Alsharif Alla
Department of Preventive Dental Sciences, Taibah University Dental College and Hospital, Al-Madinah Al-Munawwarah, Saudi Arabia.
Psychol Res Behav Manag. 2020 Nov 13;13:989-995. doi: 10.2147/PRBM.S281580. eCollection 2020.
The epidemic of burnout among dental students has been repeatedly documented. This study aimed to assess burnout, specifically emotional exhaustion (EE), and examined the impact of protective and risk psychological factors for EE among clinical-level dental students in Saudi Arabia (SA).
A cross-sectional study was conducted, using a convenience sample of undergraduate dental students who were recruited from five separate dental schools. A self-administered questionnaire was distributed to 500 students to obtain socio-demographic data and to assess the students' psychological characteristics (Maslach Burnout Inventory EE subscale, Dental Environment Stress Scale [DES] and Brief Resilience Scale [BRS]). Descriptive, bivariate and multivariable logistic regression analyses were performed.
Of 272 respondents, 53% reported high EE. Adjusted multivariable logistic regression modelling demonstrated that students who reported higher BRS scores were significantly less likely to report high EE (adjusted odds ratio [AOR]=0.79, 95% CI=0.70-0.89, p<0.001). However, females were more than twice as likely as males to report high EE (AOR=2.27, 95% CI=1.14-4.61, p=0.024). In addition, students who reported higher DES scores also reported high EE (AOR=1.10, 95% CI=1.07-1.12, p<0.001).
The findings suggest that resilience is a protective factor against high EE, after adjusting for key characteristics. There is a need for a preventive programme that addresses EE, taking into consideration other unexplored underlying factors.
牙科学生职业倦怠的流行情况已被多次记录。本研究旨在评估职业倦怠，特别是情感耗竭（EE），并考察沙特阿拉伯（SA）临床阶段牙科学生中EE的保护性和风险心理因素的影响。
采用横断面研究，从五所不同的牙科学院招募本科牙科学生作为便利样本。向500名学生发放了一份自填式问卷，以获取社会人口学数据，并评估学生的心理特征（马氏职业倦怠量表EE子量表、牙科环境压力量表[DES]和简易复原力量表[BRS]）。进行了描述性、双变量和多变量逻辑回归分析。
在272名受访者中，53%报告有高EE。调整后的多变量逻辑回归模型显示，报告BRS得分较高的学生报告高EE的可能性显著降低（调整后的优势比[AOR]=0.79，95%置信区间=0.70-0.89，p<0.001）。然而，女性报告高EE的可能性是男性的两倍多（AOR=2.27，95%置信区间=1.14-4.61，p=0.024）。此外，报告DES得分较高的学生也报告有高EE（AOR=1.10，95%置信区间=1.07-1.12，p<0.001）。
研究结果表明，在调整关键特征后，复原力是预防高EE的保护因素。需要制定一项针对EE的预防计划，同时考虑其他未探索的潜在因素。
