## 3 Results  
The overall sample size was 86 (N); the brief relaxation therapy and auditory distraction groups had 32 participants each, while 10 participants in the control group were excluded due to missing data (n = 22). All the study participants were females. The mean age of the overall sample was 33.19 (11.10) years. Age by groups was not significantly different (\(p\) = 0.67); the mean (SD) age in the brief relaxation therapy, auditory distraction, and control groups were 32.06 (11.97), 33.19 (10.05), and 34.82 (11.10), respectively.  
Figure 2 presents the mean anxiety score (HAQ) of the study participants in each of the three groups before the interventions were implemented. The lowest score was recorded in the control group (mean = 16.0; SD = 3.32), followed by the auditory distraction (mean = 24.94; SD = 9.02) and brief relaxation therapy (mean = 28.75; SD = 8.49) groups. There was a significant mean difference in the overall anxiety level between the three groups before (\(p<0.001\)) and after (\(p=0.01\)) the intervention (Table 1).  
Figure 2: Mean Hierarchical Anxiety Questionnaire scores at the baseline.  
Table 2 presents the effectiveness of brief relaxation therapy and auditory distraction in reducing the level of anxiety among the study participants, and also checks the changes in the control group. The mean anxiety score after brief relaxation therapy and auditory distraction had significantly decreased (\(p<0.001\)). Although not significant (\(p=0.13\)), there was a slight increase in the anxiety score of the study participants in the control group before the tooth extraction procedure (Table 2). Figure 3 graphically demonstrates the effect of the interventions in reducing the anxiety level of the study participants.  
\begin{table}
\begin{tabular}{c c c c c c} \hline \hline  & **Group** & **N** & **Mean Rank** & **Mean (SD)** & **Range** & \(p\)**-Value** \\ \hline \multirow{3}{*}{\
\begin{tabular}{c} Before \\ Intervention \\ \end{tabular} } & Brief Relaxation & 32 & 36.94 & \multirow{3}{*}{24.07 (9.17)} & \multirow{3}{*}{12–50} & \multirow{3}{*}{\textless{}0.001 a  } \\  & Audible distraction & 32 & 28.06 & 24.07 (9.17) & & \\  & Control group & 22 & 19.05 & & \\ \hline \multirow{3}{*}{
\begin{tabular}{c} After \\ Intervention \\ \end{tabular} } & Brief Relaxation & 32 & 35.88 & \multirow{3}{*}{20.30 (6.44)} & \multirow{3}{*}{12–37} & \multirow{3}{*}{0.01 a  } \\  & Audible distraction & 32 & 29.13 & & \\ \cline{1-1}  & Control group & 22 & 31.59 & & \\ \hline \hline \end{tabular}
\end{table}
Table 1: Difference in the anxiety level between the three groups before and after the interventions.  
Figure 3: Graphical representation of the change in the mean anxiety scores before and after the interventions.  
Table 3 presents the findings from a series of comparisons between the groups to show the effectiveness of brief relaxation therapy and auditory distraction in reducing the anxiety scores (HAQ). Brief relaxation therapy was significantly effective in reducing the anxiety scores in comparison to the control group (MD = 5.87, 95% CI = 2.58, 9.17; \(p\) = 0.001). No significant difference was observed in the reduction of anxiety levels between the brief relaxation therapy and the auditory distraction interventions (\(p\) = 0.15). Additionally, the auditory distraction intervention did not significantly reduce the anxiety score in comparison to the control group (\(p\) = 0.14).