, mental health and community nursing specialists, and psychologists. The model achieved a Content Validity Index (CVI) of 0.91, indicating excellent content validity, and a Cronbach's alpha of 0.89, demonstrating strong internal consistency. Results: The intervention group showed a significant reduction in anxiety levels compared to the control group (p < 0.05), with an 18% decrease in mean anxiety scores versus a 3% reduction in the control group. Conclusion: The TSCM appears to be an effective intervention for reducing anxiety in haemodialysis patients, supported by its high content validity and strong reliability. Further research with larger samples is needed to confirm these results and explore the long-term impact of TSCM on psychological well-being.

Protective effect of crocin-loaded nanoparticles in rats following epileptic seizures: Biochemical, behavioral and histopathological outcomes

Epilepsy is a condition resulting from complex interactions involving excessive neuronal electrical activity and oxidative stress, which can lead to chronic neurological conditions. This study evaluates crocin encapsulated in SLNC for neuroprotective and countering pentylenetetrazole (PTZ) -induced oxidative damage. The rats were pre-treated with SLNC and FC (25, 50 mg/kg/day; P.O.) for 28 days before being induced with PTZ. Various standard tests were conducted to assess their behavioral functions, such as Y-maze, Open field test (OFT), and elevated plus maze (EPM) tests. ELISA measured brain tissue catalase activity (CAT) and nitric oxide status (NO). The expression of Nuclear factor kappa B (NF-κB) and the number of dendrite spines were examined through Immunohistochemical and Golgi–Cox staining, respectively. The Pretreating rats with SLNC plus PTZ significantly boosted memory and reduced anxiety levels in Y-maze, OFT, and EPM tests. In addition, it decreased NO levels and increased CAT levels. SLNC also showed a significant decrease in NF-κB expression and an increase in neurons and the number of spines. The positive effects of SLNC in improving memory and learning deficits after PTZ injection can be attributed to its anti-inflammatory and anti-oxidative effects.

AR Dancee: An Augmented Reality-Based Mobile Persuasive Intervention for Promoting Physical Activity Through Dancing

The importance of physical activity (PA) for overall health and well-being cannot be overstated, especially in today’s fast-paced and sedentary society. Engaging in enjoyable activities like dancing can significantly enhance PA levels and positively affect one’s mood. Advances in technology have the potential to increase individuals’ engagement in more physical activities. This work explores the effectiveness of augmented reality-driven persuasive intervention in enhancing users’ physical activity and mood. To achieve our goal, we developed AR Dancee, a mobile-driven intervention combining Augmented Reality, Machine Learning, and persuasive technology to encourage adults to increase their PA through dancing, ultimately improving their mood. A 15-day user study with 104 participants showed that the intervention effectively increased PA levels, with equal effectiveness across genders and a stronger impact on younger adults. The results also show that the intervention improved participants’ mood while reducing anxiety levels, demonstrating its potential for stress management. Overall, the contribution of this work to the HCI fields is threefold: (1) the design and development of an AR-driven persuasive mobile app, (2) providing design recommendations, and (3) pinpointing limitations and providing suggestions for future work.

Effect of Binaural Beats on Anxiety and Tolerance in Patients Undergoing Upper Gastrointestinal Endoscopy Without Sedation: A Randomized Controlled Trial.

Objective: Binaural beats, or the perceptual auditory illusions created when simultaneously presenting two similar frequencies to each ear separately, have been used to reduce anxiety in various procedures. Unfortunately, no prior study involved preprocedure binaural music exposure among patients undergoing upper gastrointestinal endoscopy, and this study sought to investigate its effect on anxiety and tolerance among participants undergoing sedation-free upper gastrointestinal endoscopy. Methods: The prospective, controlled, randomized trial included the participation of 96 Turkish patients aged between 18 and 70 years who were scheduled for an upper gastrointestinal endoscopy, regardless of sex or illness, and were divided randomly into two different groups to undergo endoscopy, namely, the binaural beats group (n = 48) and a control group (n = 48). Patients in the binaural beat music group wore headphones, and music was given 15 mins before endoscopy; however, no particular treatment was given for either group. Anxiety levels were assessed by using the State Trait Anxiety Inventory questionnaire, in addition to changes before and after endoscopy to measure patient satisfaction based on the physician's recorded numbers of retches noted by doctors as tolerance was documented and compared among both groups. Results: The results showed that following this procedure, in the music group, state scores remained significantly lower than before them (p = 0.016), compared with the control group (p > 0.05). There was no significant difference regarding changes in diastolic or systolic heart rate or blood pressure (p > 0.05). However, the procedure tolerance and satisfaction scores were significantly higher in the music group than those without music (p < 0.05). Conclusion: For patients undergoing upper gastrointestinal endoscopy, music with binaural beats was found to significantly reduce anxiety levels and increase patient tolerance, providing an alternative option to sedative medications as a potential sedative treatment option.Clinical trials registration number: NCT06114524.

Stress, Anxiety and Depression of Undergraduate Medical Students in a Public Medical Programme in Malaysia: A Risk Factor Analysis

This study aims to investigate the prevalence and factors affecting stress, anxiety, and depression of medical students in a public university in Malaysia. Medical students of years 1 to 5 were invited to answer an anonymised Depression, Anxiety, and Stress Scale-21 (DASS-21) questionnaire. Sociodemographic data were also collected. The results were analysed using descriptive and univariate/multivariate logistic regression analyses. Out of 907 participants, 35.2% reported to having stress, anxiety 43.5% and depression 7.1%. Students in year 1 were more likely to be anxious compared to year 5 [β: 2.059; 95% CI: (1.247, 3.398); p = 0.014], and those from B40-families were more likely to be stressed [β: 1.79; 95% CI: (1.183, 2.718); p = 0.006] compared to T20-families. Those without psychiatric and medical illnesses had 80% [β: 0.202; 95% CI: (0.69, 0.597); p = 0.004] and 34% [β: 0.666; 95% CI: (0.445, 0.994); p = 0.047] reduction in stress level, while 86% [β: 0.143; 95% CI: (0.038, 0.535); p = 0.004] and 39% [β: 0.614; 95% CI: (0.409, 0.923); p = 0.019] had reduction in anxiety levels. In addition, those without psychiatric illness had 91% [β: 0.094; 95% CI: (0.032, 0.275); p = &lt;0.001] reduction in depressive symptoms. Those who considered counselling were 1.8 times more likely to be stressed [β: 1.849; 95% CI: (1.367, 2.500); p = &lt;0.001] and had anxiety [β: 1.879; 95% CI: (1.387, 2.545); p = &lt;0.001]. There is a moderate prevalence of anxiety and stress among medical students, but a low occurrence of depression. Being in year 1, B40 socioeconomic group, having medical and psychological illnesses resulted in a higher risk of stress, anxiety and depression.

PENGARUH DZIKIR TERHADAP KECEMASAN DAN KOPING RELIGIUS PASIEN HEMODIALISIS

Chronic Kidney Failure is a progressive and irreversible kidney function disorder where the body is unable to maintain fluid and electrolyte balance, resulting in uremia. In general, cases of chronic kidney failure undergoing hemodialysis are increasing every year, especially in developing countries. The anxiety and decreased coping experienced by patients suffering from chronic kidney failure undergoing hemodialysis is due to a lack of support and enthusiasm from the family, funding for treatment and costs to meet living needs.A literature search was carried out based on articles published between 2018-2023 according to the inclusion and exclusion criteria that had been determined using 1 data base, namely Google Schoolar. This literature search uses the PRISMA guideline in carrying out the screening process. From the search results, 200 articles were obtained. After carrying out the screening process, there were 8 articles that met the criteria and will be analyzed.Based on a study of 8 pieces of literature, it was found that the hemodialysis process affects clients' religious anxiety and coping.From the results of a literature review of 8 journals, it was found that dhikr was able to reduce anxiety levels because the client felt calmer Keywords: Dhikr, anxiety, religious coping

Penerapan Terapi Bermain Boneka Tangan terhadap Tingkat Kecemasan Hospitalisasi pada Anak Usia Prasekolah di RSUD Ir. Soekarno Kabupaten Sukoharjo

Hospitalization anxiety experienced by preschool children causes an increase in anxiety due to actions that cause trauma, children's hand puppets can explore the feelings they are experiencing. Objective: To determine the results of the implementation of hand puppet play therapy on the level of hospitalization anxiety in preschool children at the Ir. Soekarno Sukoharjo Regional Hospital. Method: This study used 2 respondents according to the inclusion and exclusion criteria, the method used pre-test and post-test, by providing hand puppet play therapy for 2 days carried out once a day for 30 minutes. Results: Results of the implementation of hand puppet play on hospitalization anxiety in preschool age children on day 1 of An. A got a score of 37 in the heavy category and An. B got a score of 28 in the heavy category. On the 2nd day on An. A got a score of 25 in the medium category and An. B got a score of 15 in the light category. Where the two patients before application were at a severe anxiety score and experienced a decrease in anxiety scores to moderate and mild. Conclusion: Hand puppet play therapy can reduce anxiety levels in children with hospitality.

Developmental exposure to arsenic reduces anxiety levels and leads to a depressive-like behavior in female offspring rats: Molecular changes in the prefrontal cortex

Exposure to inorganic arsenic (iAs) detrimentally affects the structure and function of the central nervous system. In-utero and postnatal exposure to iAs has been connected to adverse effects on cognitive development. Therefore, this investigation explores neurobehavioral and neurochemical effects of 0.05 and 0.10 mg/L iAs exposure during gestation and lactation periods on 90-day-old female offspring rats. The assessment of anxiety- and depressive-like behaviors was conducted through the application of an elevated plus maze and a forced swim test. The neurochemical changes were evaluated in the prefrontal cortex (PFC) through the determination of enzyme activities and α1 GABAA subunit expression levels. Our findings revealed a notable impact of iAs exposure on anxiety and the induction of depressive-like behavior in 90-day-old female offspring. Furthermore, the antioxidant status within the PFC exhibited discernible alterations in exposed rats. Notably, the activities of acetylcholinesterase and glutamate pyruvate transaminase demonstrated an increase, while glutamate oxaloacetate transaminase activity displayed a decrease within the PFC due to the iAs treatment. Additionally, a distinct downregulation in the mRNA expression of the α1GABAA receptor was observed in this neuronal region. These findings strongly suggest that iAs exposure during early stages of rat development causes significant modifications in brain oxidative stress markers and perturbs the activity of enzymes associated with cholinergic and glutamatergic systems. In parallel, it elicits a discernible reduction in the level of GABA receptors within the PFC. These molecular alterations may play a role in the diminished anxiety levels and the depressive-like behavior outlined in the current investigation.

PENGARUH PERLAKUAN METODE BIRTHING BALL TERHADAP PENURUNAN INTENSITAS NYERI KALA 1 FASE AKTIF

Childbirth is a natural thing and will definitely be experienced by every woman who has a partner. However, the fact that cannot be denied is that many women feel anxious before giving birth, which can be influenced by various factors. The aim of providing Endorphine Massage with lavender aromatherapy is to reduce the anxiety level of mothers in the first stage of labor at the Sekar Community Health Center, Bojonegoro Regency. The design provides instillation, massage, Endorphine Massage with lavender aromatherapy to reduce the anxiety level of mothers in the first stage of labor at the Sekar Community Health Center, Bojonegoro Regency. The results of the instillation, giving Endorphine Massage pills with lavender aromatherapy which has no side effects in reducing the anxiety level of mothers giving birth at the Sekar Community Health Center, Bojonegoro Regency, so that mothers can apply endorphine massage with lavender aromatherapy to reduce the level of anxiety in labor without causing side effects in reducing Anxiety level

Effect of Audio and Audiovisual Distraction Technique on Anxiety of Pediatric Patients During Pit and Fissure Sealant Application: A Clinical Trial

This clinical trial evaluates the impact of audio and audiovisual distraction techniques on reducing anxiety in pediatric patients undergoing pit and fissure sealant application. A total of 60 children aged 6-12 requiring sealant application were randomly assigned into three groups: Control (no distraction), Audio distraction (listening to music), and Audiovisual distraction (watching cartoons). Anxiety levels were measured using the Venhem Anxiety Rating Scale (VARS) before and after the procedure. The study found a significant reduction in anxiety levels in the audio and audiovisual distraction groups compared to the control group. Specifically, the audiovisual group showed the greatest reduction in VARS scores, followed by the audio group.

Immediate mental health status of refugees during the Ukrainian armed conflict of 2022.

The study assessed stressors and the immediate mental health status of the Ukrainian refugees during the ongoing Ukrainian armed conflict of 2022 and analyzed strategies for reducing anxiety levels. The questionnaire-based prospective study was undertaken in Lviv, Ukraine (five study groups) and Israel (two groups) among 27,901 refugees and 1,259 controls. We assessed the levels of anxiety with General Anxiety Disorder-7 (GAD-7; score range = 0-21, mild to severe) and Refugees' Anxiety Reasons-6 (RAR-6) with a score ranging from 30 (no anxiety) to 6 (extreme anxiety) questionnaires. RAR-6 assessed worries about personal safety, money matters, relatives under fire, the future of the country, limited medications, and general mental fatigue. The study involved refugees in the migration phase and internally displaced persons. The GAD-7 score of 16.1 ± 2.6 (severe anxiety) showed that all participants experienced anxiety during current hostilities. The RAR-6 score of 21.8 ± 1.7 demonstrated that participants worried about numerous acute problems, but the results varied from group to group. The refugees who moved abroad independently and without a clear goal had the worst GAD-7 score of 19.4 ± 1.7. The refugees who traveled abroad in a group-organized manner had the best RAR-6 score of 24.8 ± 1.5, while passing through Lviv refugees had the worst RAR-6 score of 19.0 ± 1.6 (p = .03). During hostilities, refugees, internally displaced persons, and regular inhabitants are mentally affected to varying degrees. For refugees, group-organized travel abroad is the best option to maintain adequate mental health, followed by an internal refugee status and traveling abroad independently (the worst strategy). (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Providing Education About Caesarean Sectio Operations To Pregnant Women Who Will Understand Caesarean Sectio Operations To Reduce Pre-Operative Anxiety

Sectio caesarea (SC) is a method of expelling a baby by performing surgery on the mother's abdominal wall and uterus. Apart from having painful side effects and a large risk of complications, a Caesarean section is also a major medical procedure that can cause fear, anxiety, worry and stress for pregnant women who will undergo it. Providing appropriate education to pregnant women who will undergo a cesarean section can help reduce anxiety levels before surgery. This community service activity is to increase pregnant women's knowledge about caesarean section operations. reduce the anxiety of pregnant women who will undergo caesarean section surgery. and prepare pregnant women physically and mentally to face caesarean section surgery. The number of participants in this community service activity was 20 pregnant women who were about to undergo a Caesarean section. Pregnant women understood about Caesarean section operations, benefits, risks and surgical procedures. The anxiety of pregnant women who will undergo caesarean section surgery has decreased. Pregnant women feel more physically and mentally prepared to face caesarean section surgery. Education about caesarean section surgery can increase knowledge and reduce anxiety of pregnant women who will undergo caesarean section surgery.

Beyond sight: Comparing traditional virtual reality and immersive multi-sensory environments in stress reduction of university students

IntroductionThis study aims to assess the efficacy of traditional virtual reality (VR) and Immersive Multi-sensory Environments (IME) in mitigating anxiety levels among university students. The study can address the following research questions: 1) What disparities exist in anxiety levels before and after exposure to traditional VR and IME? 2) How do anxiety levels compare between participants exposed to IME and those in a VR environment?MethodsThe research adopted a twophase approach involving participants exhibiting moderate to high-stress levels. In the second phase, participants were randomly assigned to either a VR group (solely visual stimulation) or an IME group (comprising visual, auditory, and olfactory stimuli). The State-Trait Anxiety Inventory (STAI) were utilized to assess stress and anxiety levels before and after each experiment.ResultsThe findings suggest that participants’ experiences in both VR and IME environments effectively contributed to reducing anxiety levels and fostering a tranquil atmosphere. Both experimental groups reported a significantly heightened sense of relaxation post-experiments. Although the disparity was not statistically significant, the IME group displayed a more pronounced reduction in stress levels compared to the VR group.DiscussionThe research underscores the significance of considering the built environment and sensory design in addressing mental health challenges among college students. Further exploration and integration of such approaches into educational settings could significantly contribute to establishing more supportive and conducive environments for student success.

Comparative Study of Different Behavioral Management Techniques in Treating Anxious Pediatric Dental Patients

ABSTRACT Background: Pediatric dental anxiety poses a significant challenge in the delivery of dental care, often resulting in compromised treatment outcomes and negative experiences for both patients and dental professionals. Materials and Methods: A randomized controlled trial (RCT) was conducted involving 120 pediatric dental patients aged 4 to 10 years old, presenting with varying degrees of dental anxiety. Patients were randomly assigned to three groups: Group A received tell-show-do (TSD) technique, Group B received audiovisual distraction (AVD), and Group C received non-pharmacological behavior guidance (NPBG). Anxiety levels were assessed using a standardized anxiety scale before and after the dental procedure. Patient cooperation during treatment, as well as dentist and parent satisfaction, was also evaluated. Results: The study revealed significant reductions in anxiety levels across all groups post-treatment. However, Group B (AVD) demonstrated the most substantial reduction in anxiety scores, with a mean decrease of 60% from baseline. Group A (TSD) and Group C (NPBG) showed comparable reductions in anxiety levels, with mean decreases of 45% and 50%, respectively. Patient cooperation during treatment was highest in Group B, followed by Groups C and A. Dentist and parent satisfaction scores were significantly higher in Group B compared to the other groups. Conclusion: AVD emerged as the most effective behavioral management technique for treating anxious pediatric dental patients, resulting in significant reductions in anxiety levels and higher levels of patient cooperation during treatment compared to TSD and NPBG techniques.