Citation Information :
Terán E, Mayta-Tovalino F. Risk Factors, Self-perceived Stress, and Clinical Training among Dentistry Students in Peru: A Cross-sectional Study. J Contemp Dent Pract 2019; 20 (5):561-562.
Introduction: This is a cross-sectional research on the impact of academic stress to which Peruvian students of dentistry are exposed and the various risk factors that affect academic performance and clinical and preclinical training.
Aim: The aim of this study is to determine the association of the perceptions of stress and the risk factors in students who take preclinical and clinical courses of a Peruvian private university.
Materials and methods: This cross-sectional study evaluated 222 students of the School of Dental Medicine at the Universidad Privada de Ciencias Aplicadas (UPC). To measure stress levels, we used the Dental Environment Stress (DES) questionnaire that was previously validated in Spanish. Data, such as age, sex, and year of study, were collected in a file made for this study. The students belonged to the 1st and the 5th year of study and authorized their participation through informed consent. In the data analysis, the odds ratio and the Chi-square test were used.
Results: We found that clinical students have 2.96 times higher risk of having stress than preclinical students. Within these categories, in the preclinical level, the first-year students show the higher stress levels (68.2% in moderately stressful and very stressful 15.1%), while in the clinical level, the third-year students had a higher stress level (80.9% in moderately stressful and 19% in very stressful). Our data show no association between sex and stress levels of the students (p = 0.508).
Conclusion: Clinical students show more stress level with 2.96 times higher risk for stress compared to preclinical students. In the preclinical level, the first-year students showed a higher stress level, while in the clinical level, third-year students had a higher stress level. Our data show no association between sex and stress levels of students.
Clinical significance: The impact of stress on dentistry students significantly influences their performance at the time of performing dental treatment protocols. This research shows the direct relationship that exists between these variables.
Harikiran AG, Srinagesh J, et al. Perceived sources of stress amongst final year dental under graduate students in a dental teaching institution at Bangalore, India: a cross sectional study. Indian J Dent Res 2012;23(3):331–336. DOI: 10.4103/0970-9290.102218.
Sedky NA. Perceived Sources of Stress among Junior & Mid-Senior Egyptian Dental Students. Int J Health Sci 2012;6(2):141–157.
Silva O, Palomino S, et al. J Environ Public Health 2018;2018:1–7.
Bedoya SA, Perea M, et al. Evaluación de niveles, situaciones generadoras y manifestaciones de estrés académico en alumnos de tercer y cuarto año de una Facultad de Estomatología. Rev Estomatol Herediana 2006;16(1):15–20.
Jaramillo G, Caro H, et al. Dispositivos desencadenantes de estrés y ansiedad en estudiantes de Odontología de la Universidad de Antioquia. Rev Fac Odont Antioq 2008;20(1):49–57.
Preciado-Serrano M, Vasuezz-Goñi JM. Stress profile and burnout syndrome in mexican dental students of a public university. Rev Chil Neuro-Psiuiat 2010;48(1):11–19.
Acharya S. Factors affecting stress among Indian dental students. J Dent Educ 2003;67(10):1140–1148.
Polychronopoulou A, Divaris K. Dental students’ perceived sources of stress: a multi-country study. J Dent Educ 2009;73(5):631–639.
Garbee WH Jr, Zucker SB, et al. Perceived sources of stress among dental students. J Am Dent Assoc 1980;100(6):853–857.
Kumar S, Dagli RJ, et al. Perceived sources of stress amongst Indian dental students. Eur J Dent Educ 2009;13(1):39–45. DOI: 10.1111/j.1600- 0579.2008.00535.x.
Fonseca J, Divaris K, et al. Perceived sources of stress amongst Chilean and Argentinean dental students. Eur J Dent Educ 2013;17(1):30–38. DOI: 10.1111/eje.12004.
Polychronopoulou A, Divaris K. Perceived sources of stress among Greek dental students. J Dent Educ 2005;69(6):687–692.
Sugiura G, Shinada K, et al. Psychological well-being and perceptions of stress amongst Japanese dental students. Eur J Dent Educ 2005;9(1):17–25. DOI: 10.1111/j.1600-0579.2004.00352.x.
Sofola OO, Jeboda SO. Perceived sources of stress in Nigerian dental students. Eur J Dent Educ 2006;10(1):20–23. DOI: 10.1111/j.1600- 0579.2006.00391.x
Muirhead V, Locker D. Canadian dental students’ perceptions of stress and social support. Eur J Dent Educ 2008;12(3):144–148. DOI: 10.1111/j.1600-0579.2008.00512.x.
Morse Z, Dravo U. Stress levels of dental students at the Fiji School of Medicine. Eur J Dent Educ 2007;11(2):99–103. DOI: 10.1111/j.1600- 0579.2007.00435.x
Gorter R, Freeman R, et al. Psychological stress and health in undergraduate dental students: fifth year outcomes compared with first year baseline results from five European dental schools. Eur J Dent Educ 2008;12(2):61–68. DOI: 10.1111/j.1600- 0579.2008.00468.x.
Saeed A, Bahnassy A, et al. Perceived stress and associated factors among medical students. J Family Community Med 2016;23(3): 166–171. DOI: 10.4103/2230-8229.189132.
Abu-Ghazaleh SB, Rajab LD, et al. Psychological stress among dental students at the University of Jordan. J Dent Educ 2011;75(8): 1107–1114.
Tangade PS, Mathur A, et al. Assessment of Stress Level among Dental School Students: An Indian Outlook. Dent Res J 2011;8(2): 95–101.
Alzahem AM, van der Molen HT, et al. Stress amongst dental students: a systematic review. Eur J Dent Educ 2011;15(1):8–18. DOI: 10.1111/j.1600-0579.2010.00640.x.
Divaris K, Polychronopoulou A, et al. Stress and burnout in postgraduate dental education. Eur J Dent Educ 2012;16(1):35–42. DOI: 10.1111/j.1600-0579.2011.00715.x.
Halboub E, Alhajj MN, et al. Perceived Stress among Undergraduate Dental Students in Relation to Gender, Clinical Training and Academic Performance. Acta Stomatol Croat 2018;52(1):37–45. DOI: 10.15644/asc52/1/6.
Al-Samadani KH, Al-Dharrab A. The Perception of Stress among Clinical Dental Students. World J Dent 2013;4(1):24–28.
Cardoso C, Loureiro L, et al. Pediatric dental treatment: Manifestations of stress in patients, mothers and dental school students. Braz Oral Res 2004;18(2):150–155.
Sanders AE, Lushington K. Effect of perceived stress on student performance in dental school. J Dent Educ 2002 Jan;66(1):75–81.
Newbury D, Lowry R, et al. The changing patterns of drinking illicit drug use, stress, anxiety and depression in dental students in a UK dental school: a longitudinal study. Br Dent J 2002;192(11): 646–649.
Terán E. Asociación de la percepción de estrés de los estudiantes que cursan asignaturas preclinicas con los que cursan asignaturas clínicas en la Escuela de Odontología de la UPC durante el 2013. Thesis Lima, Peru: Universidad Peruana de Ciencias Aplicadas, 2014.