Evaluation of dentists' fear, anxiety, and work-life balance during the COVID-19 pandemic
DOI:
https://doi.org/10.5577/intdentres.537Keywords:
Anxiety, COVID-19, dentists, fear, graduate dental education, work-life balanceAbstract
Aim: This study aimed to determine the fear and anxiety levels and work-life balance of postgraduate dental residents during the COVID-19 pandemic and to examine the relationships among these variables.
Methodology: This descriptive, cross-sectional study used a correlational design. The study included 188 of 348 postgraduate dental residents (54%) at five public universities in Ankara, Türkiye, who completed an online survey. Data were collected using the COVID-19 Fear Scale, the COVID-19 Anxiety Scale, and the Work-Life Balance Scale. Data were analyzed using the Mann–Whitney U, Kruskal–Wallis H, one-way ANOVA, and Spearman correlation tests.
Results: The mean scores were 16.41 ± 5.21 for fear, 6.37 ± 2.33 for anxiety, and 37.26 ± 10.19 for work-life balance. Fear and anxiety levels were higher among female and younger dentists and among those who considered COVID-19 a serious disease. Fear levels were also higher among pedodontists, those who had received COVID-19 training, and those who found the work environment inadequate for disease prevention. Work-life balance levels were significantly lower among those who found the precautions insufficient and were weakly correlated with COVID-19 knowledge (r = 0.180) and the perception of COVID-19 as a serious disease (r = 0.164). No relationship was found between work-life balance and COVID-19-related fear and anxiety.
Conclusion: Fear and anxiety among postgraduate dental residents during the COVID-19 pandemic were associated with sex, age, specialty, training, and perceived workplace adequacy, but not with work-life balance. Creating working conditions that reduce fear and anxiety and support work-life balance is therefore important. The results can be used to develop policies regulating the working conditions of dentists in the post-COVID period.
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Ahmed MA, Jouhar R, Ahmed N, et al. Fear and practice modifications among dentists to combat novel coronavirus disease (COVID-19) outbreak. Int J Environ Res Public Health. 2020;17(8):2821. https://doi.org/10.3390/ijerph17082821
Mahendran K, Patel S, Sproat C. Psychosocial effects of the COVID-19 pandemic on staff in a dental teaching hospital. Br Dent J. 2020;229(2):127–132. https://doi.org/10.1038/s41415-020-1792-3
Sohrabi C, Alsafi Z, O'Neill N, et al. World Health Organization declares global emergency: a review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020;76:71–76. https://doi.org/10.1016/j.ijsu.2020.02.034
Fallahi HR, Keyhan SO, Zandian D, Kim SG, Cheshmi B. Being a front-line dentist during the COVID-19 pandemic: a literature review. Maxillofac Plast Reconstr Surg. 2020;42(1):12. https://doi.org/10.1186/s40902-020-00256-5
Mahdee AF, Gul SS, Abdulkareem AA, Qasim SSB. Anxiety, practice modification, and economic impact among Iraqi dentists during the COVID-19 outbreak. Front Med (Lausanne). 2020;7:595028. https://doi.org/10.3389/fmed.2020.595028
Hjálmsdóttir A, Bjarnadóttir VS. "I have turned into a foreman here at home": families and work-life balance in times of COVID-19 in a gender equality paradise. Gend Work Organ. 2021;28(1):268–283. https://doi.org/10.1111/gwao.12552
Ayar D, Karaman MA, Karaman R. Work-life balance and mental health needs of health professionals during COVID-19 pandemic in Turkey. Int J Ment Health Addict. 2022;20(1):639–655. https://doi.org/10.1007/s11469-021-00717-6
Pai S, Patil V, Kamath R, Mahendra M, Singhal DK, Bhat V. Work-life balance amongst dental professionals during the COVID-19 pandemic—a structural equation modelling approach. PLoS One. 2021;16(8):e0256663. https://doi.org/10.1371/journal.pone.0256663
Brough P, Timms C, Chan XW, Hawkes A, Rasmussen L. Work–life balance: definitions, causes, and consequences. In: Theorell T, ed. Handbook of Socioeconomic Determinants of Occupational Health: From Macro-level to Micro-level Evidence. Springer; 2020:473–487. https://doi.org/10.1007/978-3-030-31438-5_20
Karamüftüoğlu N, Atasoy Ulusoy Öİ. Türkiye'de COVID-19 pandemisi ve diş hekimliği: ikinci yılın değerlendirilmesi ve öneriler. Türkiye Sağlık Okuryazarlığı Derg. 2021;3(2):168–183. https://doi.org/10.54247/soyd.2021.39
Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Ment Health Addict. 2022;20(3):1537–1545. https://doi.org/10.1007/s11469-020-00270-8
Haktanir A, Seki T, Dilmaç B. Adaptation and evaluation of Turkish version of the Fear of COVID-19 Scale. Death Stud. 2022;46(3):719–727. https://doi.org/10.1080/07481187.2020.1773026
Lee SA. Coronavirus Anxiety Scale: a brief mental health screener for COVID-19 related anxiety. Death Stud. 2020;44(7):393–401. https://doi.org/10.1080/07481187.2020.1748481
Evren C, Evren B, Dalbudak E, Topcu M, Kutlu N. Measuring anxiety related to COVID-19: a Turkish validation study of the Coronavirus Anxiety Scale. Death Stud. 2022;46(5):1052–1058. https://doi.org/10.1080/07481187.2020.1774969
Taşdelen-Karçkay A, Bakalım O. The mediating effect of work–life balance on the relationship between work–family conflict and life satisfaction. Aust J Career Dev. 2017;26(1):3–13. https://doi.org/10.1177/1038416216682954
Kline RB. Principles and Practice of Structural Equation Modeling. 3rd ed. Guilford Press; 2011.
Meydan CH, Şeşen H. Yapısal Eşitlik Modellemesi AMOS Uygulamaları. Detay Yayıncılık; 2011.
Karagöz Y. SPSS 23 ve AMOS 23 Uygulamalı İstatistiksel Analizler. Nobel Akademik Yayıncılık; 2019.
Alpar R. Spor, Sağlık ve Eğitim Bilimlerinden Örneklerle Uygulamalı İstatistik ve Geçerlik-Güvenirlik. Detay Yayıncılık; 2010.
Denis DJ. SPSS Data Analysis for Univariate, Bivariate, and Multivariate Statistics. John Wiley & Sons; 2018.
Cronk BC. How to Use SPSS®: A Step-by-Step Guide to Analysis and Interpretation. 10th ed. Routledge; 2018.
Meyers LS, Gamst GC, Guarino AJ. Applied Multivariate Research: Design and Interpretation. 3rd ed. Sage; 2017.
Kalaitzaki AE, Tamiolaki A, Rovithis M. The healthcare professionals amidst COVID-19 pandemic: a perspective of resilience and posttraumatic growth. Asian J Psychiatr. 2020;52:102172. https://doi.org/10.1016/j.ajp.2020.102172
Mijiritsky E, Hamama-Raz Y, Liu F, et al. Subjective overload and psychological distress among dentists during COVID-19. Int J Environ Res Public Health. 2020;17(14):5074. https://doi.org/10.3390/ijerph17145074
Tysiąc-Miśta M, Dziedzic A. The attitudes and professional approaches of dental practitioners during the COVID-19 outbreak in Poland: a cross-sectional survey. Int J Environ Res Public Health. 2020;17(13):4703. https://doi.org/10.3390/ijerph17134703
Martina S, Amato A, Rongo R, Caggiano M, Amato M. The perception of COVID-19 among Italian dentists: an orthodontic point of view. Int J Environ Res Public Health. 2020;17(12):4384. https://doi.org/10.3390/ijerph17124384
Shacham M, Hamama-Raz Y, Kolerman R, Mijiritsky O, Ben-Ezra M, Mijiritsky E. COVID-19 factors and psychological factors associated with elevated psychological distress among dentists and dental hygienists in Israel. Int J Environ Res Public Health. 2020;17(8):2900. https://doi.org/10.3390/ijerph17082900
Gasparro R, Scandurra C, Maldonato NM, et al. Perceived job insecurity and depressive symptoms among Italian dentists: the moderating role of fear of COVID-19. Int J Environ Res Public Health. 2020;17(15):5338. https://doi.org/10.3390/ijerph17155338
Kinariwala N, Samaranayake LP, Perera I, Patel Z. Concerns and fears of Indian dentists on professional practice during the coronavirus disease 2019 (COVID-19) pandemic. Oral Dis. 2021;27(suppl 3):730–732. https://doi.org/10.1111/odi.13459
Suryakumari VBP, Pallavi Reddy Y, Yadav SS, Doshi D, Surekha Reddy V. Assessing fear and anxiety of corona virus among dental practitioners. Disaster Med Public Health Prep. 2022;16(2):555–560. https://doi.org/10.1017/dmp.2020.350
Sarialioglu Gungor A, Donmez N, Uslu YS. Knowledge, stress levels, and clinical practice modifications of Turkish dentists due to COVID-19: a survey study. Braz Oral Res. 2021;35:e048. https://doi.org/10.1590/1807-3107bor-2021.vol35.0048
Broche-Pérez Y, Fernández-Fleites Z, Jiménez-Puig E, Fernández-Castillo E, Rodríguez-Martin BC. Gender and fear of COVID-19 in a Cuban population sample. Int J Ment Health Addict. 2022;20(1):83–91. https://doi.org/10.1007/s11469-020-00343-8
Kulu M, Özsoy F, Gürler EB, Özbeyli D. COVID-19 salgınının diş hekimleri üzerinde yarattığı gelecek kaygısı ve stresin değerlendirilmesi. Pamukkale Tıp Derg. 2021;14(1):103–112. https://doi.org/10.31362/patd.777556
Enyama D, Chelo D, Noukeu Njinkui D, et al. Impact of the COVID-19 pandemic on pediatricians' clinical activity in Cameroon. Arch Pediatr. 2020;27(8):423–427. https://doi.org/10.1016/j.arcped.2020.09.004
Coffin SE, Rubin D. Yes, children can transmit COVID, but we need not fear. JAMA Pediatr. 2021;175(11):1110–1112. https://doi.org/10.1001/jamapediatrics.2021.2767
Sağlam E, Saruhan N. Diş hekimlerinin COVID-19 salgını sürecinde korku düzeylerinin ve klinik uygulamalarındaki değişikliklerinin değerlendirilmesi. Acıbadem Univ Sağ Bil Derg. 2021;12(2):260–265. https://doi.org/10.31067/acusaglik.851931
Tam CWC, Pang EPF, Lam LCW, Chiu HFK. Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among frontline healthcare workers. Psychol Med. 2004;34(7):1197–1204. https://doi.org/10.1017/S0033291704002247
Chan AOM, Huak CY. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occup Med (Lond). 2004;54(3):190–196. https://doi.org/10.1093/occmed/kqh027
Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377–1385. https://doi.org/10.1001/archinternmed.2012.3199
Yayla A, Eskici İlgin V. The relationship of nurses' psychological well-being with their coronaphobia and work-life balance during the COVID-19 pandemic: a cross-sectional study. J Clin Nurs. 2021;30(21–22):3153–3162. https://doi.org/10.1111/jocn.15783
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