Assessment of Perceived Stress, Stressors, and Coping Strategies among Undergraduate Dental Students at Obafemi Awolowo University, Ile-Ife, Nigeria
DOI:
https://doi.org/10.61172/vc449z13Keywords:
Perceived stressors , Stressors, Coping Strategies, Undergraduate studentsAbstract
ABSTRACT
Background: Dental school is known to be highly stressful, which sometimes affect student mental health, academic performance and professional development with differing opinion about the impact of age, gender, and educational level. Therefore, this study aimed to determine the level of perceived stress, identify the key stressors contributing to stress in dental student environment, examine the coping factors and relationship between Sociodemographic stress levels among undergraduate dental student Obafemi Awolowo University Ile-Ife, Osun state.
Methods: A cross-sectional study was conducted in the 2020/2021 academic year, among 123 dental students using a structured questionnaire. Dental Environment Stress (DES) was used to access the various stress levels, perceived Stress Scale (PSS) was used to determine the perceived stress level.
Results: 62.6% of the participants were male while 37.4% were females with the mean age of 22.31±3.31 years. Overall mean stress for the population was 23.32±5.95, female students reported significantly higher stress level than male (P = 0.034). Workload (3.79±1.01) and performance pressure (3.63 ± 1.00) were the most reported stressors those living in the hospital hostel or receiving mid-range allowance appeared to undergo more stress, while religious coping was the mostly reported coping strategy
Conclusion: It was found that perceived stress in dental environment is still relatively high most especially among female students. There is no clear association between income and perceived stressed level. Major stressors identified were workload and performance pressure. Religion, active coping and planning were the coping strategies mostly utilized in the management of these stressors.
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REFERENCES
1. Atkinson JM, Millar K, Kay EJ, Blinkhorn AS. Stress in dental practice. Dental update. 1991;18(2):60–4.
2. Myers DG, DeWall CN. Exploring Psychology: Worth Publishers; 2016.
3. Garbee WH, Zucker SB, Selby GR. Perceived sources of stress among dental students. Journal of the American Dental Association (1939). 1980; 100(6):853–7.
4. Alzahem AM, van der Molen HT, Alaujan AH, Schmidt HG, Zamakhshary MH. Stress amongst dental students: a systematic review. European journal of dental education: official journal of the Association for Dental Education in Europe. 2011; 15(1):8–18.
5. Al-Sowygh ZH, Alfadley AA, Al-Saif MI, Al-Wadei SH. Perceived causes of stress among Saudi dental students. King Saud University Journal of Dental Sciences. 2013; 4(1):7–15.
6. Basudan S, Binanzan N, Alhassan A. Depression, anxiety and stress in dental students. International journal of medical education. 2017; 8:179–86.
7. Divaris K, Mafla AC, Villa-Torres L, Sánchez-Molina M, Gallego-Gómez CL, Vélez-Jaramillo LF, et al. Psychological distress and its correlates among dental students: a survey of 17 Colombian dental schools. BMC medical education. 2013; 13:91.
8. Elani HW, Allison PJ, Kumar RA, Mancini L, Lambrou A, Bedos C. A systematic review of stress in dental students. Journal of dental education. 2014; 78(2):226–42.
9. Muirhead V, Locker D. Canadian dental students' perceptions of stress and social support. European journal of dental education: official journal of the Association for Dental Education in Europe. 2008;12(3):144–8.
10. Polychronopoulou A, Divaris K. A longitudinal study of Greek dental students' perceived sources of stress. Journal of dental education. 2010; 74(5):524–30.
11. Lugassy D, Ben-Izhack G, Zissu S, Shitrit Lahav R, Rosner O, Elzami R, et al. Anxiety, stress, and depression levels among dental students: gender, age, and stage of dental education related. Psychology, health & medicine. 2025; 30(7):1394–408.
12. Frazier P, Gabriel A, Merians A, Lust K. Understanding stress as an impediment to academic performance. Journal of American college health: J of ACH. 2019; 67(6):562–70.
13. Macan TH, Shahani C, Dipboye RL, Phillips AP. College students' time management: Correlations with academic performance and stress. Journal of Educational Psychology. 1990; 82(4):760–8.
14. Gorter R, Freeman R, Hammen S, Murtomaa H, Blinkhorn A, Humphris G. Psychological stress and health in undergraduate dental students: fifth year outcomes compared with first year baseline results from five European dental schools. European journal of dental education: official journal of the Association for Dental Education in Europe. 2008; 12(2):61–8.
15. Naidu RS, Adams JS, Simeon D, Persad S. Sources of stress and psychological disturbance among dental students in the West Indies. Journal of dental education. 2002; 66(9):1021–30.
16. Stangvaltaite-Mouhat L, Pūrienė A, Chałas R, Hysi D, Katrova L, Nacaite M, et al. Self-reported psychological problems amongst undergraduate dental students: A pilot study in seven European countries. European journal of dental education: official journal of the Association for Dental Education in Europe. 2020;24(2):341–50.
17. Bathla M, Singh M, Kulhara P, Chandna S, Aneja J. Evaluation of anxiety, depression and suicidal intent in undergraduate dental students: A cross-sectional study. Contemporary clinical dentistry. 2015; 6(2):215–22.
18. Ahn HW, Cho IS, Cho KC, Choi JY, Chung JW, Baek SH. Surgical treatment modality for facial esthetics in an obstructive sleep apnea patient with protrusive upper lip and acute nasolabial angle. Angle Orthod. 2013; 83(2):355-63.
19. Sofola OO, Jeboda SO. Perceived sources of stress in Nigerian dental students. European journal of dental education: official journal of the Association for Dental Education in Europe. 2006;10(1):20–3.
20. Aigbokhaevbo A. N OO. Gender differences in perceived stress among Nigerian health profession students. African Health Sciences. 2024; 24((1),):120–9.
21. Al-Sowygh ZH. Academic distress, perceived stress and coping strategies among dental students in Saudi Arabia. The Saudi dental journal. 2013; 25(3):97–105.
22. Cohen S, Kamarck T, Mermelstein R. A Global Measure of Perceived Stress. Journal of Health and Social Behavior. 1983; 24 (4):385.
23. Abiodun-Solanke IMF, Ajayi DM, Sigbeku O, Ashiwaju MO. Perceived Sources of Stress and Coping Strategies among Clinical Dental Students in Two Nigerian Universities. Nigerian Dental Journal. 2016; (1):225–34.
24. Divaris K, Barlow PJ, Chendea SA, Cheong WS, Dounis A, Dragan IF, et al. The academic environment: the students' perspective. European journal of dental education: official journal of the Association for Dental Education in Europe. 2008; 12 Suppl 1:120–30.
25. Alzahem AM, van der Molen HT, Boer BJd. Effect of year of study on stress levels in male undergraduate dental students. Advances in medical education and practice. 2013; 4:217–22.
26. Okoye OC. Perceived Stress and Stressors among Undergraduate Medical Students of a Nigerian Institution. Malawi medical journal: the journal of Medical Association of Malawi. 2022; 34(4):245–51.
27. Agbapuonwu J. E, P. Stress and performance pressure among clinical year dental students in Nigeria. BMC Medical Education. 2024; 24(1):102.
28. Ojedokun O, Adekeye, O., & Balogun, A. Faith based coping and mental health resilience among Nigerian students during COVID 19. Journal of Taibah University Medical Sciences. 2023; 18(4):366–74.
29. Balogun MA, Olaseewo, A.-M., & Adejoke, K. R. . Managing hostel overcrowding and student behavior at Obafemi Awolowo University, Ile Ife. Journal of Educational Innovation and Practice. 2024; 11(2):415–29.
30. Pau AKH, Croucher R, Sohanpal R, Muirhead V, Seymour K. Emotional intelligence and stress coping in dental undergraduates--a qualitative study. British dental journal. 2004; 197(4):205–9.
31. Shaikh BT, Kahloon A, Kazmi M, Khalid H, Nawaz K, Khan N, et al. Students, stress and coping strategies: a case of Pakistani medical school. Education for health (Abingdon, England). 2004; 17(3):346–53.
32. Al-Saleh SA, Al-Madi EM, Al-Angari NS, Al-Shehri HA, Shukri MM. Survey of perceived stress-inducing problems among dental students, Saudi Arabia. The Saudi dental journal. 2010; 22(2):83–8.
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