Behavior change due to COVID-19 among dental academics—The theory of planned behavior: Stresses, worries, training, and pandemic severity

Ammar, Nour; Aly, Nourhan M.; Foláyan, Morẹ́nikẹ́ Oluwátóyìn; Khader, Yousef; Virtanen, Jorma I.; Al‐Batayneh, Ola B.; Mohebbi, Simin Zahra; Attia, Sameh; Howaldt, Hans Peter; Boettger, Sebastian; Maharani, Diah Ayu; Rahardjo, Anton; Khan, Imran; Madi, Marwa; Rashwan, Maher; Pavlić, Verica; Cicmil, Smiljka; Choi, Youn Hee; Joury, Easter; Castillo, Jorge Luis; Noritake, Kanako; Shamala, Anas; Galluccio, Gabriella; Polimeni, Antonella; Phantumvanit, Prathip; Mancino, Davide; Kim, Jin Bom; Abdel‐Salam, M.; Arheiam, Arheiam; Dama, Mai A.; Nyan, Myat; Hussein, Iyad; Alkeshan, Mohammad M.; Vuković, Ana; Iandolo, Alfredo; Kemoli, Arthur; Tantawi, Maha El

doi:10.1371/journal.pone.0239961

Cited by 76 publications

(88 citation statements)

References 40 publications

(46 reference statements)

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“…The revealed stress levels were significantly higher than those described among dental academics (9.9% using an established cut-off for the IES) [ 20 ] and Israeli dentists (11.5% using Kessler’s K6 Distress Scale) [ 24 ]. With that, the distress levels were significantly lower than in India, where about 50% of dentists had distress (using an established cut-off for the COVID-19 Peritraumatic Distress Index, CPDI) and 80% had perceived stress, as indicated by the PSS [ 21 ]; and Saudi Arabia, where 34.92% of dental students had elevated levels of stress (using an established cut-off for the DASS-21 [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…The obtained perceived job insecurity has additionally affected their mental health [ 16 , 17 , 18 ], having been positively associated with depressive symptoms [ 12 ]. This is exemplified by the results of cross-sectional surveys among dentists from China, India, Israel, Italy, and the U.K., which indicated elevated levels of subjective overload, psychological distress, and anxiety among participants [ 19 , 20 ]. Thus, more than two-thirds of the general dental practitioners (78%) from 30 countries questioned in the online survey of Ammar et al (2020) were anxious and scared by the devastating effects of coronavirus disease 2019 (COVID-19) [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…This is exemplified by the results of cross-sectional surveys among dentists from China, India, Israel, Italy, and the U.K., which indicated elevated levels of subjective overload, psychological distress, and anxiety among participants [ 19 , 20 ]. Thus, more than two-thirds of the general dental practitioners (78%) from 30 countries questioned in the online survey of Ammar et al (2020) were anxious and scared by the devastating effects of coronavirus disease 2019 (COVID-19) [ 20 ]. During the lockdown, about half of Indian dentists exhibited a higher degree of perceived stress in comparison to the general population [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

“…The elevated levels of depression, anxiety, and stress were recorded at 60.64%, 37.02%, and 34.92%, respectively, among the dental students of Saudi Arabia [ 22 ]. Generally, about 9–11.5% of dentists were heavily affected by the pandemic and reported severe anxiety and stress [ 20 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

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Psychological Distress and Post-Traumatic Symptomatology among Dental Healthcare Workers in Russia: Results of a Pilot Study

Sarapultseva

Zolotareva

Kritsky

et al. 2021

IJERPH

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The spread of SARS-CoV-2 infection has increased the risk of mental health problems, including post-traumatic stress disorders (PTSD), and healthcare workers (HCWs) are at greater risk than other occupational groups. This observational cross-sectional study aimed to explore the symptoms of depression, anxiety, and PTSD among dental HCWs in Russia during the coronavirus disease 2019 (COVID-19) pandemic. The survey was carried out among 128 dental HCWs from three dental clinics of Ekaterinburg, Russia. The mean age of the sample was 38.6 years. Depression, anxiety, and stress were assessed using the Depression Anxiety and Stress Scale-21 (DASS-21); PTSD was assessed using the PTSD Symptom Scale-Self-Report (PSS-SR); subjective distress was assessed using the Impact of Event Scale-Revised (IES-R). The results indicated that 20.3–24.2% HCWs had mild to extremely severe symptoms of psychological distress, and 7.1–29.7% had clinical symptoms of PTSD. No differences between females and males were revealed. HCWs working directly with patients had significantly higher levels of PTSD symptoms and the risk of PTSD development compared to those working indirectly, whereas older HCWs had significantly higher levels of both psychological distress and PTSD symptoms compared to younger HCWs. Thus, dental HCWs are at high risk for psychological distress and PTSD symptoms during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psychological Distress and Post-Traumatic Symptomatology among Dental Healthcare Workers in Russia: Results of a Pilot Study

Sarapultseva

Zolotareva

Kritsky

et al. 2021

IJERPH

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“…A signi cant number of patients with COVID-19 also present with loss of smell and taste (6), which may prompt them to consult a dentist for care. COVID-19 has affected dentists and dental academics not only because of personal fear of contracting the disease or passing it to loved ones and others, but also because of worries about their ability to carry out their academic and research responsibilities in addition to stresses due to restricted mobility (8). In addition, the temporary closure of dental schools and suspension of dental care services has added to their worries about their ability to provide optimal training for their students.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of Dental Academics about the COVID-19 Pandemic: A Multi-Country Online Survey

Ammar

Aly

Foláyan

et al. 2020

Preprint

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Background: COVID-19 is a global pandemic affecting all aspects of life in all countries. We assessed COVID-19 knowledge and associated factors among dental academics in 26 countries. Methods: We invited dental academics to participate in a cross-sectional, multi-country, online survey from March to April 2020. The survey collected data on knowledge of COVID-19 regarding the mode of transmission, symptoms, diagnosis, treatment, protection, and dental treatment precautions as well as participants’ background variables. Multilevel linear models were used to assess the association between dental academics’ knowledge of COVID-19 and individual level (personal and professional) and country-level (number of COVID-19 cases/ million population) factors accounting for random variation among countries. Results: Two thousand forty-five academics participated in the survey (response rate 14.3%, with 54.7% female and 67% younger than 46 years of age). The mean (SD) knowledge percent score was 73.2 (11.2) %, and the score of knowledge of symptoms was significantly lower than the score of knowledge of diagnostic methods (53.1% and 85.4%; P< 0.0001). Knowledge score was significantly higher among those living with a partner/spouse than among those living alone (regression coefficient (B)= 0.48); higher among those with PhD degrees than among those with Bachelor of Dental Science degrees (B= 0.48); higher among those seeing 21 to 30 patients daily than among those seeing no patients (B= 0.65); and higher among those from countries with a higher number of COVID-19 cases/million population (B= 0.0007). Conclusions: Dental academics had poorer knowledge of COVID-19 symptoms than of COVID-19 diagnostic methods. Living arrangements, academic degrees, patient load, and magnitude of the epidemic in the country were associated with COVD-19 knowledge among dental academics. Training of dental academics on COVID-19 can be designed using these findings to recruit those with the greatest need.

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Burnout assessment among academic dental staff during COVID‐19: Data from Arab countries

Alsaggaf

Bustani

Abid

et al. 2022

Journal of Dental Education

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Purpose/objective This study aimed to identify factors that were associated with high burnout and investigate the prevalence of burnout among academic dental staff during the COVID‐19 pandemic. Method A cross‐sectional online survey was carried out among academic dentists who are working in multiple dental schools in Arab countries. The Copenhagen Burnout Inventory was used to assess participants’ work‐related burnout. Logistic regression was used to assess the factors that increase the risk of burnout among academic dentists. Results Of the 254 participants who took part in the study, 141 were males (55.5%). The average age of the participants in the study was 42.1 years (standard deviation = 10.0). The prevalence of burnout among participants was 44.9% ( n = 114). Using a fully adjusted logistic regression model, age (odds ratio [OR] = 1.05, 95% confidence interval [CI]: 1.01–1.09, p = 0.008) and gender (OR = 0.54, 95% CI: 0.31–0.94, p = 0.03) were significant variables associated with high overall burnout. Female individuals had a substantially reduced risk of experiencing high personal burnout than male participants (OR = 0.56, 95% CI: 0.32–0.98, p = 0.043) in the personal burnout subdomain. While in the patient's burnout subdomain, age (OR = 1.04, 95% CI: 1.00–1.08, p = 0.048), type of speciality (OR = 2.44, 95% CI: 1.02–5.83, p = 0.044), and teaching place (OR = 2.49, 95% CI: 1.21–5.11, p = 0.013) were associated with higher burnout. Conclusion This study concluded that gender and age are characteristics that increase the risk of higher burnout among academic dentists during the COVID‐19 pandemic.

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Behavior change due to COVID-19 among dental academics—The theory of planned behavior: Stresses, worries, training, and pandemic severity

Abstract: Peer Review History: PLOS recognizes the benefits of transparency in the peer review process; therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. The editorial history of this article is available here:

Cited by 76 publications

References 40 publications

Psychological Distress and Post-Traumatic Symptomatology among Dental Healthcare Workers in Russia: Results of a Pilot Study

Psychological Distress and Post-Traumatic Symptomatology among Dental Healthcare Workers in Russia: Results of a Pilot Study

Knowledge of Dental Academics about the COVID-19 Pandemic: A Multi-Country Online Survey

Burnout assessment among academic dental staff during COVID‐19: Data from Arab countries

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