Comparing the Effectiveness of Emotional Self-Regulation Strategies and Systematic Desensitization on Pain of Adults Referring to Dentistry

Document Type : Original Article


1 Department of Psychology, Faculty of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran

2 Department of Psychology, Faculty of Psychology, Payame Noor University, Tehran, Iran

3 Department of Psychology, Faculty of Psychology, Tabriz University, Tabriz, Iran



Introduction: This study aimed to compare the effectiveness of emotional self-regulation strategies and regular desensitization on the pain level of adults referring to dentistry.
Method: The population included 60 adults referring to a dentistry- who were selected using the purposeful sampling method and were classified into three groups including group 1, emotional self-regulation strategy (n=20), group 2, regulation desensitization (n=20), and group 3, control group (n=20). Data were collected using a pain questionnaire (FPQ-III). Experimental groups received eight sessions, each with 90 min emotional self-regulation strategies and regular desensitization instruction. The control group received no intervention. The data were analyzed using SPSS 23, a multivariate covariance test.
Results: Results showed that emotional self-regulation and regular desensitization have an impact on pain levels of adults referring to dentistry. However, there was no significant difference between the impact of emotional self-regulation and regular desensitization on the pain level of adults who had visited the studied dentistry.
Conclusion: Emotional self-regulation strategies and regular desensitization affected the pain level of adults who had referred to the studied dentistry.


  1. Zawaideh F, Al-Jundi S, Al-Jaljoli M. Molar incisor hypomineralisation: prevalence in Jordanian children and clinical characteristics. European Archives of Paediatric Dentistry. 2011;12(1):31-6. doi:org/10.1007/BF03262776


  1. Rostami H, Moghaddam AG, Asgari R. Effective lattice Hamiltonian for monolayer MoS 2: Tailoring electronic structure with perpendicular electric and magnetic fields. Physical Review B. 2013;88(8). doi:org/10.1103/PhysRevB.88.085440
  2. Ibrahim MA, Zulkifli SZ, Azmai MNA, Mohamat-Yusuff F, Ismail A. Embryonic toxicity of 3, 4-dichloroaniline (3, 4-DCA) on Javanese medaka (Oryzias javanicus Bleeker, 1854). Toxicology reports. 2020;7:1039-45.doi:org/10.1016/j.toxrep.2020.08.011
  3. Zorn EU, Rowe MC, Cronin SJ, Ryan AG, Kennedy LA, Russell JK. Influence of porosity and groundmass crystallinity on dome rock strength: a case study from Mt. Taranaki, New Zealand. Bulletin of Volcanology. 2018;80(4):1-17. doi:10.1007/s00445-018-1210-8
  4. McDougal JS, Hubbard M, Nicholson JK, Jones BM, Holman RC, Roberts J, et al. Immune complexes in the acquired immunodeficiency syndrome (AIDS): relationship to disease manifestation, risk group, and immunologic defect. Journal of clinical immunology.1985;5(2):130-8.doi: 10.1007/BF00915011
  5. Gross JJ. Emotion regulation in adulthood: Timing is everything. Current directions in psychological science. 2001;10(6):214-9. doi:org/10.1111/1467-8721.00152
  6. Levine M, Kressel H, Caroline D, Laufer I, Herlinger H, Thompson J. Barrett esophagus: reticular pattern of the mucosa. Radiology.1983;147(3):663-7.doi:org/10.1148/radiology.147.3.6844601
  7. Gross JJ, Muñoz RF. Emotion regulation and mental health. Clinical psychology: Science and practice. 1995;2(2):151. doi:org/10.1111/j.1468-2850.1995.tb00036.x
  8. Folkman S, Lazarus RS. 10. Coping and Emotion. Stress and coping: An anthology: Columbia University Press; 1991. 207-27.
  9. Zaghlool SS, Abo-Seif AA, Rabeh MA, Abdelmohsen UR, Messiha BA. Gastro-protective and anti-oxidant potential of Althaea officinalis and solanum nigrum on pyloric ligation/indomethacin-induced ulceration in rats. Antioxidants. 2019;8(11):512.doi: 10.3390/antiox8110512
  10. Frazier G L,Organization and Managing Channels of Distribution.Journal of the Academy of Maeketing Sciences.1999;27(2)226-240.doi:10.1177/0092070399272007
  11. Wolpe J. The dichotomy between classical conditioned and cognitively learned anxiety. Journal of behavior therapy and experimental psychiatry.1981;12(1):35-42. doi:org/10.1016/0005-7916(81)90027-6
  12. A'zimian M, Fallah-Pour M, Karimlou M. Evaluation

      of reliability and validity of the Persian version of Fatigue Severity Scale (FSS) among persons with multiple sclerosis. Archives of Rehabilitation. 2013;13(4):84-91.doi: 10.1155/2013/935429.

  1. Aitken JC, Wilson S, Coury D, Moursi AM. The effect of music distraction on pain, anxiety and behavior in pediatric dental patients. Pediatric dentistry. 2002;24(2):114-8. doi: 10.4103/jfmpc.jfmpc789 19
  2. Schmid-Leuz B, Elsesser K, Lohrmann T, Jöhren P, Sartory G. Attention focusing versus distraction during exposure in dental phobia. Behaviour Research and Therapy. 2007;45(11):2691-703. doi:org/10.1016/j.brat.2007.07.004
  3. Nilsson S, Renning A-C. Pain management during wound dressing in children. Nursing Standard. 2012;26(32).doi: 10.1016/j.pedn.2012.06.003
  4. Martins RK, McNeil DW. Review of motivational interviewing in promoting health behaviors. Clinical psychology review. 2009;29(4):283-93. doi: 10.1016/j.cpr.2009.02.001
  5. Shahraki O, Khoshneviszadeh M, Dehghani M, Mohabbati M, Tavakkoli M, Saso L, et al. 5-Oxo-hexahydroquinoline Derivatives and Their Tetrahydroquinoline Counterparts as Multidrug Resistance Reversal Agents. Molecules. 2020;25(8):1839.doi: 10.3390/molecules25081839
  6. Schutz PA, Distefano C, Benson J, Davis HA. The emotional regulation during test-taking scale. Anxiety, Stress & Coping. 2004;17(3):253-69.doi:org/10.1080/10615800410001710861.
  7. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical psychology review. 2010;30(2):217-37.doi: 10.1016/j.cpr.2009.11.004
  8. Boyatzis RE. Competencies in the 21st century. Journal of management development. 2008. doi: 10.1016/j.cpr.2009.11.004
  9. Izard CE, Woodburn EM,Finlon KJ, Krauthamer  Ewing ES, Grossman SR, Seidenfeld A. Emotion knowledge, Emotion Utilization and Emotion Regulation. Emotional Review,2011; 3: 44-52. doi:org/10.1177/1754073910380972
  10. Sumner MD, Elliott-Eller M, Weidner G, Daubenmier JJ, Chew MH, Marlin R, et al. Effects of pomegranate juice consumption on myocardial perfusion in patients with coronary heart disease. The American journal of cardiology. 2005;96(6):810-4.doi: 10.1016/j.amjcard.2005.05.026
  11. Stoney CM, Hughes JW, Kuntz KK, West SG, Thornton LM. Cardiovascular stress responses among Asian Indian and European American women and men. Annals of Behavioral Medicine. 2002;24(2):113-21. doi:org/10.1207/S15324796ABM2402_08
  12. Moghadam KK, Baharvandi B, Rashidi HH. The Effectiveness of compassion-focused therapy on ambiguity tolerance and death anxiety in the elderly. Aging. 2020;6(1):13-26. doi:10.22126/jap.2020.5344.1427
  13. Changizi Ashtyani S, Shamsi M, Dezham S. A comparison of the personal, family, psychological and business problems of talented students and regular students in Arak University of Medical Sciences. Journal of Jahrom University of Medical Sciences. 2011;9.