Journal of Education and Health Promotion

Stress level of dentists during COVID‑19 pandemic in hot spots of Tamil Nadu: A cross‑sectional study

Document Type : Original Article

Authors

. S. Sushanthi
. M. Indumathy
. Arthi Balasubramaniam
Abstract
BACKGROUND: The novel 2019 COVID‑19 spreads by respiratory and aerosols, and this elevates 
the risk of dentistry during this pandemic. Widespread disease, in a short time, creates stress and has 
a psychological impact. The aim of this study was planned to assess the stress level of the dentists 
living or practicing or studying in hot spots which could help to understand mental status among the 
general dentists during COVID‑19 lockdown.
MATERIALS AND METHODS: This cross‑sectional study was conducted during the period of 
August 10 to August 25, 2020, on an Internet platform after getting consent from the dentists and 
practitioners using the Perceived Stress Scale (PSS). Chi‑square association was used. Parametric 
tests such as independent t‑tests and one‑way ANOVA were also used. In all instances, P < 0.05 
was considered statistically significant.
RESULTS: This study had a total response from 1044 dental students and dentists residing in hot 
spot zones in Tamil Nadu. Out of them, 68.4% were female and 31.6% were male. 37.9% of the 
participants were dental practitioners and 32.5% were undergraduate students. There is a significant 
association between age groups and PSS, work style, and PSS. There is no significant association 
between gender and PSS and degree and PSS.
CONCLUSION: This study shows that levels of distress were higher than expected during the 
COVID‑19 pandemic among the dentists and majority of the respondents have moderate‑to‑high‑stress 
levels. As the unlock has been started throughout the country, it is the right time to work with the 
authorities and focus on formulating protocols for disinfection and sterilization and work on treating 
the patients with exact safety measures for the welfare of the patients.

Keywords

Anxiety
depression
pandemic
safety
1. Coronavirus Disease (COVID‑19) – World Health Organization. 
Available from: https://www.who.int/emergencies/diseases/
novel‑coronavirus‑2019. [Last accessed on 2020 Aug 13].
2. Bhatnagar T, Murhekar MV, Soneja M, Gupta N, Giri S, Wig N, 
et al. Lopinavir/ritonavir combination therapy amongst 
symptomatic coronavirus disease 2019 patients in India: Protocol 
for restricted public health emergency use. Indian J Med Res 
2020;151:184‑9.
3. Pulla P. Covid‑19: India imposes lockdown for 21 days and cases 
rise. BMJ 2020;368:m1251.
4. Cheng VC, Wong SC, Chuang VW, So SY, Chen JH, Sridhar S, 
et al. The role of community‑wide wearing of face mask for 
control of coronavirus disease 2019 (COVID‑19) epidemic due 
to SARS‑CoV‑2. J Infect 2020;81:107‑14.
5. Chetterje P. Gaps in India’s preparedness for COVID‑19 control. 
Lancet Infect Dis 2020;20:544.
6. CDC. Coronavirus Disease 2019 (COVID‑19); 2020. Available 
from: https://www.cdc.gov/coronavirus/2019‑ncov/
daily‑life‑coping/managing‑stress‑anxiety.html. [Last accessed 
on 2020 Aug 15].
7. Baum A. Stress, intrusive imagery, and chronic distress. Health 
Psychol 1990;9:653‑75.
8. Dave M, Seoudi N, Coulthard P. Urgent dental care for patients 
during the COVID‑19 pandemic. Lancet 2020;395:1257.
9. Martelli‑Júnior H, Machado RA, Martelli DR, Coletta RD. Dental 
journals and coronavirus disease (COVID‑19): A current view. 
Oral Oncol 2020;106:104664.
10. Ahmed MA, Jouhar R, Ahmed N, Adnan S, Aftab M, Zafar MS, 
et al. Fear and practice modifications among dentists to combat 
novel coronavirus disease (COVID‑19) outbreak. Int J Environ 
Res Public Health 2020;17:E2821.
11. Nair AK, Chellaswamy KS, Kattula D, Thavarajah R, 
Mohandoss AA. Perceived stress and psychological (dis) stress 
among indian endodontists during COVID19 pandemic lock 
down. 2020; Preprint. [doi: 10.1101/2020.05.06.20092601].
12. Cohen S, Kamarck T, Mermelstein R. Perceived Stress Scale. 
Journal of Health and Social Behavior 1983;24:385-96. [doi: 
10.1037/t02889‑000].
13. Raja HZ, Saleem MN, Saleem T, Rashid H, Ehsan S, Hakeem S, 
et al. Perceived stress levels in Pakistani dental students during 
COVID‑19 lockdown. Eur J Dent Oral Health 2020;1:1-7. [doi: 
10.24018/ejdent. 2020.1.4.14].
14. Arun Prakash M. A study of perceived stress levels in medical 
students and dental students in south India. Int Physiol 
2018;6:181‑4. [doi: 10.21088/ip. 2347.1506.6318.2].
15. Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide 
survey of psychological distress among Chinese people in the 
COVID‑19 epidemic: Implications and policy recommendations. 
Gen Psychiatr 2020;33:e100213.
16. Knipe D, Maughan C, Gilbert J, Dymock D, Moran P, Gunnell D. 
Mental health in medical, dentistry and veterinary students: 
Cross‑sectional online survey. BJPsych Open 2018;4:441‑6.
17. Mahal AS, Shah N. Implications of the growth of dental education 
in India. J Dent Educ 2006;70:884‑91.
18. Alani A, Bishop K, Djemal S. The influence of specialty training, 
experience, discussion and reflection on decision making in 
modern restorative treatment planning. Br Dent J 2011;210:E4.
19. Chatterjee P, Anand T, Singh KJ, Rasaily R, Singh R, Das S, 
et al. Healthcare workers & SARS‑CoV‑2 infection in India: 
A case‑control investigation in the time of COVID‑19. Indian J 
Med Res 2020;151:459‑67.
20. 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.
Journal of Education and Health Promotion
Volume 12, Issue 3
March 2022
Pages 1-5

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