Perceived sources and levels of stress,general self-efficacy and coping strategies in clinical dental students

The aims of this study were to identify sources of stress among clinical students and to evaluate the students’ perceived levels of stress, general self-efficacy and effective coping strategies in a private dental school environment. The study group consisted of 130 undergraduate clinical dental students in a Turkish private dental school, during the academic year 2014–2015. The students were surveyed using modified version of the dental environment stress (DES) survey, the perceived stress scale, the general self-efficacy scale (G-SES) and the brief coping scale. Age, sex, year of study, history of psychiatric treatment and factors that affected the choice of dentistry were also recorded. Final year and female clinical dental students, who were found to be the most stressful students, had moderate to high perceived stress scores. Total and ‘Faculty and administration’ related DES scores increased with the year of study. Stressors related to ‘Workload’ and ‘Clinical training’ affected females more than males. G-SES scores were higher in male students and students, who had no history of psychiatric treatment. The most and the least common coping strategies were ‘Planning’ and ‘Substance abuse’, respectively. ‘Religion’ was found to be one of the main coping strategies. Stress factors affecting Turkish clinical dental students studying at private dental school differed from the previously reported stress factors affecting students studying at a governmental dental school. Advanced year and female students experienced more stress than the other students.     

Social support networks, stress, sense of coherence and academic success of university students with learning disabilities

The current study evaluated the extent to which 191 university students with learning disabilities (LD) differed from 190 students without disabilities in terms of their perceived social support, stress and sense of coherence. The study also investigated students’ perceptions of their academic success at university as compared with their rating of their struggles and failures. Findings indicated that students with LD perceived themselves as having less social support than did students without LD. Students without LD were more likely than students with LD to attribute their academic success to study skills and to their academic characteristics, while students with LD were more likely to attribute their academic success or lack of success to external factors. Although overall the levels of stress reported by the entire sample were relatively low, students with LD tended to experience slightly higher academic stress than students without LD.     

Perceived sources and levels of stress,general self-efficacy and coping strategies in preclinical dental students

Dental education programs are known to be highly stressful and stress can affect general health. The aims were to identify sources of stress among preclinical students and to evaluate their perceived levels of stress, self-efficacy and effective coping strategies in a private dental school. One hundred preclinical students in a Turkish private dental school were surveyed using dental environment stress (DES), perceived stress (PSS), general self-efficacy (G-SES) and brief coping scales (Brief-COPE). Age, gender, history of psychiatric treatment, factors that affected the choice of dentistry, choice rank of dental school, scholarship and income was recorded. ‘Exams and grades’ followed by ‘Fear of failing course or year’ were found to be the most stressprovoking factors. The most and the least stressprovoking DES domains were ‘Workload’ and ‘Social stressors’, respectively. ‘Social stressors’ affected male more than female (p < .05). The most and the least common coping strategies were found to be ‘Planning’, and ‘Drug’, respectively. Female used ‘Instrumental support’ more than male (p < .05). Demographic factors had impact on the perceived stress factors and levels, as well as coping strategies. Unlike previous studies establishing high stress levels in dental students, preclinical students displayed moderate level of stress. Clinical dental education might be more responsible for creating stress.     

Distraction,Control, and Dental Stress1

This study examined the efficacy of external distraction as a coping strategy. Thirty-eight dental patients were randomly assigned to one of three groups: incidental music during the dental procedure, music coupled with suggestions that music would help reduce stress, or a no-treatment control group. Patients in both music groups reported experiencing less stress (i.e., less pain. less discomfort, more control) than patients in the no-treatment group. Patient ratings made by dentists, blind to condition, provided converging evidence for the therapeutic effect of distraction. Thus, distracting music was found to be effective in reducing stress and increasing perceptions of control. The relative ease and simplicity of implementing external distraction compared to manipulating actual control in a medical setting may make this manipulation attractive to professionals involved with individuals experiencing stress.     

Coping with Medical Diagnosis: The Effects of At-Risk Versus Disease Labels Over Time1

We randomly assigned college students to conditions in which they learned that they had gum disease, were at risk of having gum disease, or did not have gum disease. Then we examined their coping responses both immediately after the diagnosis and 2 days later. Students that told they had gum disease saw the disease as more prevalent than students in the other conditions; students identified as at risk saw the disease as more common than students who were told they had no disease. In addition, disease and at-risk diagnosis subjects believed that the disease was less serious but, during the 2-day interval between tests, they reported experiencing more bleeding–a symptom of gum disease. All of these responses to diagnosis were similar immediately after diagnosis and 2 days later. The data support a model of how persons react to illness signs (Ditto, Jemmott, & Darley, 1988) and have practical implications for dental professionals involved in diagnosing gum disease.     

International students' reported English fluency,social support satisfaction,and social connectedness as predictors of acculturative stress

This study explored age, gender, reported English fluency, social support satisfaction and social connectedness as predictors of acculturative stress among a sample of 359 international students. Results indicate that international students from Europe experienced less acculturative stress than their counterparts from Asia, Central/Latin America, and Africa. Moreover, English fluency, social support satisfaction, and social connectedness were all predictors of acculturative stress. Implications for counselling and research are discussed.     

Dental phobias and anxieties: evidence for conditioning processes in the acquisition and modulation of a learned fear

The present study investigated some of the factors which differentiate individuals with dental anxieties and phobias from those without such fears. In particular, two questions were addressed: (i) What differentiates subjects who have never been anxious about dental treatment from subjects who at some time have been anxious? and (ii) What factors lead to subjects changing their attitudes either from anxious to relaxed or from relaxed to anxious? The results suggest that the factors which influence the acquisition and modulation of dental anxieties are consistent with the associative and representational processes portrayed in contemporary models of human conditioning. Subjects who reported never having had anxieties about dental treatment were less likely to have had a painful dental treatment than subjects who did report an anxiety. Subjects who did report a painful dental experience but did not acquire anxiety reported a history of dental treatment favourable to the operation of latent inhibition. Subjects who reported that they were good at enduring pain were more likely to report a longer interval between their very first dental treatment and their first painful dental treatment. Under some conditions in which latent inhibition should have precluded the acquisition of a dental fear, an anxiety appeared to be acquired because a very painful experience had attenuated the latent inhibition process. Subjects whose dental anxiety did not remit reported significantly more painful and traumatic dental experiences than subjects whose anxiety did remit.     

Social Support in Academic Programs and Family Environments: Sex Differences and Role Conflicts for Graduate Students

We hoped to identify the sources and types of social support that are most beneficial for helping graduate students cope with stress. A second purpose of our study was to identify sex differences in stress and the most beneficial types of support. Students living in graduate student housing were surveyed to assess (a) social support in their academic programs and in their family environments, (b) recent stressful life events, and (c) depression and anxiety as psychological symptoms of stress. Women reported significantly more stress, more symptoms of stress, and significantly less support from their academic departments and family environments than did men. Family support had only buffering effects, but no direct effects on stress symptoms for women. Graduate program and family support had direct effects, but no buffering effects on stress symptoms for men. These results may indicate greater role strain for women, perhaps resulting from less support for their multiple roles and greater concerns about balancing academic and family demands.     

Chinese teachers’ use of humour in coping with stress

The purpose of this study was to examine the mentality of Chinese teachers regarding their use of humour in coping with stress. Specifically, the study investigated their frequency of use of humour in coping with stress as compared to other coping styles and their perceptions about the relationship of humour with other coping styles. Data were collected from a sample of 789 Chinese teachers holding teaching posts at local Hong Kong secondary schools. Based on responses made to the COPE questionnaire, there was evidence that Chinese teachers had a lower frequency of use of humour as compared to other coping styles. As suggested by the results of a factor analysis, there was a perception among Chinese teachers that the use of humour was related more closely to escaping and/or avoidance as coping strategies, but more differentiable from problem‐focused/task‐oriented and emotional/social coping. It is interesting to find that the results of our study echoed those of a previous crosscultural comparison between Chinese and Canadian university students, in which the Chinese university students reported less use of humour in coping with stress than did their Canadian counterparts. These results have provided some empirical support for the notion that “humor has been traditionally given little respect in Chinese culture mainly due to the Confucian emphasis on keeping proper manners in social interactions” (Yue, 2010, p. 403). As teachers in Chinese societies are regarded as persons who are full of wisdom and capable of problem‐solving, it is expected that they should act as role models to their students. These social expectations on Chinese teachers could further mould their perceptions on the use of humour in coping with stress.     

Forgiving the September 11th terrorists: associations with coping, psychological distress, and religiosity

Two studies examined how non-interpersonal forgiveness (when there is no social relationship between the transgressor and forgiver) related to coping and involuntary responses to stress, psychological distress, and religiosity. Three to six weeks after September 11th, 2001, forgiveness had non-linear associations with other responses to the terrorist attacks. Among college students (N=488), those who were trying or had forgiven (pro-forgiveness) the terrorists reported less involuntary engagement, more primary and secondary control coping, and more meaning finding than those who were unsure about forgiveness (ambivalent) and those who did not believe the perpetrators should be forgiven (anti-forgiveness). Ambivalent students reported the most distress, even after controlling for religion. Anti-forgiveness students reported less religiosity than ambivalent and pro-forgiveness students. Most findings were consistent among middle schoolers (N=154), particularly regarding psychological distress and responses to stress. Also, forgiveness of strangers for acts against one's community functioned separately from religion.     

Evaluations of Self,Parents, and Family: Variations Caused by Family Structure and Personal Stress

Using the Personal Attribute Inventory (Parish, Bryant, & Shirazi, 1976), 164 undergraduate students voluntarily evaluated themselves, their parents, and their families. The students also completed the Holmes and Rahe (1967) Social Readjustment Rating Scale. Although these self-evaluations and evaluations of families did not vary significantly in relation to the students' level of personal stress and familial configuration, fathers received higher evaluations from students with intact families and families where the father had died as opposed to families where divorce had occurred. Students who were under stress gave their mothers evaluations that were significantly more negative than did students who under less stress. Overall, the evaluations of mothers by students with divorced parents who were from highly stressful backgrounds were much more negative than those given by any other comparative group.     

Adolescent dental fear and control: prevalence and theoretical implications.

This study examined the prevalence and etiology of dental fear in a large, representative sample of Singapore adolescents. Participants completed a questionnaire regarding fear of the dentist, dental beliefs and their most recent dental visit. The population prevalence of high dental fear was 115 fearful children per 1000 population (SE = 0.02). Children who reported painful treatment and perceived lack of control at the dentist were 13.7 times more likely to report high fear and 15.9 times less likely to be willing to return to the dentist or dental nurse. The etiology of severe clinical fear appears strongly related to direct conditioning in the presence of pain and vulnerability.     

Early recollections of individuals preparing for careers in clinical psychology,dentistry, and law

This study compared the early recollections (ERs) of three groups of students preparing for careers in clinical psychology, dentistry, and law. Recollections of psychology students showed significantly more “negative affect,” “threatening situations,” and “less reference to groups of people” than did the other two groups. “School” was mentioned significantly more in the ERs of law students than in the ERs of the other groups. Law students reported ERs which indicated the highest frequency of the “active dimension,” dentistry students the least. The implications of the findings for vocational choice are discusssed.     

Beginning Medical School: Determinants of Male and Female Emotional Reactions1

With the knowledge that medical students experience a variety of academic pressures as well as interpersonal stress during medical school, an assessment was made of emotional reactions among male and female students during the initial months of medical training. Questionnaires were completed at the start of school and 4 months later for the incidence of positive and negative emotions and tension-related symptoms. Students also estimated their midterm grade point average (GPA) and rated the friendliness of their peers and their experience of sex discrimination. By midterm, all students experienced negative emotions and symptoms more frequently and positive emotions less frequently than at the beginning of the school year. Additionally, women students reported more negative affect and physical symptoms at both time points than men. Women also reported a greater decrease in positive emotions and perceived peer friendliness than men. Higher anticipated GPA was associated with more frequent experience of positive emotions and less frequent negative emotions and physical symptoms in both sexes, but this pattern was stronger for women than for men. The implications of these findings are discussed.     

Positive and negative well-being among adolescents from theological and conventional schools in India

In this pilot study, we examined positive and negative well-being among 60 students from theological and conventional schools. Participants included 30 students (50% females) from each school, aged 16–18 years. Self-reported measures included life satisfaction and achievement motivation for positive well-being and stress and anxiety for negative well-being. Results indicated that theological school students reported much lower life satisfaction compared to students in conventional schools with a large effect size. Similar patterns were observed with stress and anxiety, although effects were small. There were no differences in achievement motivation between the two schools. Regarding gender, findings showed that males reported lower stress and anxiety than their female counterparts and these effects were large. Genders did not differ in life satisfaction and achievement motivation.     

Learned Resourcefulness and Situation-Specific Coping with Stress

This study examined whether individuals who report a broad repertoire of coping skills vary their coping efforts as a function of situational factors. Three weeks prior to their midterm exam, 80 graduate students completed Rosenbaum's (1980b) Self-Control Schedule, which assessed subjects' learned resourcefulness. High (HR) and low (LR) resourcefulness groups were created by using the upper and lower thirds of the distribution. On the day of the exam and a week later, prior to receiving results, subjects completed the Strain Questionnaire (Lefebvre & Sandford, 1985), Ways of Coping Checklist (Folkman & Lazarus, 1985), and other self-report measures. Results showed that HR subjects significantly reduced their problem-focused coping efforts from preparation week to waiting week, whereas LR subjects did not. In contrast, LR individuals reported significantly more wishful thinking, distancing, tension reduction, keeping to self, and self-blame during waiting week. For both measurement weeks, HR individuals reported significantly less stress symptoms than LR subjects.     

Using continuous heart rate monitoring to investigate anxiety and its communication with the dentist–patient interaction

Abstract

The importance of communication within the dentist–patient relationship has long been recognised with regard to patient satisfaction and anxiety. However there has been little research into the anxiety experienced by both patient and dentist during the administration of dental treatment nor how such affects are perceived and communicated within the dentist–patient interaction.

The study reported here, examined affective communication between dental students (n=16) and their patients (n=64) by using continuous and simultaneous cardiovascular monitoring during an entire dental treatment session. The data was analysed using stepwise regression analysis together with the development of a measure of emotionality in order to understand the communication of anxiety during dental treatment procedures. The results suggested that anxiety was communicated between dental operator and patient but was dependent on the degree of clinical experience of the operator.     

Understanding the bullying dynamic among students in special and general education

Students in general and special education experience bullying. However, few empirical investigations have examined involvement in bullying along the bully/victim continuum (i.e., as a bully, victim, or bully-victim) among students with disabilities. A total of 816 students, ages 9 to 16, participated in the present study. From this total sample 686 were not receiving special education services (categorized as "no disability"), and 130 were receiving special education services (categorized as "observable disability," "non-observable disability," and "behavioral disability"). Data on students' involvement in bullying, office referrals, and prosocial behavior were collected. Results indicated that students with behavioral disorders and those with observable disabilities reported bullying others more and being victimized more than their general education counterparts. Students with behavioral disorders also had significantly more office referrals than students in general education. Seventh graders in general education reported more bullying behavior than sixth graders and ninth grades in general education. Fifth graders in general education reported more victimization than students in all other grades in general education. However, the grade differences were not significant for students in special education. No gender differences on bullying and victimization were found. Students with disabilities reported less engagement in prosocial behaviors than their general education peers. Implications for bullying prevention and intervention across both general and special education are discussed.     

An investigation of adult attachment and coping with exam-related stress

Students differ in how they cope with and manage stress associated with university life. This study investigates associations between adult attachment and coping strategies for exam-related stress. Fifty-seven students at a university in the north of England completed online questionnaires to assess attachment anxiety and avoidance, helpful and unhelpful coping strategies, and positive and negative affect. We found that students who were more avoidant in their attachment relationships were less likely to report using helpful problem-focused and emotion-focused strategies to cope with their exams. We also found that students who were more anxious in their attachment relationships reported using more dysfunctional coping strategies. We discuss the implications of the findings for university pastoral care and academic support systems.