Psychological impact of the coronavirus disease 2019 (COVID-19) pandemic on dental students: A nationwide study

J Dent Educ. 2021 Apr;85(4):494-503. doi: 10.1002/jdd.12470. Epub 2020 Oct 31.

Abstract

Objectives: Public mental health concerns have been raised during the coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to assess the psychological impact of the pandemic on dental students in Saudi Arabia.

Methods: A cross-sectional analytical study was conducted among dental students from different universities in Saudi Arabia selected using 2-stage cluster sampling. The psychological impact was assessed using the validated Arabic version of the Depression, Anxiety and Stress Scale-21 Item questionnaire. The data were analyzed using SPSS software. The Mann-Whitney U and Kruskal-Wallis tests were used as appropriate. A chi-squared test was used to compare the proportions between the sociodemographic data and logistic regression analysis to identify variables associated with the student's responses.

Results: The internal consistency of the scale was excellent (0.954). A total of 697 dental students participated voluntarily in the study; their mean age was 21.76 ± 1.859 years, and 54.7% were female. The majority (96.1%) were single, and 69.4% lived in a household of > 5 persons. Significant differences in mental health outcomes were evident for gender, university, and survey time. Elevated levels of depression, anxiety, and stress were recorded among 60.64%, 37.02%, and 34.92%, respectively, of the students. Females, students who lived alone, and junior students were more likely to experience psychological problems during the COVID-19 pandemic.

Conclusions: The presence of elevated levels of depression, anxiety and stress among dental students highlights the need for psychological empowerment strategies involving institutional counseling services.

Keywords: COVID-19; Saudi Arabia; anxiety; dental student; depression; mental health; psychological impact; stress.

MeSH terms

  • Adult
  • Anxiety / epidemiology
  • COVID-19*
  • Cross-Sectional Studies
  • Depression / epidemiology
  • Female
  • Humans
  • Male
  • Mental Health
  • Pandemics*
  • SARS-CoV-2
  • Saudi Arabia / epidemiology
  • Stress, Psychological / epidemiology
  • Students, Dental
  • Young Adult