Main Article Content
Abstract
Background: This study aims to compare dental students' anxiety levels before and after the COVID-19 pandemic. Additionally, it seeks to assess their concerns about potential future threats, such as a hypothetical disease with similar or more severe impacts than COVID-19, referred to as 'Disease X, 'and identify the most effective methods to support them during such challenging times. Methods: The present descriptive observational study was conducted from October 2019 to February 2023, with a sample size of 329 participants. One hundred dental students completed the State-Trait Anxiety Inventory for Adults (STAI-AD), a widely used psychological instrument for measuring anxiety, before (n=51) and after (n=49) the COVID-19 pandemic. Additionally, 229 students responded to an online questionnaire addressing their concerns about the re-emergence of pandemics or disease X. The anxiety scores were analyzed using a t-test and the survey using descriptive statistics and a t-test, providing a comprehensive understanding of the student's mental health and concerns. Results: Our findings reveal a significant increase in anxiety scores after the COVID-19 pandemic (P<0.0001), underscoring the profound impact of the pandemic on dental students. The majority of students (56%) took a proactive approach and suggested the development of an emergency curriculum plan, including online courses (57%) and virtual preclinical and clinical training (51%), as the most effective strategies to address their concerns about the re-emergence of a pandemic. Conclusions: The pandemic increased the anxiety of dental students, and many of them are concerned about the recurrence of future pandemics or disease X.
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References
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- Iserson K V. The Next Pandemic: Prepare for “Disease X.” Western Journal of Emergency Medicine [Internet]. 2020 [cited 2024 Jun 21];21(4):756. Available from: /pmc/articles/PMC7390567/
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- Murphy RJ, Gray SA, Sterling G, Reeves K, DuCette J. A Comparative Study of Professional Student Stress. J Dent Educ. 2009 Mar;73(3):328–37.
- Spencer J. Decline in empathy in medical education: how can we stop the rot? Med Educ. 2004 Sep;38(9):916–8.
- Kwaik AA, Saleh R, Danadneh M, Kateeb E. Stress, anxiety and depression among dental students in times of covid-19 lockdown. Int J Dent Oral Sci. 2021;8(2):1397–401.
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- Harrel SK, Molinari J. Aerosols and splatter in dentistry: A brief review of the literature and infection control implications. The Journal of the American Dental Association. 2004 Apr 1;135(4):429–37.
- Ghai S. Are dental schools adequately preparing dental students to face outbreaks of infectious diseases such as COVID-19? J Dent Educ [Internet]. 2020 Jun 1 [cited 2024 Jun 20];84(6):631–3. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/jdd.12174
- Maltezou HC, Tseroni M, Vorou R, Koutsolioutsou A, Antoniadou M, Tzoutzas I, et al. Preparing dental schools to refunction safely during the COVID-19 pandemic: an infection prevention and control perspective. The Journal of Infection in Developing Countries [Internet]. 2021 Jan 31 [cited 2024 Jun 20];15(01):22–31. Available from: https://jidc.org/index.php/journal/article/view/14336
- Suryakumari VBP, Pallavi Reddy Y, Yadav SS, Doshi D, Surekha Reddy V. Assessing Fear and Anxiety of Corona Virus Among Dental Practitioners. Disaster Med Public Health Prep. 2022;16(2).
- van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. N Engl J Med. 2020 Apr 16;382(16):1564–7.
- Ardekani A, Hosseini SA, Tabari P, Rahimian Z, Feili A, Amini M, et al. Student support systems for undergraduate medical students during the COVID-19 pandemic: a systematic narrative review of the literature. BMC Med Educ [Internet]. 2021 Dec 1 [cited 2024 Jun 20];21(1):1–11. Available from: https://link.springer.com/articles/10.1186/s12909-021-02791-9
References
Santabarbara J, Idoiaga N, Ozamiz-Etxebarria N, Bueno-Notivol J. Prevalence of anxiety in dental students during the covid-19 outbreak: A meta-analysis. Int J Environ Res Public Health [Internet]. 2021 Oct 1 [cited 2024 Jun 20];18(20):10978. Available from: https://www.mdpi.com/1660-4601/18/20/10978/htm
Raza T, Shehzad M, Abbas M, Eash NS, Jatav HS, Sillanpaa M, et al. Impact assessment of COVID-19 global pandemic on water, environment, and humans. Environmental Advances. 2023 Apr 1;11:100328.
Naseer S, Khalid S, Parveen S, Abbass K, Song H, Achim MV. COVID-19 outbreak: Impact on global economy. Front Public Health. 2023 Jan 30;10:1009393.
Iserson K V. The Next Pandemic: Prepare for “Disease X.” Western Journal of Emergency Medicine [Internet]. 2020 [cited 2024 Jun 21];21(4):756. Available from: /pmc/articles/PMC7390567/
Huang Y, Su X, Si M, Xiao W, Wang H, Wang W, et al. The impacts of coping style and perceived social support on the mental health of undergraduate students during the early phases of the COVID-19 pandemic in China: a multicenter survey. BMC Psychiatry. 2021 Dec 1;21(1):1–12.
Zhuo L, Wu Q, Le H, Li H, Zheng L, Ma G, et al. COVID-19-Related Intolerance of Uncertainty and Mental Health among Back-To-School Students in Wuhan: The Moderation Effect of Social Support. Int J Environ Res Public Health. 2021 Feb 1;18(3):1–11.
KESER G, NAMDAR PEKİNER F. EVALUATION OF ONLINE LEARNING PROCESS OF INTERN DENTAL STUDENTS DURING THE COVID-19 PANDEMIC PERIOD: A SURVEY. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2022 Jul 17;1–1.
Yildirim TT, Atas O. The evaluation of psychological state of dental students during the COVID-19 pandemic. Braz Oral Res. 2021 May 10;35:e069.
Özdede M, Sahin SC. Views and anxiety levels of Turkish dental students during the COVID-19 pandemic. Journal of Stomatology. 2020 Jun 30;73(3):123–8.
Ramachandran S. Exploring mental health, stressors and coping behaviors among dental students during the COVID-19 pandemic. 2022;
Basudan S, Binanzan N, Alhassan A. Depression, anxiety and stress in dental students. Int J Med Educ [Internet]. 2017 May 24 [cited 2024 Jun 20];8:179. Available from: /pmc/articles/PMC5457790/
Spielberger CD, Gonzalez-Reigosa F, Martinez-Urrutia A, Natalicio LFS, Natalicio DS. The State-Trait Anxiety Inventory. Revista Interamericana de Psicología/Interamerican Journal of Psychology [Internet]. 1971 [cited 2024 May 27];5(3 & 4):3–4. Available from: https://journal.sipsych.org/index.php/IJP/article/view/620
Tluczek A, Henriques JB, Brown RL. Support for the Reliability and Validity of a Six-Item State Anxiety Scale Derived From the State-Trait Anxiety Inventory. J Nurs Meas [Internet]. 2009 [cited 2024 May 28];17(1):19. Available from: /pmc/articles/PMC2776769/
Murphy RJ, Gray SA, Sterling G, Reeves K, DuCette J. A Comparative Study of Professional Student Stress. J Dent Educ. 2009 Mar;73(3):328–37.
Spencer J. Decline in empathy in medical education: how can we stop the rot? Med Educ. 2004 Sep;38(9):916–8.
Kwaik AA, Saleh R, Danadneh M, Kateeb E. Stress, anxiety and depression among dental students in times of covid-19 lockdown. Int J Dent Oral Sci. 2021;8(2):1397–401.
Sahu P, Sahu P. Closure of Universities Due to Coronavirus Disease 2019 (COVID-19): Impact on Education and Mental Health of Students and Academic Staff. Cureus. 2020 Apr 4;12(4).
Alkahtani FN, Almohareb RA, Barakat RM. Academic performance and dental student satisfaction with emergency remote teaching of endodontics during COVID-19 pandemic: A retrospective cohort study. Saudi Endodontic Journal. 2021 Sep 1;11(3):321–6.
Yan X, Zou Y. Optimal and sub-optimal quarantine and isolation control in SARS epidemics. Math Comput Model. 2008 Jan;47(1):235.
Erdilek D, Gümüştaş B, Efes BG. Digitalization era of dental education: A systematic review. Dent Med Probl [Internet]. 2023 Jul 1 [cited 2024 Jun 20];60(3):513–25. Available from: https://dmp.umw.edu.pl/en/article/2023/60/3/513/
Alkahtani FN, Almohareb RA, Barakat RM. Academic performance and dental student satisfaction with emergency remote teaching of endodontics during COVID-19 pandemic: A retrospective cohort study. Saudi Endodontic Journal [Internet]. 2021 Sep 1 [cited 2024 Jun 20];11(3):321–6. Available from: https://journals.lww.com/senj/fulltext/2021/11030/academic_performance_and_dental_student.7.aspx
Ishak T, Kurniawan R, Zainuddin Z, Keumala CM. The role of pre-class asynchronous online video lectures in flipped-class instruction: Identifying students’ perceived need satisfaction. Journal of Pedagogical Research [Internet]. 2020 [cited 2024 Jun 20];4(1):1–11. Available from: https://researchnow.flinders.edu.au/en/publications/the-role-of-pre-class-asynchronous-online-video-lectures-in-flipp
Bazoua C, Rahim A, Robinson R, Webster J, Brierley DJ. Exploring the Ways in which Generation-Z Dental Students Learn and How this Could Impact Dental Foundation Training. DentalUpdate [Internet]. 2023 Oct 11 [cited 2024 Jun 20];50(9):724–7. Available from: https://www.magonlinelibrary.com/doi/10.12968/denu.2023.50.9.724
Rao GKL, Mokhtar N. Dental Education in the Information Age: Teaching Dentistry to Generation Z Learners Using an Autonomous Smart Learning Environment. In: Handbook of Research on Instructional Technologies in Health Education and Allied Disciplines [Internet]. IGI Global; 2023 [cited 2024 Jun 20]. p. 243–64. Available from: https://www.igi-global.com/chapter/dental-education-in-the-information-age/320383
Saghiri MA, Vakhnovetsky J, Nadershahi N. Scoping review of artificial intelligence and immersive digital tools in dental education. J Dent Educ [Internet]. 2022 Jun 1 [cited 2024 Jun 20];86(6):736–50. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/jdd.12856
Harrel SK, Molinari J. Aerosols and splatter in dentistry: A brief review of the literature and infection control implications. The Journal of the American Dental Association. 2004 Apr 1;135(4):429–37.
Ghai S. Are dental schools adequately preparing dental students to face outbreaks of infectious diseases such as COVID-19? J Dent Educ [Internet]. 2020 Jun 1 [cited 2024 Jun 20];84(6):631–3. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/jdd.12174
Maltezou HC, Tseroni M, Vorou R, Koutsolioutsou A, Antoniadou M, Tzoutzas I, et al. Preparing dental schools to refunction safely during the COVID-19 pandemic: an infection prevention and control perspective. The Journal of Infection in Developing Countries [Internet]. 2021 Jan 31 [cited 2024 Jun 20];15(01):22–31. Available from: https://jidc.org/index.php/journal/article/view/14336
Suryakumari VBP, Pallavi Reddy Y, Yadav SS, Doshi D, Surekha Reddy V. Assessing Fear and Anxiety of Corona Virus Among Dental Practitioners. Disaster Med Public Health Prep. 2022;16(2).
van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. N Engl J Med. 2020 Apr 16;382(16):1564–7.
Ardekani A, Hosseini SA, Tabari P, Rahimian Z, Feili A, Amini M, et al. Student support systems for undergraduate medical students during the COVID-19 pandemic: a systematic narrative review of the literature. BMC Med Educ [Internet]. 2021 Dec 1 [cited 2024 Jun 20];21(1):1–11. Available from: https://link.springer.com/articles/10.1186/s12909-021-02791-9
