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英国牙科学生压力的患病率和发病率:系统评价与荟萃分析

Prevalence and Incidence of Stress Among UK Dental Students: A Systematic Review and Meta-analysis.

作者信息

Alotaibi Sultan, Deligianni Eleni, Riley Philip, Glenny Anne-Marie

机构信息

Division of Dentistry, School of Medical Sciences, FBMH, University of Manchester, Manchester, UK.

Division of Dentistry, School of Medical Sciences, FBMH, University of Manchester, Manchester, UK.

出版信息

Int Dent J. 2025 Jun;75(3):2314-2322. doi: 10.1016/j.identj.2024.11.019. Epub 2024 Dec 14.

Abstract

OBJECTIVE

Dental professionals experience stress daily due to the nature of the excessively demanding working environment in addition to the trust laid upon them by the public. This review aims to evaluate the available evidence on the prevalence and incidence of stress in UK dental students. The paper critically assesses current evidence, shedding light on mental health issues faced by dental healthcare workers.

METHODS

The paper followed PRISMA guidelines and was preregistered on PROSPERO, CRD42024482310. Several databases were searched including PubMed, EMBASE, Web of Science, and Scopus. Studies included involved cohort and cross-sectional studies. The primary outcomes were the prevalence and incidence of stress in UK dental students. Additionally, sources of stress and coping strategies were considered as secondary outcomes.

RESULTS

Nine studies out of 2986 screened were included with a sample size of 1447. The pooled prevalence of stress was in 596/1198 (pooled prevalence = 0.498 95% confidence intervals = 0.466-0.530). The incidence rate is estimated to be 5% per year. Sources of stress were found to be examinations, grades, and fear of failing. Coping techniques were hobbies, and emotional support, in addition to maladaptive behaviours.

CONCLUSION

The outcomes of the papers suggest that dental professionals experience extreme levels of stress. While acknowledging the results, this review also underscores the need for further comprehensive research to fully evaluate the burden of stress on dentists. It also shows the importance of incorporating stress management in dental education.

摘要

目的

由于工作环境要求过高,以及公众对牙科专业人员寄予的信任,牙科专业人员每天都面临压力。本综述旨在评估英国牙科学生压力患病率和发病率的现有证据。本文对当前证据进行了批判性评估,揭示了牙科医护人员面临的心理健康问题。

方法

本文遵循PRISMA指南,并在PROSPERO上预先注册,注册号为CRD42024482310。检索了多个数据库,包括PubMed、EMBASE、科学网和Scopus。纳入的研究包括队列研究和横断面研究。主要结果是英国牙科学生压力的患病率和发病率。此外,压力源和应对策略被视为次要结果。

结果

在筛选的2986项研究中,有9项研究被纳入,样本量为1447。压力的合并患病率为596/1198(合并患病率=0.498,95%置信区间=0.466-0.530)。发病率估计为每年5%。发现压力源包括考试、成绩和对失败的恐惧。应对技巧包括爱好、情感支持以及适应不良行为。

结论

论文结果表明,牙科专业人员承受着极高的压力。在认可这些结果的同时,本综述也强调需要进一步进行全面研究,以充分评估压力对牙医的负担。它还显示了在牙科教育中纳入压力管理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab74/12142792/8b39af5b6042/gr1.jpg

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