The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 23 , ISSUE 5 ( May, 2022 ) > List of Articles

ORIGINAL RESEARCH

Prevalence of Symptoms of Depression, Anxiety, and Stress among Undergraduate Dental Students in Malaysia

Renjith Pallivathukal George, Preethy Mary Donald, Htoo Htoo Kyaw Soe, Shin Chuen Tee, Jolyn Toh, Michelle Joe Qian Cheah

Keywords : Anxiety, Dentistry, Depression, Stress, Students

Citation Information : George RP, Donald PM, Soe HH, Tee SC, Toh J, Cheah MJ. Prevalence of Symptoms of Depression, Anxiety, and Stress among Undergraduate Dental Students in Malaysia. J Contemp Dent Pract 2022; 23 (5):532-538.

DOI: 10.5005/jp-journals-10024-3340

License: CC BY-NC 4.0

Published Online: 10-08-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: The aim of this study was to assess the prevalence of depression, anxiety, and stress among dental students and its association with factors such as gender, year of study, phase of the course, and ethnicity. Materials and methods: A questionnaire-based cross-sectional study was conducted among medical students in a medical institute in Malaysia. Prevalence of depression, anxiety, and stress was assessed by Depression, Anxiety, and Stress Scale-21 (DASS-21). Results: A total of 351 students took part in the study with a mean age of 22.38 (+1.69) years. The overall prevalence of depression, anxiety, and stress with varying severity among the study population was 60.4, 75.2, and 50.4%, respectively. The prevalence of symptoms of depression among the study population appears to be independent of gender, ethnicity, and academic year of study. Our results show that stress and anxiety may be influenced by gender with more prevalence in females. Conclusion: Early detection of symptoms of depression, anxiety and stress is of great importance to take timely remedial action to keep the mental well-being of individuals. Maintaining the mental health of young medical professionals is a need of society in the present world. Further studies are suggested to recognize other factors associated with depression, anxiety, and stress among dental students. Clinical significance: Considering the students who experience depression, anxiety, or stress during undergraduate schooling, appropriate measures shall be taken to ensure effective learning. Students who have shown higher scores shall be advised for further follow-up and treatment strategies or appropriate counseling programs.


PDF Share
  1. World Health Organization. Mental health action plan 2013–2020. 2022. Available at: https://www.who.int/publications-detail-redirect/9789241506021. Accessed on: 22 July 2022.
  2. Kendrick T, Pilling S. Common mental health disorders—identification and pathways to care: NICE clinical guideline. Br J Gen Pract 2012;62(594):47–49. DOI: 10.3399/bjgp12X616481.
  3. Cohen S, Kessler RC, Gordon LU. Strategies for measuring stress in studies of psychiatric and physical disorders. In: Cohen S, Kessler RC, Underwood-Gordon L, editors. Measuring stress. New York: Oxford University Press; 1995. pp. 3–28.
  4. Sarkhel S. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry, 10th edition. Indian J Psychiatry 2009;51(4):331. PMCID: PMC2802389.
  5. Mayo Clinic – Mayo Foundation for Medical Education and Research. Depression and anxiety can occur together. 2017. Available at: https://www.mayoclinic.org/diseases-conditions/depression/expert-answers/depression-and-anxiety/faq-20057989. Accessed on: 22 July 2022.
  6. Buchanan JL. Prevention of depression in the college student population: A review of the literature. Arch Psychiatric Nursing 2012;26(1):21–42. DOI: 10.1016/j.apnu.2011.03.003.
  7. Rajab LD. Perceived sources of stress among dental students at the University of Jordan. J Dent Educ 2001;65(3):232–241. PMID: 11318088.
  8. Basudan S, Binanzan N, Alhassan A. Depression, anxiety and stress in dental students. Int J Med Educ 2017;8:179–186. DOI: 10.5116/ijme.5910.b961.
  9. Abdulghani HM, AlKanhal AA, Mahmoud ES, et al. Stress and its effects on medical students: A cross-sectional study at a college of medicine in Saudi Arabia. J Health Popul Nutr 2011;29(5). DOI: 10.3329/jhpn.v29i5.8906.
  10. Hysenbegasi A, Hass SL, Rowland CR. The impact of depression on the academic productivity of university students. J Ment Health Policy Econ 2005;8(3):145–151. PMID: 16278502.
  11. Firth–Cozens J, Greenhalgh J. Doctors’ perceptions of the links between stress and lowered clinical care. Soc Sci Med 1997;44(7):1017–1022. DOI: 10.1016/s0277-9536(96)00227-4.
  12. Gloster AT, Rhoades HM, Novy D, et al. Psychometric properties of the depression anxiety and stress scale-21 in older primary care patients. J Affect Disord 2008;110(3):248–259. DOI: 10.1016/j.jad.2008.01.023.
  13. Antony MM, Bieling PJ, Cox BJ, et al. Psychometric properties of the 42-item and 21-item versions of the depression anxiety stress scales in clinical groups and a community sample. Psychological Assessment 1998;10(2):176–181. DOI: 10.1037/1040-3590.10.2.176.
  14. Westerman GH, Grandy TG, Ocanto RA, et al. Perceived sources of stress in the dental school environment. J Dent Educ 1993;57(3):225–231. PMID: 8454777.
  15. DASS – Psychology Foundation of Australia. Overview of the DASS and its uses. 2022. Available at: http://www2.psy.unsw.edu.au/dass/over.htm. Accessed on: 22 July 2022.
  16. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales, 2nd edition. Sydney: DASS – Psychology Foundation of Australia; 1996. (Order the manual on the UNSW website: http://www2.psy.unsw.edu.au/dass/order.htm). Accessed on: 22 July 2022.
  17. Mohebian M, Dadashi M, Motamed N, et al. Evaluation of depression, anxiety, stress levels and stressors among dental students of Zanjan University of Medical Sciences in academic year of 2015-2016. J Med Educ Dev 2017;10(26):60–71. DOI: 10.29252/edcj.10.26.60.
  18. Wahed AWY, Hassan SK. Prevalence and associated factors of stress, anxiety and depression among Medical Fayoum University students. Alex J Med 2017;53(1):77–84. DOI: 10.1016/j.ajme.2016.01.005.
  19. Yaacob M, Harun NA, Ramli F, et al. Depression, anxiety and stress among dental undergraduate students: Prevalence, stressors and relieving factors. IMJM 2018;17(2):123–130. DOI: 10.31436/imjm.v17i2.946.
  20. Shamsuddin K, Fadzil F, Ismail WS, et al. Correlates of depression, anxiety and stress among Malaysian university students. Asian J Psychiatr 2013;6(4):318–323. DOI: 10.1016/j.ajp.2013.01.014.
  21. 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(3):354–357. DOI: 10.4103/0971-5916.156571.
  22. Alshloul MN, Bdair IA, Alalyani MM. Severity of depression, anxiety, and stress among undergraduate health science students in Abha, Saudi Arabia. Open J Psychiatry Allied Sci 2021;12(2):132–139. DOI: 10.5958/2394- 2061.2021.00029.X.
  23. Bayram N, Bilgel N. The prevalence and socio–demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol 2008;43(8):667–672. DOI: 10.1007/s00127-008-0345-x.
  24. Radeef AS, Faisal GG, Ali SM, et al. Source of stressors and emotional disturbances among undergraduate science students in Malaysia. Int J Med Res Health Sci 2014;3(2):401–410. DOI: 10.5958/j.2319-5886.3.2.082.
  25. Sravani A, Doshi D, Kulkarni S, et al. Depression, anxiety, and stress among undergraduate dental students in Hyderabad City, Telangana, India: A cross-sectional study. J Indian Assoc Public Health Dent 2018;16(1):26–29. DOI: 10.4103/jiaphd.jiaphd_10_17.
  26. Teh CK, Ngo CW, Zulkifli RA, et al. Depression, anxiety and stress among undergraduate students: A cross-sectional study. Open J Epidemiol 2015;05(04):260–268. DOI: 10.4236/Ojepi.2015.54030.
  27. Hassan M, Hayati KS, Salmiah MS. “Are fresh free of undergraduate students in a public university free of psychological problems: A proposed study of depression, anxiety, stress and their coping mechanisms, Int J Public Health Clin Sci 2015;2(1):174–190. Available at: http://publichealthmy.org/ejournal/ojs2/index.php/ijphcs/article/view/157. Accessed on: 22 July 2022.
  28. Ngasa SN, Sama CB, Dzekem BS, et al. Prevalence and factors associated with depression among medical students in Cameroon: A cross-sectional study. BMC Psychiatry 2017;17(1):216. DOI: 10.1186/s12888-017-1382-3.
  29. Nayan MNA, Daud CAZ, Jamaluddin TTI, et al. Perceived depression, anxiety and stress among UiTM dental undergraduates in clinical years. Environ Behav Proc J 2017;2(6):81. DOI: 10.21834/E-BPJ.V2I6.954.
  30. Bostanci M, Ozdel O, Oguzhanoglu NK, et al. Depressive symptomatology among university students in Denizli, Turkey: Prevalence and sociodemographic correlates. Croat Med J 2005;46(1):96–100. PMID: 15726682.
  31. Tedesco LA. A psychosocial perspective on the dental educational experience and student performance. J Dent Educ 1986;50(10):601–605.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.