Sabrina Farah, Chowdhury Mohammad Tawfique Hossain, Nath Sujan Kanti, Imon Ashik Abdullah, Quader S M Abdul, Jahan Md Shahed, Noor Ashek Elahi, Podder Clopa Pina, Gainju Unisha, Niroula Rina, Rahman Muhammad Aziz
Department of Oral & Maxillofacial Surgery, Update Dental College, Dhaka 1711, Bangladesh.
Department of Dental Public Health, Sapporo Dental College, Dhaka 1230, Bangladesh.
Int J Environ Res Public Health. 2021 Dec 24;19(1):176. doi: 10.3390/ijerph19010176.
Psychological sufferings are observed among dental students during their academic years, which had been intensified during the COVID-19 pandemic. This study assessed the levels and identified factors associated with psychological distress, fear and coping experienced by dental undergraduate students in Bangladesh. A cross sectional online survey was conducted during October-November, 2021. The Kessler Psychological Distress Scale (K-10), Fear of COVID-19 Scale (FCV-19S) and Brief Resilient Coping Scale (BRCS) were used in order to assess psychological distress, fear and coping strategies, respectively. A total of 327 students participated; the majority (72%) were 19-23 years old and females (75%). One in five participants were infected with COVID-19 and 15% reported contact with COVID-19 cases. Negative financial impact (AOR 3.72, 95% CIs 1.28-10.8), recent or past COVID-19 infection, and contact with COVID-19 cases were associated with higher levels of psychological distress; but being a third year student (0.14, 0.04-0.55) and being satisfied about current social life (0.11, 0.03-0.33) were associated with lower levels of psychological distress. Being a third year (0.17, 0.08-0.39) and a fourth year student (0.29, 0.12-0.71) were associated with lower levels of fear. Health care service use and feeling positive about life were associated with medium to high resilience coping. This study identified dental students in Bangladesh who were at higher risk of psychological distress, fear and coping during the ongoing pandemic. Development of a mental health support system within dental institutions should be considered in addition to the academic and clinical teaching.
在牙科学专业学生的学习期间会观察到心理痛苦，在新冠疫情期间这种痛苦有所加剧。本研究评估了孟加拉国牙科本科生心理困扰、恐惧和应对的程度，并确定了与之相关的因素。于2021年10月至11月进行了一项横断面在线调查。分别使用凯斯勒心理困扰量表（K-10）、新冠恐惧量表（FCV-19S）和简短弹性应对量表（BRCS）来评估心理困扰、恐惧和应对策略。共有327名学生参与；大多数（72%）年龄在19至23岁之间，女性占75%。五分之一的参与者感染过新冠病毒，15%报告曾接触新冠病例。负面经济影响（调整后比值比3.72，95%置信区间1.28 - 10.8）、近期或过去感染新冠病毒以及接触新冠病例与较高水平的心理困扰相关；但作为三年级学生（0.14，0.04 - 0.55）和对当前社交生活感到满意（0.11，0.03 - 0.33）与较低水平的心理困扰相关。作为三年级学生（0.17，0.08 - 0.39）和四年级学生（0.29，0.12 - 0.71）与较低水平的恐惧相关。使用医疗保健服务和对生活感到积极与中等到高弹性应对相关。本研究确定了在当前疫情期间孟加拉国牙科学生中处于心理困扰、恐惧和应对高风险的人群。除了学术和临床教学外，还应考虑在牙科机构内建立心理健康支持系统。
