School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Department of Community Oral Health, School of Dentistry, Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
BMC Med Educ. 2022 Mar 16;22(1):184. doi: 10.1186/s12909-022-03243-8.
Given the importance of spiritual health, resilience and happiness to encounter challenges facing dental students, we aimed to examine these variables, their relationship and the mediating role of resilience between spiritual health and happiness among a group of Iranian dental students in Islamic Azad University of Isfahan.
In this cross-sectional study, utilizing a stratified sampling method, 150 volunteer dental students in different academic years filled in the Persian version of Spiritual Well-Being scale, the Persian version of Connor-Davidson Resilience Scale, and Isfahan-Fordyce Happiness Inventory. Independent t-test, Kruskal-Wallis test, and Pearson correlation coefficient served for statistical analysis. In addition, we conducted a Structural Equation Modeling analysis.
The mean age of the students was 23.43 ± 3.11, and 56% were women. The mean score of spiritual health, resilience, and happiness was 89.27 ± 16.69, 90.19 ± 15.03, and 295.17 ± 65.82, respectively. Spiritual health of a great majority of dental students was upper medium or high (87.3%), most of them had high level of resilience (69.3%), and 55.3% reported medium level of happiness. Spiritual health was directly associated with both happiness and resilience (p < 0.001). Resilience acted as an intermediary variable between spiritual health and happiness (p < 0.001).
Spiritual health was associated with increased happiness, and this relationship was mediated by resilience. Thus, it is recommended to address the issue of spiritual health to those students with lower scores in order to increase their resilience and their level of happiness.
鉴于精神健康、韧性和幸福感对于应对牙科学生面临的挑战的重要性，我们旨在检验这些变量、它们之间的关系以及韧性在伊朗阿扎德大学牙科学生的精神健康和幸福感之间的中介作用。
在这项横断面研究中，我们采用分层抽样方法，选取了 150 名不同年级的志愿牙科学生填写波斯语版精神健康量表、波斯语版 Connor-Davidson 韧性量表和伊斯法罕-福德西幸福感量表。采用独立 t 检验、克鲁斯卡尔-沃利斯检验和 Pearson 相关系数进行统计分析。此外，我们还进行了结构方程模型分析。
学生的平均年龄为 23.43±3.11 岁，其中 56%为女性。精神健康、韧性和幸福感的平均得分分别为 89.27±16.69、90.19±15.03 和 295.17±65.82。绝大多数牙科学生的精神健康处于中上水平（87.3%），大多数学生具有较高的韧性水平（69.3%），55.3%的学生报告处于中等水平的幸福感。精神健康与幸福感和韧性均呈直接相关（p<0.001）。韧性在精神健康和幸福感之间起到了中介变量的作用（p<0.001）。
精神健康与幸福感呈正相关，而这种关系是由韧性介导的。因此，建议对得分较低的学生关注精神健康问题，以提高他们的韧性和幸福感水平。
