The present study was carried out to explore the relation between BII
phobia and dental phobia. An additional aim was to determine the faint
ing tendency of dental phobics and BII phobics during an invasive trea
tment procedure. Participants were 63 patients undergoing treatment in
a dental fear clinic, and 173 patients undergoing dental surgery in a
university hospital. They completed measures on fears of particular m
edical and dental stimuli, fainting history, general trait anxiety, de
ntal anxiety, BII anxiety, BII avoidance, and a questionnaire aimed to
define a phobia based on DSM-IV criteria. Immediately after treatment
information was obtained on exposures to blood or injections, state a
nxiety, and feelings of faintness during treatment. The results did no
t indicate any significant relationship between measures of dental anx
iety and BII anxiety or BII avoidance. However, 57% of the dental phob
ic patients could also be classified as BII phobic. The proportion of
dental phobics who reported fainting episodes in their past was simila
r to that of the BII phobics (37%), but none of the participants faint
ed during treatment. It is concluded that, albeit the level of co-occu
rrence for both types of phobias is high, dental phobia should be cons
idered as a specific phobia, independent of the BII subtype within DSM
-IV. Further, the findings are inconsistent with the notion that indiv
iduals with BII phobia have a remarkably high tendency to faint in the
presence of their phobic stimuli. (C) 1998 Elsevier Science Ltd. All
rights reserved.