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D L Coury

Publications and source records attributed to D L Coury.

20 records · Page 2Linked to original sources

Temperament as a predictor of behavior for conscious sedation in dentistry.

Temperament can be defined as the behavioral style of a child or the manner in which a child interacts with the environment. Nine temperament categories have been identified: activity level, biological rhythmicity, initial approach/withdrawal, adaptability, intensity, mood, persistence/attention span, distractibility, and sensory threshold. Temperament categories can be quantified using the Toddler Temperament Scale (TTS), a written questionnaire completed by the caretaker. For this study, 29 healthy children, 14 males and 15 females, aged 18 to 36 months (mean age 30 = 6.2 months) and a mean weight of 13.8 kg = 2.1 kg were sedated with 2 mg/kg hydroxyzine pamoate (p.o.) and 2 mg/kg body weight of meperidine (submucosal). Parents completed the TTS during dental treatment in an adjoining room. The recording of baseline vital statistics, the mirror and explorer examination, and the entire operative procedure were videotaped. The Ohio State University Behavior Rating Scale was used to rate the videotapes of each child's behavior according to the following discrete categories: quiet behavior, crying without struggling, and struggling movement with or without crying. For data analysis, all negative behavior (struggling and for crying) was summed. Using a stepwise linear regression, approach/withdrawal tendency (multiple R = 0.38, r2 = 0.15, and P = 0.0015) and adaptability (multiple R = 0.58, r2 = 0.34, and P = 0.009) were found to predict the total percentage of struggling behavior, and approach/withdrawal also approached significance in predicting the percentage of all negative behavior (multiple R = 0.35, r2 = 0.12, and P = 0.055).(ABSTRACT TRUNCATED AT 250 WORDS)

Analysis of Variance↗

Comparison of temperaments of children with and without baby bottle tooth decay.

Several demographic studies have been done to identify children at risk for Baby Bottle Tooth Decay (BBTD). Discussions have described these children with Baby Bottle Tooth Decay as strong tempered, cranky, restless, and fussy. The parents of these children have acknowledged these behaviors. To determine whether there were differences in temperament, children with Baby Bottle Tooth Decay were compared with children without Baby Bottle Tooth Decay by assessing the nine temperament components described by the Toddler Temperament Scale (TTS) questionnaire. Parents completed the temperament questionnaire and ninety-two children between twelve and thirty-six months old were studied. Scores for the nine temperament components were tabulated and temperament difficulty was determined as defined by the authors of the toddler Temperament Scale. At-test comparison between the two groups revealed no significant difference for the nine temperament components. There was also no difference when comparing clusters of the nine components. The conclusion is that there is no difference in the temperaments between the group of children with Baby Bottle Tooth Decay and the comparison group of children without Baby Bottle Tooth Decay.

Adaptation, Physiological↗