{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T07:47:17Z","timestamp":1782719237084,"version":"3.54.5"},"reference-count":85,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOS"],"abstract":"<jats:p>Objective: This qualitative study aimed to investigate how patients with severe dental anxiety perceived cognitive behavioral therapy (CBT) delivered by interdisciplinary teams consisting of psychologists and dental personnel. \nMaterial and methods: Twelve individual semi-structured interviews were conducted at the Oral Health Center of Expertise in Eastern Norway, using an exploratory qualitative design. The analysis was guided by Braun and Clarke\u2019s thematic analysis. Self-determination theory (SDT) was applied as the theoretical and analytical framework.\nResults: The qualitative analysis identified five themes shaping patients\u2019 experiences with CBT and progress in managing dental treatment: Establishing positive relationships with the psychologist and dental personnel, Experiencing enhanced competence in managing one\u2019s anxiety, Discovering the opportunity to use one\u2019s own capacities, Identifying factors nurturing plans for future dental visits, and Experiencing additional effects on quality of life. These results underscore the importance of autonomy-supportive treatment that fulfills patients\u2019 basic psychological needs (BPNs) for autonomy, competence, and relatedness, thereby fostering more autonomous motivation and desired behavioral changes.\nConclusions: The findings indicate that CBT provided by interdisciplinary teams may benefit from adopting SDT as a framework, integrating autonomy-supportive principles to fulfill patients\u2019 BPNs. This approach may enhance CBT\u2019s patient-centered effectiveness and potentially improve patients\u2019 quality of life.<\/jats:p>","DOI":"10.2340\/aos.v85.46314","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T07:14:56Z","timestamp":1782717296000},"page":"384-400","source":"Crossref","is-referenced-by-count":0,"title":["Exploring fulfillment of basic psychological needs in patients with dental anxiety: an investigation grounded in self-determination theory"],"prefix":"10.2340","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4347-881X","authenticated-orcid":false,"given":"Vibeke","family":"Kranstad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2050-5658","authenticated-orcid":false,"given":"Geoffrey Colin","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9365-4270","authenticated-orcid":false,"given":"Torill Helene","family":"Tveito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4927-6687","authenticated-orcid":false,"given":"Vibeke Elise","family":"Ansteinsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5506-4704","authenticated-orcid":false,"given":"Anne Elisabeth M\u00fcnster","family":"Halvari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"160604","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (APA). 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