Stress, Anxiety, and Depression in Dentistry Students: The Impact of the COVID-19 Pandemic and Sociodemographic Factors
Keywords:
Students, Dental, Dentistry, Mental Health, SARS-CoV-2Abstract
Objective: To assess the influence of the COVID-19 pandemic and sociodemographic factors on stress, anxiety, and depression levels among dental students. Material and Methods: This observational study employed a census approach featuring a quantitative, descriptive, and analytical cross-sectional analysis. The research was conducted within a university center in northeastern Brazil from March to May 2021. Two questionnaires were administered: the Depression, Anxiety, and Stress Scale (DASS-21) and another survey focusing on sociodemographic factors. Pearson's chi-square test was employed to examine potential associations between the variables, and multiple logistic regression models were fitted, with a significance level set at 5%. Results: The study included 128 dentistry students, predominantly female, with a high monthly family income. The data revealed normal levels across the three DASS subscales. A significant association was observed between anxiety and sex (X2=10.37; p=0.03). The depression subscale exhibited associations with ethnic group (X2=47.46; p<0.01), area of residence (X2=12.44; p=0.03), and appropriate study space (X2=11.48; p=0.04). Urban residents were 4.29 times more likely to experience depression than their rural counterparts (OR=4.29; 95%CI 1.28-14.42). Conclusion: While psychological profiles were as expected, targeted interventions for vulnerable groups are crucial. Future research should use longitudinal designs and assess tailored interventions' effectiveness to enhance mental health outcomes among students.
References
Oliveira H do V de, Souza FS de. O conteúdo programático ao sistema de avaliação: Reflexões educacionais em tempos de pandemia (COVID-19). Boletim de Conjuntura 2020; 2(5):15-24. https://doi.org/10.5281/ZENODO.3753654 [In Portuguese].
Silva GCB, Silva GB, Pachá ASC, Pamplona YAP, Martins LC, Nascimento AA, et al. Incidence of COVID-19 in Paraíba and sociodemographic factors: An ecological and spatial study. Vigil Sanit Debate 2023; 11: e02040. https://doi.org/10.22239/2317-269x.02040
Ramírez-Ortiz J, Castro-Quintero D, Lerma-Córdoba C, Yela-Ceballos F, Escobar-Córdoba F. Mental health consequences of the COVID-19 pandemic associated with social isolation. Colomb J Anesthesiol 2020; 48(4):e930. https://doi.org/10.5554/22562087.e930
Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019‐nCoV) in Japan: Mental health consequences and target populations. Psychiatry Clin Neurosci 2020; 74(4):281-282. https://doi.org/10.1111/pcn.12988
Basudan S, Binanzan N, Alhassan A. Depression, anxiety and stress in dental students. Int J Med Educ 2017; 8:179-186. https://doi.org/10.5116/ijme.5910.b961
Ren Z, Xin Y, Ge J, Zhao Z, Liu D, Ho RCM, et al. Psychological impact of COVID-19 on college students after school reopening: A cross-sectional study based on machine learning. Front Psychol 2021; 12:641806. https://doi.org/10.3389/fpsyg.2021.641806
Shah SMA, Mohammad D, Qureshi MFH, Abbas MZ, Aleem S. Prevalence, psychological responses and associated correlates of depression, anxiety and stress in a global population, during the coronavirus disease (COVID-19) pandemic. Community Ment Health J 2021; 57(1):101-110. https://doi.org/10.1007/s10597-020-00728-y
Dreyer Z, Henn C, Hill C. Validation of the Depression Anxiety Stress Scale-21 (DASS-21) in a non-clinical sample of South African working adults. J Psychol Afr 2019; 29(4):346-353. https://doi.org/10.1080/14330237.2019.1647499
Silva GCBD, Melo Neto ODM, Lima RKBD, Andrade NM, Olinda RAD, Cavalcanti AL. Psychological, physical and sexual violence against Brazilian women: A cross-section study. Acta Sci Health Sci 2023; 45(1):e61272. https://doi.org/10.4025/actascihealthsci.v45i1.61272
Vignola RCB, Tucci AM. Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese. J Affect Disord 2014; 155:104-109. https://doi.org/10.1016/j.jad.2013.10.031
Basha E, Kaya M. Depression, Anxiety and Stress Scale (DASS): The study of validity and reliability. Univers J Educ Res 2016; 4(12):2701-2705. https://doi.org/10.13189/ujer.2016.041202
R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria; 2016.
Braz‐José C, Morais Caldas I, De Azevedo Á, Pereira ML. Stress, anxiety and depression in dental students: Impact of severe acute respiratory syndrome‐coronavirus 2 pandemic. Eur J Dent Educ 2023; 27(3):700-706. https://doi.org/10.1111/eje.12858
Keskin G. Self-report measurement of depression, anxiety, and stress caused by COVID-19 pandemic in senior undergraduate dental students. Pesqui Bras Odontopediatria Clín Integr 2021; 21:e0243. https://doi.org/10.1590/pboci.2021.102
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020; 17(5):1729. https://doi.org/10.3390/ijerph17051729
Jiménez-Ortiz J, Islas-Valle R, Jiménez-Ortiz J, Pérez-Lizárraga E, Hernández-García M, González-Salazar F. Emotional exhaustion, burnout, and perceived stress in dental students. J Int Med Res 2019; 47(9):4251-4259. https://doi.org/10.1177/0300060519859145
Agius AM. Dental public health in action: Experiences and responses of oral health care professionals during the first wave of the COVID-19 pandemic in Malta. Community Dent Health 2021; 38(4):226-229. https://doi.org/10.1922/CDH_00328Agius04
Aminoff V, Sellén M, Sörliden E, Ludvigsson M, Berg M, Andersson G. Internet-based cognitive behavioral therapy for psychological distress associated with the COVID-19 pandemic: A pilot randomized controlled trial. Front Psychol 2021; 12:684540. https://doi.org/10.3389/fpsyg.2021.684540
Tran BX, Vo, Phan HT, Pham HQ, Vu GT, Le HT, et al. Mobilizing medical students for COVID-19 responses: Experience of Vietnam. J Glob Health 2020; 10(2):020319. https://doi.org/10.7189/jogh.10.020319
Ilisulu CS, Koruyucu M, Baysan C, Kasimoglu Y, Seymen F. Evaluation of dental students’ knowledge, attitudes and behaviors regarding COVID-19 infection: A cross-sectional survey. Minerva Dent Oral Sci 2023; 72(3):144-153. https://doi.org/10.23736/S2724-6329.22.04704-0
Saffar Shahroudi A, Hashemikamangar S-S, Ahmed Aljawad ZA, Behniafar B. Dental students’ knowledge about protective guidelines for clinical practice during the COVID‐19 pandemic. J Oral Biol Craniofac Res 2023; 13(2):327-331. https://doi.org/10.1016/j.jobcr.2023.02.013
Cheng L, Hao M, Wang F. Beware of the ‘bad guys’: Economic inequality, perceived competition, and social vigilance. Int Rev Soc Psychol 2021; 34(1):1-12. https://doi.org/10.5334/irsp.497
Almeida M, Shrestha AD, Stojanac D, Miller LJ. The impact of the COVID-19 pandemic on women’s mental health. Arch Womens Ment Health 2020; 23(6):741-718. https://doi.org/10.1007/s00737-020-01092-2
Bezerra HDS, Alves RM, Nunes ADD, Barbosa IR. Prevalence and associated factors of common mental disorders in women: A systematic review. Public Health Rev 2021; 42:1604234. https://doi.org/10.3389/phrs.2021.1604234
Sharadha R. Women’s mental health and mental retardation. Clin J Nurs Care Pract 2018; 2(1):12-17. https://doi.org/10.29328/journal.cjncp.1001007
Perreira KM, Wassink J, Harris KM. Beyond race/ethnicity: Skin color, gender, and the health of young adults in the United States. Popul Res Policy Rev 2019; 38(2):271-299. https://doi.org/10.1007/s11113-018-9503-3
Barnes DM, Bates LM. Do racial patterns in psychological distress shed light on the Black–White depression paradox? A systematic review. Soc Psychiatry Psychiatr Epidemiol 2017; 52(8):913-928. https://doi.org/10.1007/s00127-017-1394-9
Smolen JR, Araújo EMD. Race/skin color and mental health disorders in Brazil: A systematic review of the literature. Cienc Saude Colet 2017; 22(12):4021-4030. https://doi.org/10.1590/1413-812320172212.19782016
Beemer CJ, Stearns-Yoder KA, Schuldt SJ, Kinney KA, Lowry CA, Postolache TT, et al. A brief review on the mental health for select elements of the built environment. Indoor Built Environ 2021; 30(2):152-165. https://doi.org/10.1177/1420326X19889653
Clark C, Paunovic K. WHO environmental noise guidelines for the European region: A systematic review on environmental noise and quality of life, wellbeing and mental health. Int J Environ Res Public Health 2018; 15(11):2400. https://doi.org/10.3390/ijerph15112400
Dzhambov AM, Lercher P. Road traffic noise exposure and depression/anxiety: An updated systematic review and meta-analysis. Int J Environ Res Public Health 2019; 16(21):4134. https://doi.org/10.3390/ijerph16214134
Attademo L, Bernardini F. Air pollution as risk factor for mental disorders: In search for a possible link with alzheimer’s disease and schizophrenia. J Alzheimers Dis 2020; 76(3):825-830. https://doi.org/10.3233/JAD-200289
Ho CS, Chee CY, Ho RC. Mental health strategies to combat the psychological impact of coronavirus disease 2019 (COVID-19) beyond paranoia and panic. Ann Acad Med Singap 2020; 49(3):155-160.
Soh HL, Ho RC, Ho CS, Tam WW. Efficacy of digital cognitive behavioural therapy for insomnia: a meta-analysis of randomised controlled trials. Sleep Med 2020; 75:315-325. https://doi.org/10.1016/j.sleep.2020.08.020
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Pesquisa Brasileira em Odontopediatria e Clínica Integrada
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.