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Depression, Anxiety, and Stress in Dental Students and Associations with Sociodemographic Variables and the Academic Environment

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Abstract

To determine the occurrence of symptoms of depression, anxiety, and stress in dental students from public higher education institutions in the state of Paraíba, Brazil, and their associations with sociodemographic and academic environment variables. Sociodemographic characteristics were collected using a specific questionnaire created by the researchers. Data related to the occurrence of symptoms of depression, anxiety, and stress were collected using the Depression, Anxiety and Stress Scale–21 items (DASS-21). The sample was composed of 488 undergraduate students, and the significance level for decisions on the statistical tests was set at 5%. The prevalence of depression, anxiety, and stress was 60.0%, 59.8%, and 60.9%, respectively. The multivariate analysis revealed that considering quitting the course was associated with all outcomes: depression (p = 0.001), anxiety (p < 0.001), and stress (p < 0.008). Furthermore, depression was associated with less practice of religion (p = 0.02) or non-belief (p = 0.004), lower family income (p = 0.045), or intermediate family income (p = 0.039). Anxiety was associated with an intermediate family income (p = 0.001), and stress was associated with less practice of physical exercise (p = 0.020). Such associations underscore the need for discussions on mental health in the academic environment, as the dental educational context is not structured in such a way as to ensure the mental health of the students. Dental schools should offer support to solve such problems, assisting in the avoidance of psychological disorders related to the academic environment as well as in the management of such disorders when they do arise.

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The data and materials are available from the corresponding author upon any reasonable request.

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Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by MÁdOV, ÉP, LdSD, FDSF, SD’ÁLBC and ACdLTM. The first draft of the manuscript was written by MÁdOV, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Murilo Áquila de Oliveira Viana.

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Ethical Approval

This study received approval from the institutional review board of Universidade Estadual da Paraíba (process number: 28826820.5.0000.5187; certificate number: 3.834.202) and was conducted in accordance with all ethical principles stipulated in Resolution 466/2012 of the Brazilian National Board of Health as well as the ethical precepts found in the Declaration of Helsinki with regards to research involving human subjects.

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All participants provided informed consent online prior to completing the questionnaires and were assured confidentiality and anonymity. The participants were also informed that they could withdraw consent at any time.

Consent for Publication

All participants signed a statement agreeing to the future publication of their data provided that no identities are revealed.

Conflict of Interest

The authors declare no competing interests.

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de Oliveira Viana, M.Á., Porto, É., dos Santos Dantas, L. et al. Depression, Anxiety, and Stress in Dental Students and Associations with Sociodemographic Variables and the Academic Environment. Trends in Psychol. (2024). https://doi.org/10.1007/s43076-024-00359-2

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  • DOI: https://doi.org/10.1007/s43076-024-00359-2

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