Factors associated with academic stress in dentistry students at a private university
Keywords:
clinical competence, dental, stress, psychological, studentsAbstract
Introduction: Academic stress in dental students is a complex response to high academic and clinical demands, affecting their performance, emotional well-being and professional development.
Objective: To determine the factors associated with academic stress in dental students at a private university.
Methods: The study was descriptive and cross-sectional. The sample consisted of 173 dental students. Data were collected using the Dental Environment Stress questionnaire, consisting of 30 questions with Likert scale response options designed to identify the main stressors during dental training. The variables analyzed were gender and clinical progression (preclinical and clinical). To evaluate the association between the variables, the chi-square statistical test was applied with a significance level of 5%.
Results: The main factors associated with higher levels of stress in the students were unpunctuality and patient absences for appointments (52.33%) and fear of failing one or more courses (45.93%). Also, stress levels were significantly higher in female students (p<0.05) and in those taking clinical subjects (p<0.05).
Conclusions: Fear of academic failure and clinical demands are major stress factors for dental students. Women experience higher levels of stress due to academic and clinical pressure.
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References
1. Kristensen S, Larsen T, Urke H, Danielsen A. Academic Stress, Academic Self-efficacy, and Psychological Distress: A Moderated Mediation of Within-person Effects [Internet]. J Youth Adolesc. 2023; 52(7):1512-29. DOI: 10.1007/s10964-023-01770-1
2. Wahid M, Sethi M, Shaheen N, Javed K, Qazi IA, Osama M, et al. Effect of academic stress, educational environment on academic performance & quality of life of medical & dental students; gauging the understanding of health care professionals on factors affecting stress: A mixed method study [Internet]. PLoS One. 2023; 18(11):e0290839. DOI: 10.1371/journal.pone.0290839
3. Barbayannis G, Bandari M, Zheng X, Baquerizo H, Pecor K, Ming X. Academic stress and mental well-being in college students: correlations, affected groups and COVID-19 [Internet]. Front Psychol. 2022; 13:886344. DOI: 10.3389/fpsyg.2022.886344
4. Attia M, Ibrahim F, Elsady M, Khorkhash M, Rizk M, Shah J, et al. Cognitive, emotional, physical, and behavioral stress-related symptoms and coping strategies among university students during the third wave of COVID-19 pandemic [Internet]. Front Psychiatry. 2022; 13:933981. DOI: 10.3389/fpsyt.2022.933981
5. Alkhawaldeh A, Al Omari O, Al Aldawi S, Al Hashmi I, Ann Ballad C, Ibrahim A, et al. Stress Factors, Stress Levels, and Coping Mechanisms among University Students [Internet]. Scientific World Journal. 2023; 2023:2026971. DOI: 10.1155/2023/2026971
6. Wilson P. The Psychobiological Etiology of Gastrointestinal Distress in Sport: A Review [Internet]. J Clin Gastroenterol. 2020 [acceso: 06/03/2024]; 54(4):297-304. Disponible en : https://journals.lww.com/jcge/abstract/2020/04000/the_psychobiological_etiology_of_gastrointestinal.3.aspx
7. Khanagar S, Al-Ehaideb A, Jamleh A, Ababneh K, Maganur PC, Vishwanathaiah S, et al. Psychological Distress among Undergraduate Dental Students in Saudi Arabia and Its Coping Strategies-A Systematic Review [Internet]. Healthcare (Basel). 2021; 9(4):429. DOI: 10.3390/healthcare9040429
8. Alamoush R, Al-Sawaeir S, Baker D, Aljamani S, Alomoush S, Al-Omiri M. Stress experienced by dental students performing clinical training in different dental disciplines: a cross-sectional study [Internet]. J Occup Health. 2024 [acceso: 12/10/2024]; 66(1):uiae006. Disponible en: https://academic.oup.com/joh/article/66/1/uiae006/7606911
9. Halboub E, Alhajj M, AlKhairat A, Sahaqi A, Quadri M. Perceived Stress among Undergraduate Dental Students in Relation to Gender, Clinical Training and Academic Performance [Internet]. Acta Stomatol Croat. 2018; 52(1):37-45. DOI: 10.15644/asc52/1/6
10. Caplin R. Dentistry - art or science? Has the clinical freedom of the dental professional been undermined by guidelines, authoritative guidance and expert opinion? [Internet]. Br Dent J. 2021 [acceso: 24/03/2024]; 230(6):337-43. Disponible en: https://www.nature.com/articles/s41415-021-2726-4
11. De Souza Ferreira F, Barros I, da Costa Neves T, Pazos J, Garcia P. Stress amongst dental students in the transition from preclinical training to clinical training: A qualitative study [Internet]. Eur J Dent Educ. 2023; 27(3):568-74. DOI: 10.1111/eje.12842
12. Bali H, Rai V, Khanduri N, Tripathi R, Adhikari K, Sapkota B. Perceived Stress and Stressors among Medical and Dental Students of Bhairhawa, Nepal: A Descriptive Cross-sectional Study [Internet]. JNMA J Nepal Med Assoc. 2020 [acceso: 21/09/2024]; 58(226):383-9. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC7580359/
13. Mocny-Pachońska K, Doniec R, Trzcionka A, Pachoński M, Piaseczna N, Sieciński S, et al. Evaluating the stress-response of dental students to the dental school environment [Internet]. Peer J. 2020; 8:e8981. DOI: 10.7717/peerj.8981
14. Elagra M, Rayyan M, Bin Razin K, Alanazi A, Aldossary M, Alqahtani A, et al. Self-reported stress among senior dental students during complete denture procedures [Internet]. J Family Med Prim Care. 2022; 11(11):6726-30. DOI: 10.4103/jfmpc.jfmpc_1761_21
15. Lovin D, Bernardeau-Moreau D. Stress among Students and Difficulty with Time Management: A Study at the University of Galați in Romania [Internet]. Soc Sci. 2022 [acceso: 01/12/2024]; 11(12):538. Disponible en: https://www.mdpi.com/2076-0760/11/12/538
16. Guadarrama-Analco J, Orozco-Valdés LR, Juárez-Medel CA, Alvarado-Castro VM, Martínez-Muñoz E. Perceived stress in dental students of a private university in Acapulco, Mexico [Internet]. Rev Estomatol Herediana. 2023 [acceso: 13/07/2025]; 33(3):191-8. Disponible en: https://revistas.upch.edu.pe/index.php/REH/article/view/4937/5153
17. Córdova D, Santa María F. Factores asociados al estrés en estudiantes de odontología de una universidad peruana [Internet]. Rev Estomatol Herediana. 2018 [acceso: 13/07/2025]; 28(4):252‑8. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_abstract&pid=S1019-43552018000400006&lng=es&nrm=is
18. Herrera-Plasencia P, Salas-Huamaní J, Mamani-Benito O, Apaza-Tarqui E, Turpo-Chaparro J. Adaptación y validación de una escala de fuentes de estrés en estudiantes peruanos de odontología [Internet]. Educ Med. 2025; 26(3):101029. DOI: 10.1016/j.edumed.2025.101029
19. Worl medical association. WMA Declaration Of Helsinki – Ethical Principles For Medical Research Involving Human Subjects [Internet]. 2022 [acceso: 25/10/2023]. Disponible en: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-formedical-research-involving-human-subjects
20. Anagha K, Megha M, Karuveettil V, Vijay Kumar S. Perceptions of barriers towards dental appointment keeping among patients of a tertiary care setting: A mixed method exploration [Internet]. J Oral Biol Craniofac Res. 2024; 14(2):185-91. DOI: 10.1016/j.jobcr.2024.02.002
21. Shabbir A, Alzahrani M, Abu Khalid A. Why Do Patients Miss Dental Appointments in Eastern Province Military Hospitals, Kingdom of Saudi Arabia? [Internet]. Cureus. 2018; 10(3):e2355. DOI: 10.7759/cureus.2355
22. Farhane-Medina N, Luque B, Tabernero C, Castillo-Mayén R. Factors associated with gender and sex differences in anxiety prevalence and comorbidity: A systematic review [Internet]. Sci Prog. 2022 [acceso: 14/03/2024]; 105(4):368504221135469. Disponible en: https://journals.sagepub.com/doi/10.1177/00368504221135469
23. Muneer M, Ismail F, Munir N, Shakoor A, Das G, Ahmed AR. et al. Dental Anxiety and Influencing Factors in Adults [Internet]. Healthcare (Basel). 2022; 10(12):2352. DOI: 10.3390/healthcare10122352
24. Stoyanova M, Hope D. Gender, gender roles, and anxiety: Perceived confirmability of self report, behavioral avoidance, and physiological reactivity [Internet]. Journal of Anxiety Disorders. 2012; 26(1):206-14. DOI: 10.1016/j.janxdis.2011.11.006
25. Zamir S, Nazir N. Gender Based Analysis Of Test Anxiety And Self -Esteem Among University Students [Internet]. Biannual Uswa Journal of Research. 2023 [acceso: 16/12/2024]; 1(2):1-14. Disponible en: https://www.researchgate.net/publication/371069723_gender_based_analysis_of_test_anxiety_and_self_-esteem_among_university_students
26. Paterson C, Paterson N, Jackson W, Work F. What are students' needs and preferences for academic feedback in higher education? A systematic review [Intenet]. Nurse Education Today. 2020; 85:1-12. DOI: 10.1016/j.nedt.2019.104236
27. Freeman Z, Cairns A, Binnie V, McAndrew R, Ellis J. Understanding dental students’ use of feedback [Internet]. Eur J Dent Educación. 2020; 24(3):465–75. DOI: 10.1111/eje.12524
28. Tan F, Whipp P, Gagné M, Van Quaquebeke N. Students’ perception of teachers’ two-way feedback interactions that impact learning [Internet]. Social Psychology of Education. 2019 [acceso: 14/09/2024]; 22(1):1-19. Disponible en: https://link.springer.com/article/10.1007/s11218-018-9473-7#citeas
29. Mahfouz H, Alhazmi N, Almatrafi M, Almehmadi S, Alharbi J, Qadi L, et al. The Influence of Lifestyle on Academic Performance Among Health Profession Students at Umm Al-Qura University [Internet]. Cureus. 2024; 16(3):e56759. DOI: 10.7759/cureus.56759
30. Mirza A, Baarimah H, Baig M, Mirza A, Halawani MA, Beyari G, et al. Academic and non-academic life stressors and their impact on psychological wellbeing of medical students [Internet]. AIMS Public Health. 2021 [acceso: 18/07/2024]; 8(4):563-80. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8568599/
31. Di Mario S, Rollo E, Gabellini S, Filomeno L. How Stress and Burnout Impact the Quality of Life Amongst Healthcare Students: An Integrative Review of the Literature [Internet]. Teaching and Learning in Nursing. 2024; 19(4):315-23. DOI: 10.1016/j.teln.2024.04.009
32. Li Y, Lin C, Kuo Y, Chen Y, Griffiths M. Gender Differences in the Factors Associated With the Fear of COVID-19 Among Taiwanese Older People [Internet]. Inquiry. 2021; 58:469580211055587. DOI: 10.1177/00469580211055587
33. De Bruyn S, Wouters E, Ponnet K, Van Hal G. Popping smart pills in medical school: are competition and stress associated with the misuse of prescription stimulants among students? [Internet]. Substance Use & Misuse. 2019; 54(7):1191-202. DOI: 10.1080/10826084.2019.1572190
34. Shehada M, Alfakhry G, Jamous I, Aljoujou A, Abdul-Hak M. Major stress sources amongst dental students at Damascus University [Internet]. Syria. Int Dent J. 2023; 73(2):205-11. DOI: 10.1016/j.identj.2022.03.005
35. Zapata-Lamana R, Sanhueza-Campos C, Stuardo-Álvarez M, Ibarra-Mora J, Mardones-Contreras M, Reyes-Molina D, et al. Anxiety, low self-esteem and a low happiness index are associated with poor school performance in Chilean adolescents: a cross-sectional análisis [Internet]. Int J Environ Res Public Health. 2021 [acceso: 07/05/2024]; 18(21):11685. Disponible en: https://www.mdpi.com/1660-4601/18/21/11685
36. Guan N, Guariglia A, Moore P, Xu F, Al-Janabi H. Financial stress and depression in adults: a systematic review [Internet]. PLoS One. 2022; 17(2):e0264041. DOI: 10.1371/journal.pone.0264041
37. Lehrer P, Derby L, Caswell J, Grable J, Hanlon R. Physiological Effects of Psychological Interventions Among Persons with Financial Stress: A Systematic Review, Meta-analysis, and Introduction to Psychophysiological Economics [Internet]. Appl Psychophysiol Biofeedback. 2024; 49(4):503-21. DOI: 10.1007/s10484-024-09658-x
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