Beyond the Smile: Exploring the Mental Well-Being of Dental Students Across Institutions.

Abstract

A high frequency of mental issues has been reported amongst dental students in recent years. The aim of this study was to explore the frequency of depression, stress, and anxiety amongst undergraduate dental students in a developing country and identify factors which may contribute to the poor mental health of dental students. After obtaining ethical approval, undergraduate dental students from 14 dental institutions were invited to participate in an online study. Data were collected using two globally validated scales for screening mental health. The survey inventory also included two open-ended items and was administered using Google forms. Complete responses were received from 639 participants, which included 71.67% (n = 458) females and 28.33% (n = 181) males. The overall response rate was 43%. The modal age group was 18-21-year-olds (63.54%, n = 406), followed by 22-25-year-olds (35.52%, n = 227). The mean score on PHQ-9 was 10.37 (SD ± 6.13) and 48.67% of participants showed moderate to severe depression. The mean DASS-21 score was 20.81 (SD ± 14.64) and 48.21% of participants were screened positively for moderate to extremely severe depression, 49.30% for moderate to extremely severe anxiety, and 30.36% of participants showed features of moderate to extremely severe stress. Significantly positive correlations were observed for the whole sample and demographic factors for participant scores on PHQ-9 for Depression, and Depression, Anxiety, and Stress scores on DASS-21. Academic workload, social interactions, personal factors, academic environment, and financial difficulties were reported as the main causes of poor mental health. This study shows a high prevalence of depression, anxiety, and stress amongst undergraduate dental students in a country with a unique socio-cultural landscape. The study also identified underlying factors which adversely affect the mental health of dental students and provides recommendations to address these challenges.