Perceived sources of stress and anxiety among Senegalese dental students
DOI:
https://doi.org/10.18203/2320-6012.ijrms20233691Keywords:
Stress, Anxiety, Psychophysiological components, Students, Dentistry, Clinical proceduresAbstract
Background: Dental studies are stressful and anxiety-provoking. The aim of this study was to assess the stress and anxiety levels of dental students at Cheikh Anta Diop university in Dakar, Senegal.
Methods: A descriptive cross-sectional study was conducted among 133 students. A general stress self-questionnaire (Perceived stress scale 14), another specific to dentistry studies and a final Spielberger anxiety questionnaire were distributed manually or electronically to students regularly enrolled in master’s 1 and 2 at the institute of odontology and stomatology of Cheikh Anta Diop university in Dakar.
Results: A total of 121 students responded, giving a response rate of 90.97%. The average stress level was 20.8±1.08. Of these, 14 students (11.6%) had mild stress, 75.2% had moderate stress and 13.2% had high stress. The most commonly reported stress factors specific to dentistry studies were examinations and ongoing tests (67.7%), the pre-clinical transition to the clinic (70.3%), patient delays or missed appointments (83.5%), fear of making mistakes (67%, i.e., perforation, medical contraindications, etc.), the availability of equipment (70.3%), and conservative odontology and endodontics procedures (71.6%). Concerning anxiety, 113 students (93.4%) had a moderate level of anxiety and 2 students (1.6%) had a high level of anxiety.
Conclusions: This study showed that stress and anxiety are frequently found among dental students. Intervention strategies based on raising awareness and promoting psychological well-being in the educational context should be adopted for these students.
References
North C, Pfefferbaum B. Mental health response to community disasters: A systematic review. J Am Med Assoc. 2013;310(5):507-18.
Hoareau V, Godin C, Dutheil F, Trousselard M. The Effect of Stress Management Programs on Physiological and Psychological Components of Stress: The Influence of Baseline Physiological State. Appl Psychophysiol Biofeedback. 2021;46(3):243-50.
Saxena S, Funk M, Chisholm D. World Health Assembly adopts Comprehensive Mental Health Action Plan 2013-2020. Lancet. 2013;381(9882):1970-1.
Elani HW, Allison PJ, Kumar RA, Mancini L, Lambrou A, Bedos C. A systematic review of stress in dental students. J Dent Educ. 2014;78(2):226-42.
Schönfeld P, Brailovskaia J, Bieda A, Zhang X, Margraf J. The effects of daily stress on positive and negative mental health: Mediation through self-efficacy. Int J Clin Health Psychol. 2016:16(1):1-10.
Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS et al. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int J Environ Res Public Heal. 2019;16(15):2735.
Shamsuddin K, Fadzil F, Ismail WS, Shah SA, Omar K, Muhammad NA et al. Correlates of depression, anxiety and stress among Malaysian university students. Asian J Psychiatr. 2013;6(4):318-23.
Shin L, Liberzon I. The neurocircuitry of fear, stress, and anxiety disorders. Neuropsychopharmacology. 2010;35(1):169-91.
Barauskas I, Barauskienė K, Janužis G. Dental anxiety and self-perceived stress in Lithuanian University of Health sciences hospital patients. A cross-sectional study. Stomatologija. 2019;21(2):42-6.
Alsakr A, Gufran K, Alqahtani AS, Alkharaan H, Abushanan A, Alnufaiy B et al. Pre-Treatment and Post-Treatment Dental Anxiety in Patients Visiting Intern Dental Clinic. Medicina (Kaunas). 2023;59(7):1284.
Nermo H, Willumsen T, Johnsen JK. Prevalence of dental anxiety and associations with oral health, psychological distress, avoidance and anticipated pain in adolescence: a cross-sectional study based on the Tromsø study, Fit Futures. Acta Odontol Scand. 2019;77(2):126-34.
Egbor PE, Akpata O. An evaluation of the sociodemographic determinants of dental anxiety in patients scheduled for intra-alveolar extraction. Libyan J Med. 2014;9(1):25433.
Udoye CI, Oginni AO, Oginni FO. Dental anxiety among patients undergoing various dental treatments in a Nigerian teaching hospital. J Contemp Dent Pract. 2005;6(2):91-8.
Moore R, Birn H, Kirkegaard E, Brødsgaard I, Scheutz F. Prevalence and characteristics of dental anxiety in Danish adults. Community Dent Oral Epidemiol. 1993;21(5):292-6.
Cohen, S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96.
Garbee WH Jr, Zucker SB, Selby GR. Perceived sources of stress among dental students. J Am Dent Assoc. 1980;100(6):853-7.
Spielberger CD. Manual for the State-Trait Anxiety Inventory (STAI Form Y), Consulting Psychologists Palo Alto. Consulting Psychologists Press, Inc. 1983.
Fonseca J, Divaris K, Villalba S, Pizarro S, Fernandez M, Codjambassis A et al. Perceived sources of stress amongst Chilean and Argentinean dental students. Eur J Dent Educ. 2013;17(1):30-8.
Manolova MS, Stefanova VP, Panayotov IV, Romieu G, Belcheva AB, Markova KB et al. Perceived sources of stress in fifth year dental students--a comparative study. Folia Med (Plovdiv). 2012;54(2):52-9.
Polychronopoulou A, Divaris K. Dental students' perceived sources of stress: a multi-country study. J Dent Educ. 2009;73(5):631-9.
Muirhead V, Locker D. Canadian dental students' perceptions of stress. J Can Dent Assoc. 2007;73(4):323.
Divaris K, Barlow PJ, Chendea SA, Cheong WS, Dounis A, Dragan IF et al. The academic environment: the students' perspective. Eur J Dent Educ. 2008;12(1):120-30.
Pöhlmann K, Jonas I, Ruf S, Harzer W. Stress, burnout and health in the clinical period of dental education. Eur J Dent Educ. 2005;9(2):78-84.
Alzahem AM, Van der Molen HT, Alaujan AH, Schmidt HG, Zamakhshary MH. Stress amongst dental students: a systematic review. Eur J Dent Educ. 2011;15(1):8-18.
Alzahem AM, Van der Molen HT, Alaujan AH, De Boer BJ. Stress management in dental students: A systematic review. Adv Med Educ Pract. 2014;5:167-76.
George RP, Donald PM, Soe HHK, Tee SC, Toh J, Cheah MJQ. Prevalence of Symptoms of Depression, Anxiety, and Stress among Undergraduate Dental Students in Malaysia. J Contemp Dent Pract. 2022;23(5):532.
Basudan S, Binanzan N, Alhassan A. Depression, anxiety and stress in dental students. Int J Med Educ. 2017;8:179-86.