Deeb George R, Braun Sarah, Carrico Caroline, Kinser Patricia, Laskin Daniel, Golob Deeb Janina
Department of Oral and Maxillofacial Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
Eur J Dent Educ. 2018 Feb;22(1):e70-e74. doi: 10.1111/eje.12259. Epub 2017 Feb 27.
The aim of this study was to assess the relationship between burnout, depressive symptoms and suicidal ideation in dental and dental hygiene students and to evaluate the influence of gender, programme type and year of study.
Third- and fourth-year dental (DS) and first- and second-year hygiene students (DHS) completed the Patient Health Questionnaire (PHQ-9) and an abbreviated Maslach Burnout Inventory online as measures of depressive symptoms/suicidality and burnout, respectively. The statistical analyses included summary statistics and tests for intergroup comparisons (chi-square) to evaluate the influence of gender, programme type (DHS or DS) and year of study. Correlations between depression, suicidality and burnout were also conducted.
A total of 32 dental hygiene and 119 dental students participated. 40% of the dental and 38% of the hygiene students met criteria for burnout. No differences were found between years or between programmes. Nine per cent of both dental and hygiene students were above the cut-off for moderate depressive symptoms, but there were no statistical differences between the third- and fourth-year dental and the first- and second-year hygiene students. Six per cent of the dental and 9% of the dental hygiene students were above the cut-off for clinically significant suicidal ideation, but there were no statistical differences between dental and hygiene students. There were no differences noted in the dental students based on gender for any of the measures. Depression was significantly associated with all three subscales of burnout. Suicidal ideation was only significantly related to the lack of personal accomplishment subscale of burnout.
These findings suggest the need for introducing preventive measures for such affective states in dental and dental hygiene training programmes.
本研究旨在评估牙科和口腔卫生专业学生的职业倦怠、抑郁症状与自杀意念之间的关系，并评估性别、课程类型和学习年份的影响。
三年级和四年级牙科专业学生（DS）以及一年级和二年级口腔卫生专业学生（DHS）分别在线完成患者健康问卷（PHQ-9）和简化版马氏职业倦怠量表，作为抑郁症状/自杀倾向和职业倦怠的测量工具。统计分析包括描述性统计和组间比较检验（卡方检验），以评估性别、课程类型（DHS或DS）和学习年份的影响。还进行了抑郁、自杀倾向与职业倦怠之间的相关性分析。
共有32名口腔卫生专业学生和119名牙科专业学生参与。40%的牙科专业学生和38%的口腔卫生专业学生符合职业倦怠标准。不同年份或不同课程之间未发现差异。9%的牙科专业学生和口腔卫生专业学生中度抑郁症状超过临界值，但三年级和四年级牙科专业学生与一年级和二年级口腔卫生专业学生之间无统计学差异。6%的牙科专业学生和9%的口腔卫生专业学生具有临床显著意义的自杀意念超过临界值，但牙科专业学生和口腔卫生专业学生之间无统计学差异。在任何一项测量中，牙科专业学生基于性别的差异均未显现。抑郁与职业倦怠的所有三个子量表均显著相关。自杀意念仅与职业倦怠的个人成就感缺失子量表显著相关。
这些发现表明，在牙科和口腔卫生培训项目中需要引入针对此类情感状态的预防措施。
