Perceived Stressors among Dental Students: a Scale Development

치과대학생이 지각하는 스트레스의 원인: 평가척도 개발

Kim, Min-Kang;Han, Soo-Boo
김민강;한수부

  • Published : 2005.12.31

Abstract

Purpose: The purpose of this study was to investigate the perceived sources of stress among dental students. The relationships of these stresses to the year of study and gender were also examined. Methods: The responses from the first to fourth year dental students to 30 items adapted from Dental Environment Stress(DES) questionnaire were subjected to confirmatory factor analysis. The Likert scale, ranging from 0(not applicable) to 4(very stressful), was applied to these items. A total of 341 students(male=196, female=145) participated, their average age being 24.7. Multivariate analysis of variance(MANOVA) was conducted to analyze the effects of the year of study and gender on stressors. Results: Confirmatory factor analysis established a five-factor model including 1) clinical practice, 2) academic load and pressure, 3) personal problems, 4) low self-esteem, and 5) school administration or climate. Subscales for each factor show good internal consistency with Cronbach’s alpha ranging from .71 to .88. Mean score for factor II(academic load and pressure) was the highest among all factors for all of 4 years, which meant that primary stressors were amount of classwork, shortage of time, and competition among classmates regardless of the year of study. MANOVA result showed that the amount of stress from clinical practice and school climate generally increased through the years(p<.01), and that female students were more stressed than male students(p<.01). Conclusion: Students’ stress is related to the features of the curricula and the learning environment. In reducing this stress, it would be helpful to modify the curriculum as well as to introduce mentor or counselor programs.

Keywords

References

  1. 박재석, 류선영, 장은진, 김정법(2007). 의과대학생의 불안 및 자아강도가 스트레스 대처방식에 미치는 영향. 생물치료정신의학, 8, 150-157
  2. 이광헌, 한미라(1996). 동국대학교 의과대학생들의 스트레스 요인과 대처방식. 東國論集, 15, 586-593
  3. 이혜경(2003). 간호대학생의 스트레스와 대응방법에 관한 연구. 정신간호학회지, 12, 586-593
  4. 전진용, 김상아, 문동석, 강동원, 박웅섭(2002). 의대생의 스트레스에 영향을 미치는 요인 분석. 關東醫大學術誌, 4, 127-135
  5. Baldwin PJ, Dodd M, Rennie JS(1999). Young dentists-work, wealth, health and happines. Br Dent J, 186, 30-36 https://doi.org/10.1038/sj.bdj.4800010a
  6. Cooper CL, Watts J, Kelly M(1987). Job satisfaction, mental health, and job stressors among general dental practitioners in the UK. Br Dent J, 162, 77-81 https://doi.org/10.1038/sj.bdj.4806030
  7. Davision ML(1992). Multidimensional Scaling. NY: Wiley & Sons
  8. Garbee WH, Zucker SB, Selbey GR(1980). Perceived sources of stress among dental students. J Am Dent Assoc, 100, 853-857 https://doi.org/10.14219/jada.archive.1980.0279
  9. Gorter R, Eijkman M, Hoogstraten J(2002). Burnout and health among Dutch dentists. Eur J Oral Sci, 108, 261-267
  10. Guttman L(1968). A general nonmetric technique for finding the smallest coordinate space for a configuration of points. Psychometrika, 33, 349-504
  11. Humphris G, Blinkhorn A, Freeman R(2002). Psychological stress in undergraduate dental students: baseline results from seven European dental schools. Eur J Dent Educ, 6, 22-29 https://doi.org/10.1034/j.1600-0579.2002.060105.x
  12. Kruskal JB(2001). Multidimensional scaling by optimizing goodness-of-fit to a nonmetric hypothesis. Psychometrika, 29, 1-28, 115-129 https://doi.org/10.1007/BF02289565
  13. Newton JT, Baghaienaini F, Goodwin SR, Invest J, Lubbock M, Marouf Saghakhanch N(1994). Stress in dental school: a survey of students. Dent Updae, 5, 162-164
  14. Peretz B, Rosenblum A, Zadic D(1997). Stress levels and related variables among dental students in Jerusalem, Israel. Eur J Dent Educ, 1, 162-166
  15. Quick JC, Quick JD(1984). Organizational stress and preventive management. McGraw-hill
  16. Rajab LD(2001). Perceived sources of stress among dental students at the University of Jordan. J Dent Educ, 65, 232-241
  17. Sanders AE, Lushington K(1999). Sources of stress for Australian dental students. J Dent Educ, 63, 688-699
  18. Selye H(1974). Stress without distress. Philadelphia: Lippincott
  19. Tedesco LA(1986). A psychological perspective on the dental education experience and student performance. J Dent Educ, 50, 601-605
  20. Westerman GH, Grandy TG, Ocanto RA, Erskine CG(1993). Perceived sources of stress in the dental school environment. J Dent Educ, 57, 225-231