Document Type : Original Article
Authors
1 Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
2 Department of Periodontics and Community Dentistry, Dr. Ziauddin Ahmad Dental College, Faculty of Medicine, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
3 Department of Public Health Dentistry, Manav Rachna Dental College, FDS, MRIIRS, Faridabad, Haryana, India
4 Department of Periodontics and Community Dentistry, Dr. Ziauddin Ahmad Dental College, Faculty of Medicine, Aligarh Muslim University, Aligarh, Uttar Pradesh, India,
Abstract
BACKGROUND: The objective was to assess the prevalence and the associated demographic
factors of stress, anxiety, and depression among undergraduate (UG) Indian dental students and
determine whether the pattern is different in government‑run institutions and those managed by
private authorities.
MATERIALS AND METHODS: A cross‑sectional study was conducted among dental UG students
from five dental colleges. Snowball sampling was used to approach 776 potential participants, resulting
in a complete response from 507 students. The questionnaire consisted of demographic data; year
of study; type of college; accommodation; and Depression, Anxiety, and Stress Scale (DASS)‑42.
Descriptive data and inferential statistics were obtained. Chi‑square test was applied for categorical
data to test for significance, and higher analysis was done using multiple linear regression.
RESULTS: Females and males comprised 71.8% (n = 364) and 28.2% (n = 143) of the study
population, respectively. The prevalence of anxiety was highest (66.86%, n = 339), followed by
depression (57.39%, n = 291) and stress (43.99%, n = 223). In terms of severity also, anxiety was
the most prevalent condition as more than one‑fourth of the students presented with severe and
very severe scores in this aspect (25.43%, n = 129) compared to depression (14.39%, n = 73) and
stress (10.09%, n = 51). Regression analysis revealed age as a strong positive predictor for all the
three conditions, while staying in the hostel was a positive predictor for anxiety and stress. Being
female was also an independent predictor for the high prevalence of stress.
CONCLUSION: Stress, anxiety, and depression are highly prevalent among Indian dental students.
Clinical students and interns have a higher prevalence of stress than preclinical students. Age,
being female, and staying in the hostel are positive predictors for the severity of stress. There is no
significant difference between government and private colleges, regarding the prevalence of any
psychological condition.
Keywords
review. Eur J Dent Educ 2011;15:8‑18.
2. Lloyd C, Musser LA. Psychiatric symptoms in dental students.
J Nerv Ment Dis 1989;177:61‑9.
3. Humphris G, Blinkhorn A, FreemanR, GorterR, Hoad‑Reddick G,
Murtomaa H, et al. Psychological stress in undergraduate dental
students: Baseline results from seven European dental schools.
Eur J Dent Educ 2002;6:22‑9.
4. Murphy RJ, Gray SA, Sterling G, Reeves K, DuCette J.
A comparative study of professional student stress. J Dent Educ
2009;73:328‑37.
5. Al‑Saleh SA, Al‑Madi EM, Al‑Angari NS, Al‑Shehri HA,
Shukri MM. Survey of perceived stress‑inducing problems among
dental students, Saudi Arabia. Saudi Dent J 2010;22:83‑8.
6. Bathla M, Singh M, Kulhara P, Chandna S, Aneja J. Evaluation of
anxiety, depression and suicidal intent in undergraduate dental
students: Across‑sectional study. Contemp Clin Dent 2015;6:215‑22.
7. Rehmani N, Khan QA, Fatima SS. Stress, anxiety and depression
in students of a private medical school in Karachi, Pakistan. Pak
J Med Sci 2018;34:696‑701.
8. Iqbal S, Gupta S, Venkatarao E. Stress, anxiety and
depression among medical undergraduate students and their
socio‑demographic correlates. Indian J Med Res 2015;141:354‑7.
9. Basudan S, Binanzan N, Alhassan A. Depression, anxiety and
stress in dental students. Int J Med Educ 2017;8:179‑86.
10. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety
Stress Scales. second ed. Sydney: Psychology Foundation; 1995.
11. Henry JD, Crawford JR. The short‑form version of the Depression
Anxiety Stress Scales (DASS‑21): Construct validity and normative
data in a large nonclinical sample. Br J Clin Psychol 2005;44:227‑39.
12. Madhan B, Barik AK, Patil R, Gayathri H, Reddy MS. Sense of
humor and its association with psychological disturbances among
dental students in India. J Dent Educ 2013;77:1338‑44.
13. Tangade PS, Mathur A, Gupta R, Chaudhary S. Assessment of
stress level among dental school students: An Indian outlook.
Dent Res J (Isfahan) 2011;8:95‑101.
14. Raghunathan D, Ramakrishnan D, Valsan KI, Ambika S.
Prevalence of depression among students of a dental tertiary care
center in Kerala. Indian J Community Med 2019;44 Suppl 1:14.
15. Jain M, Sharma A, Singh S, Jain V, Miglani S. The stress of clinical
dental training: A cross‑sectional survey among dental students
and dentists of a dental college in India. J Indian Assoc Public
Health Dent 2016;14:434‑9.
16. Deshpande A, Chari S. Perceived sources of stress and coping
strategies in dental students and interns. J Psychol 2014;5:133‑41.
17. Sekhon TS, Grewal S, Gambhir RS, Sharma S. Perceived sources
of stress among dental college students: An Indian perspective.
Eur J Gen Dent 2015;4:121‑6.
18. Poongothai S, Pradeepa R, Ganesan A, Mohan V. Prevalence
of depression in a large urban South Indian population – The
Chennai urban rural epidemiology study (CURES70). PLoS
One 2009;4:e7185.
19. Aboalshamat K, HouXY, Strodl E. Psychological well‑being status
among medical and dental students in Makkah, Saudi Arabia:
A cross‑sectional study. Med Teach 2015;37 Suppl 1:S75‑81.
20. Kumar S, Dagli RJ, Mathur A, Jain M, Prabu D, Kulkarni S.
Perceived sources of stress amongst Indian dental students. Eur
J Dent Educ 2009;13:39‑45.
21. Hakim A, Tak H, Nagar S, Bhansal S. Assessment of prevalence
of depression and anxiety and factors associated with them in
undergraduate medical students of Dr. S. N. Medical College,
Jodhpur. Int J Community Med Public Health 2017;4:3267‑72.
22. Taneja N, Sachdeva S, Dwivedi N. Assessment of depression,
anxiety, and stress among medical students enrolled in a
medical college of New Delhi, India. Indian J Soc Psychiatry
2018;34:157‑62.
23. Sanders AE, Lushington K. Effect of perceived stress on student
performance in dental school. J Dent Educ 2002;66:75‑81.
24. Shadman N, Raoof M, Amanpour S, Mahdian M, Haghani J,
Parizi MT. Stress, anxiety, and depression and their related factors
among dental students: A cross‑sectional study from southeast
of Iran. Strides Dev Med Educ 2019;16:e74295.
25. Acharya S. Factors affecting stress among Indian dental students.
J Dent Educ 2003;67:1140‑8.
26. Sedky NA. Perceived sources of stress among junior & mid‑senior
Egyptian dental students. Int J Health Sci (Qassim) 2012;6:141‑57.
27. Srivastava R, Jyoti B, Pradhan D, Kumar M, Priyadarshi P.
Evaluating the stress and its association with stressors among
the dental undergraduate students of Kanpur city, India:
A cross‑sectional study. J Educ Health Promot 2020;9:56.
28. Safaie N, Ketabi S, Kia N, MirmohammadkhaniM, MoonesanMR,
Paknazar F. Exploration of mental health problems in association
with health‑promoting lifestyle profile in Iranian medical
students: A cross‑sectional study. J Educ Health Promot
2020;9:84.
29. Chowdhury CR, Khijmatgar S, Chowdhury A, Harding S,
Lynch E, Gootveld M. Dental anxiety in first‑ and final‑year Indian
dental students. BDJ Open 2019;5:15.
30. Polychronopoulou A, Divaris K. Dental students’ perceived
sources of stress: Amulti‑country study. JDent Educ 2009;73:631‑9.