Dental trainees' mental health changes, sources of stress, coping strategies, and suggestions for mental health improvement 1 year into the pandemic.
Dental trainees' mental health changes, sources of stress, coping strategies, and suggestions for mental health improvement 1 year into the pandemic.
复制标题
牙科实习生的心理健康变化、压力来源、应对策略以及大流行一年后心理健康改善的建议。
DOI：
10.1002/jdd.13099
复制
发表时间：
2023
影响因子：
2.3
通讯作者：
Chi,DonaldL
中科院分区：
文献类型：
--
作者：
Hill,CourtneyM;Moore,Eliza;Randall,CameronL;Chi,DonaldL
本研究的目的是评估牙科实习生的心理健康在大流行期间发生了怎样的变化，并找出实习生项目中压力最大的方面，压力应对策略，以及对个人和机构驱动的解决方案的建议，以改善健康状况。方法研究重点是华盛顿大学的牙科实习生，他们在2020年秋季(n=126；应答率=35.5%)和2021年春季(n=105，应答率=29.6%)完成了一项健康调查。这项调查包括评估四种心理健康结果的自我报告措施：抑郁、焦虑、与同龄人的隔离和职业倦怠。使用开放式调查项目对培训计划、应对策略和机构驱动的解决方案的压力方面进行测量。结果在2020年秋季和2021年春季之间，抑郁和焦虑的发生率没有变化(17.2%vs.21.1%，p=0.473；22.4%vs.23.7%，p=0.818)。从2020年秋季到2021年春季，与同伴的隔离和职业倦怠分别显著增加了近20%(46.8%比64.3%；p=0.009和26.6%比43.9%；p=0.017)。受训者认为工作量是他们计划中压力最大的方面，并描述了使用锻炼和社会支持来应对压力。学员建议增加机构支持的社交活动和心理健康资源。结论2019年冠状病毒大流行一年后，由于工作量大和与同龄人隔离，牙科学员的心理健康结果较差。牙科学校应该推广有针对性的计划和服务，旨在改善牙科实习生的福祉。
ObjectivesThe goal of this study was to assess how the mental health of dental trainees has changed during the pandemic and to identify the most stressful aspects of trainees’ programs, stress coping strategies, and suggestions for individual and institution‐driven solutions to improve wellness.MethodsThe study focused on dental trainees at the University of Washington who completed a wellness survey in fall 2020 (n= 126; response rate = 35.5%) and spring 2021 (n= 105; response rate = 29.6%). The survey included self‐report measures assessing four mental health outcomes: depression, anxiety, isolation from peers, and burnout. Stressful aspects of the training program, coping strategies, and institution‐driven solutions were measured with open‐ended survey items. The chi‐square test was used to compare mental health outcome measures between fall and spring and open‐ended survey responses were inductively coded.ResultsThe prevalence of self‐reported depression and anxiety did not change between fall 2020 and spring 2021 (17.2% vs. 21.1%,p= 0.473; 22.4% vs. 23.7%,p= 0.818). Isolation from peers and burnout each significantly increased by almost 20% from fall 2020 to spring 2021 (46.8% vs. 64.3%;p= 0.009 and 26.6% vs. 43.9%;p= 0.017). Trainees identified workload as the most stressful aspect of their program and described using exercise and social support to cope with stress. Trainees suggested institution‐supported increases in social events and mental health resources.ConclusionsOne year into the coronavirus disease 2019 pandemic, poor mental health outcomes were common among dental trainees because of high workload and isolation from peers. Dental schools should promote targeted programs and services aimed at improving dental trainees' well‐being.