Association between history of academic failure during dental school and self-reported depression, anxiety, and stress: A retrospective cohort.

Autor: Garcia FF; Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil., Casarin M; Department of Periodontology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil., Silva FH; Graduation Program in Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil., Muniz FWMG; Department of Periodontology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Jazyk: angličtina
Zdroj: Journal of dental education [J Dent Educ] 2023 Nov; Vol. 87 (11), pp. 1502-1511. Date of Electronic Publication: 2023 Jul 23.
DOI: 10.1002/jdd.13333
Abstrakt: Objective: To investigate the association between history of academic failure (HAF) and self-reported depression, anxiety, and stress among undergraduate dental students.
Methods: This study involved 244 dental students from one university. An online questionnaire collected information on the following variables: socioeconomic status, behavior, use of licit/illicit drugs, and the choice of dentistry as an undergraduate field of study. The 21-item Depression Anxiety Stress Scale (DASS-21) was applied. HAF in at least one subject during a participant's undergraduate tenure was defined as the main outcome. Bivariate and multivariate analyses were performed using Poisson regression with robust variance. In addition, a subgroup analysis was performed for the variable "dentistry as the first choice for undergraduate studies."
Results: The prevalence of HAF was 25.00% (n = 61). Among those students, the mean number of academic failures was 5.41 ± 6.38 (range: 1-33). Higher rates of HAF were observed among older and non-white dental students. Moreover, those who self-reported at least severe depression presented a 79% higher HAF prevalence ratio (PR) (95% confidence interval [95% CI]: 1.15-2.80). Similar findings were detected among those who reported (PR: 1.79; 95% CI: 1.06-4.46) or did not report (PR: 2.21; 95% CI: 1.10-4.46) interest in dentistry as a first undergraduate option. Conversely, among women and students who did not choose dentistry as their first option, HAF was significantly lower (PR: 0.41; 95% CI: 0.21-0.80).
Conclusion: Higher HAF rates are observed in students who are older, non-white, and self-report at least severe depression. However, dentistry as a first option for undergraduate studies was not associated with HAF.
(© 2023 American Dental Education Association.)
Databáze: MEDLINE
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