scholarly journals A brief cognitive-behavioral intervention for stress, anxiety and depressive symptoms in dental students

Author(s):  
Gabriel Gònzalez ◽  
Vanetza E. Quezada

The objective of the study was to implement a brief cognitive-behavioral psychological intervention focused on helping dental students to cope with symptoms of stress, anxiety, and depression and to describe the main reasons for consulting and the changes perceived by participants of this intervention. The study consisted of an A-B-C design of a series of individual cases, with evaluations at the beginning of treatment, during treatment, and one month after the last session. The sample was composed of five university students who voluntarily requested psychological care for symptoms related to their studies and work in dentistry. To evaluate the symptoms we used the Outcome Questionnaire (OQ) 45.2, the Dental Environment Stress Questionnaire and a semi-structured exit interview. After attending 8 sessions, all 5 participants reduced their perceived stress in the dental environment. Two of the 5 participants initially had dysfunctional scores according to the questionnaire OQ-45.2 and by the end had normal scores. At the same time, the other 3 participants maintained their scores in the normal range. These results match the qualitative outcomes obtained from the exit interview. The participants reported improved coping skills after the intervention. The main limitation is that it was a non-experimental study; likewise causation cannot be attributed to the intervention and generalizations cannot be formed based on so few cases. Nevertheless, the results were promising in that the dentistry students reported that the intervention was necessary and useful for their psychological well-being.

Author(s):  
Cristina D. Presoto ◽  
Ingrid Mertens Silva ◽  
Danielle Wajngarten ◽  
Filipa Pimenta ◽  
Juliana A. D. B. Campos ◽  
...  

Aims: To perform cross-cultural adaptation of the Dental Environment Stress Questionnaire (DES) for use in Portuguese-speaking populations, evaluate its psychometric properties, and determine the effects of gender and educational level in the perception of stress sources in dental students. Methodology: An observational cross-sectional study design was implemented to examine face and content validity. 466 Brazilian students participated in the study in 2015 (UNESP students response rate=79.2%; UNIARA students response rate=82.4%). Construct validity was assessed via the determination of factorial, convergent, and discriminant validity. Reliability was estimated using Cronbach's α, and composite reliability. A model was designed using structural equation modeling, to verify the effects of gender and educational level on the perception of stress sources. Results: The complete model purposed was not a good fit to the sample (λs=0.358–0.955, ꭙ2/df=3.36, CFI=0.881, TLI=0.870, RMSEA=0.071, r=0.426–0.664, AVE=0.366–0.856).  After the removal of item 12 and insertion of a correlation between the errors for items 1 and 2 (LM=399.154) and Items 14 and 16 (LM=146.216) the model fitted the sample (λs=0.411–0.955, ꭙ2/df=2.54, CFI=0.926, TLI=0.919, RMSEA=0.058, AVE=0.363–0.850).  Adequate content validity ratios were observed for 23 items. Gender affected all DES factors, and educational level influenced four factors. Conclusion: Cross-cultural adaptation process provided an instrument that was easy to understand, with adequate idiomatic and cultural equivalence. The Portuguese version of the DES showed good psychometric properties and reliability in the study sample. Gender and educational level exerted significant effects on seven and four factors, respectively.


2020 ◽  
Vol 32 (1) ◽  
pp. 35-41
Author(s):  
Raghad I Kadhum ◽  
Alhan A Qasim

Background: Several pathologies of the oral cavity have been associated with stress. Dental students need to gain assorted proficiencies as theoretical knowledge, clinical proficiencies, and interpersonal dexterity which is accompanied with high level of stress. Uric acid is the major antioxidant in saliva. The aim of this study is to assess the dental caries experience among dental students with different levels of dental environment stress in relation to physicochemical characteristics of whole unstimulated saliva. Materials and Methods: the total sample is composed of 300 dental students (73 males, 227 female) aged 22-23 years old, from collage of dentistry / university of Baghdad, from the 4th and 5th grade. The total sample was classified into three categories (mild stress, moderate stress and severe stress) according to Dental environment stress questionnaire (DESQ); Diagnosis and recording of dental caries were assessed according to Decay, Missed, Filled surface and teeth index (DMFS, DMFT) of WHO criteria in 1987. Unstimulated salivary samples were collected from the 95 dental students from the mild stress group (27 male, 28 female) and from the severe stress group (11 male, 29 female). Then, salivary flow rate was measured and chemically analyzed to determine salivary uric acid concentration. All data were analyzed using statistical package for social science (SPSS) version 21. Results: The mean value of the DMFT and DS fraction was higher among severe stress group of dental environment stress scale with no significant differences (P≥ 0.05), while DMFS, FS and MS fractions were higher among moderate stress group of dental environment stress scale with no significant differences (P≥ 0.05). The data from salivary analysis showed that the mean value of salivary flow rate was lower among severe dental environment stress category than mild dental environment stress category but the difference was statistically not significant, while the mean value of uric acid was higher among students with severe dental environment stress than students with mild dental environment stress with statistically significant difference. The flow rate was negatively correlated with caries experience among both mild and severe stress groups except for the DS was positively correlated with flow rate among students with mild stress. The correlation of uric acid with DMFT was negative among students with mild stress while among severe stress group was positive; however all these correlations were not statistically significant. Conclusion: Dental environment stress appears to affect oral health, shown by higher caries prevalence among dental students with moderate and severe dental environment stress level by affecting the normal level of salivary flow rate and uric acid. Keywords: Dental environment stress, stress, dental caries, flow rate, uric acid.


Medicine ◽  
2019 ◽  
Vol 98 (15) ◽  
pp. e14935 ◽  
Author(s):  
Bernedeth N. Ezegbe ◽  
Chiedu Eseadi ◽  
Moses Onyemaechi Ede ◽  
Janet N. Igbo ◽  
Joy I. Anyanwu ◽  
...  

1993 ◽  
Vol 7 (2) ◽  
pp. 160-172 ◽  
Author(s):  
Graham Jones

This paper reports a case study of a successful cognitive behavioral intervention using performance profiling. The subject, a top-10 female racket sport player, had a problem with her temperament on court, becoming angry and frustrated in pressure situations. Performance profiling was used for three major purposes: (a) to aid the sport psychologist in identifying an appropriate psychological intervention, (b) to maximize the performer’s self-motivation to partake in and adhere to the intervention, and (c) to monitor any changes during the intervention. A multimodal stress management approach was adopted using a combination of component parts from the available packages. The performance profiling technique showed significant improvements in the performer’s ability to cope with pressure situations 3 and 6 months after the intervention.


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