Keywords
Depression
Pandemics
Students, dental
How to Cite
Abstract
Aim: This cross-sectional observational study aimed to evaluate the influence of the Universities lockdown measures on academic perspectives and psychosocial aspects of Brazilian finalyear dental students. Methods: 268 undergraduate students regularly enrolled in a Dentistry course at public universities were asked about anxiety, depression, stress sensitivity, and their academic perspectives by using an online survey. The Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety and depression, while the Perceived Stress Scale (PSS) evaluated stress levels. The academic perspective was evaluated by five affirmatives regarding possible difficulties that will be faced when school reopens and after graduation. The possible association between fear of having COVID-19 with psychosocial outcomes and COVID-19 association with academic perspectives were analyzed by ANOVA and chisquare tests, respectively, considering a significance level of 5%. Results: Considering possible associations between the fear of having COVID-19 and psychosocial aspects, significant values were found for anxiety (P = 0.018) and stress sensitivity (P = 0.002). Regarding students’ academic perspectives, COVID-19 had significant impact on less opportunity to perform procedures (P = 0.023), additional expenses with personal protective equipment (P = 0.007), and concerns of consulting elderly people (P = 0.012). Conclusion: The COVID-19 pandemic led to increased psychological impairments and enlarged concerns with learning and biosecurity, which might impact academic perspectives. Thus, being aware of these apprehensions, university professors and staff can improve the clinical training of final-year dental students in an empathetic way.
References
Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020 Fev;382(8):727-33. doi: 10.1056/NEJMoa2001017.
Sohrabi C, Alsafi Z, O'Neill N, Khan M, Kerwan A, Al-Jabir A, et al. World Health Organization declares Global Emergency: a review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020;76:71-6. doi: 10.1016/10.1016/j.ijsu.2020.02.034.
Ioannidis JPA. Coronavirus disease 2019: The harms of exaggerated information and non-evidence-based measures. Eur J Clin Invest. 2020 Apr;50(4):e13222. doi: 10.1111/eci.13222.
Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020 Mar;7(3):228-9. doi: 10.1016/S2215-0366(20)30046-8.
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 Mar;17(5):1729. doi: 10.3390/ijerph17051729.
Cavestro JM, Rocha FL. [Depression prevalence among university students]. J Bras Psiquiatr. 2006 Sep;55(4):264-7. Portuguese. doi: 10.1590/S0047-20852006000400001.
Othman N, Ahmad F, El Morr C, Ritvo P. Perceived impact of contextual determinants on depression, anxiety and stress: a survey with university students. Int J Ment Health Syst. 2019 Mar;13:17. doi: 10.1186/s13033-019-0275-x.
Caldarelli PG, Gabardo MCL. Health training in the context of the COVID-19 pandemic: challenges and perspectives. REFACS. 2021;9(1):188-9. doi: 10.18554/refacs.v9i0.5281.
Van Doren EJ, Lee JE, Breitman LS, Chutinan S, Ohyama H. Students' perceptions on dental education in the wake of the COVID-19 pandemic. J Dent Educ. 2020 Jul;5:10.1002/jdd.12300. doi: 10.1002/jdd.12300.
Wu DT, Wu KY, Nguyen TT, Tran SD. The impact of COVID-19 on dental education in North America-Where do we go next? Eur J Dent Educ. 2020 Nov;24(4):825-7. doi: 10.1111/eje.12561.
Iyer P, Aziz K, Ojcius DM. Impact of COVID-19 on dental education in the United States. J Dent Educ. 2020 Jun;84(6):718-22. doi: 10.1002/jdd.12163.
U.S. Department of Labor. Occupational Safety and Health Administration . Guidance on preparing workplaces for COVID-19. OSHA 3990-03-2020. 2020. 35p. Available from: https://www.osha.gov/Publications/OSHA3990.pdf.
Botega NJ, Bio MR, Zomignani MA, Garcia C Jr, Pereira WA. [Mood disorders among inpatients in ambulatory and validation of the anxiety and depression scale HAD]. Rev Saude Publica. 1995 Oct;29(5):355-63. Portuguese. doi: 10.1590/s0034-89101995000500004.
Reis RS, Hino AA, Añez CR. Perceived stress scale: reliability and validity study in Brazil. J Health Psychol. 2010 Jan;15(1):107-14. doi: 10.1177/1359105309346343.
Moraes RR, Correa MB, Queiroz AB, Daneris Â, Lopes JP, Pereira-Cenci T, et al. COVID-19 challenges to dentistry in the new pandemic epicenter: Brazil. PLoS One. 2020 Nov;15(11):e0242251. doi:10.1371/journal.pone.0242251.
Ministry of Education of Brazil. National Institute of Educational Studies and Research Anísio Teixeira. [Higher education censos: statistical notes]. Brasília: Ministry of Education; 2019 [cited 2021 Jan 3]. Available from: https://download.inep.gov.br/educacao_superior/censo_superior/documentos/2019/censo_da_educacao_superior_2018-notas_estatisticas.pdf. Portuguese.
Granja GL, Santos JTL, Mariz RC, Araki AT, Souza SV, Nunes JMFF, et al. [Profile of undergraduate students in Dentistry: professional motivations and expectations]. Rev ABENO. 2016 Oct/Dec;16(4):107-13. Portuguese.
Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020 May;287:112934. doi: 10.1016/j.psychres.2020.112934.
Wang X, Hegde S, Son C, Keller B, Smith A, Sasangohar F. Investigating mental health of US College Students during the COVID-19 pandemic: cross-sectional survey study. J Med Internet Res. 2020 Sep;22(9):e22817. doi: 10.2196/22817.
Debowska A, Horeczy B, Boduszek D, Dolinski D. A repeated cross-sectional survey assessing university students' stress, depression, anxiety, and suicidality in the early stages of the COVID-19 pandemic in Poland. Psychol Med. 2020 Oct;2:1-4. doi: 10.1017/S003329172000392X.
Al-Rabiaah A, Temsah MH, Al-Eyadhy AA, Hasan GM, Al-Zamil F, Al-Subaie S, et al. Middle East Respiratory Syndrome-Corona Virus (MERS-CoV) associated stress among medical students at a university teaching hospital in Saudi Arabia. J Infect Public Health. 2020 May;13(5):687-91. doi: 10.1016/j.jiph.2020.01.005.
Khan AH, Sultana MS, Hossain S, Hasan MT, Ahmed HU, Sikder MT. The impact of COVID-19 pandemic on mental health & wellbeing among home-quarantined Bangladeshi students: A cross-sectional pilot study. J Affect Disord. 2020 Dez;277:121-8. doi: 10.1016/j.jad.2020.07.135.
Wathelet M, Duhem S, Vaiva G, Baubet T, Habran E, Veerapa E, et al. Factors associated with mental health disorders among university students in france confined during the COVID-19 pandemic. JAMA Netw Open. 2020 Oct;3(10):e2025591. doi: 10.1001/jamanetworkopen.2020.25591.
Liu J, Zhu Q, Fan W, Makamure J, Zheng C, Wang J. Online mental health survey in a Medical College in China during the COVID-19 outbreak. Front Psychiatry. 2020 May;11:459. doi: 10.3389/fpsyt.2020.00459.
Islam MA, Barna SD, Raihan H, Khan MNA, Hossain MT. Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: a web-based cross-sectional survey. PLoS One. 2020 Aug;15(8):e0238162. doi: 10.1371/journal.pone.0238162.
Mamun MA, Hossain MS, Griffiths MD. Mental health problems and associated predictors among Bangladeshi students. Int J Ment Health Addiction. 2019:1-15. doi: 10.1007/s11469-019-00144-8.
Loch C, Kuan IBJ, Elsalem L, Schwass D, Brunton PA, Jum'ah A. COVID-19 and dental clinical practice: students and clinical staff perceptions of health risks and educational impact. J Dent Educ. 2021 Jan;85(1):44-52. doi: 10.1002/jdd.12402.
Ataş O, Talo Yildirim T. Evaluation of knowledge, attitudes, and clinical education of dental students about COVID-19 pandemic. PeerJ. 2020 Jul;8:e9575. doi: 10.7717/peerj.9575.
Agius AM, Gatt G, Vento Zahra E, Busuttil A, Gainza-Cirauqui ML, Cortes ARG, et al. Self-reported dental student stressors and experiences during the COVID-19 pandemic. J Dent Educ. 2021 Feb;85(2):208-15. doi:10.1002/jdd.12409.
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Copyright (c) 2021 Brazilian Journal of Oral Sciences
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