Evidence map›Paper›PMID 28553831›Full record

ArticleInternational journal of medical education2017

Depression, anxiety and stress in dental students.

Sumaya Basudan, Najla Binanzan, Aseel Alhassan

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in International journal of medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07415915 (Heart Rate Variability Biofeedback Training to Reduce Stress and Anxiety During Dentistry Students' Clinical Transition), which is not on this map. Cited by 134 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 5 pooled it
34.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07415915 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Heart Rate Variability Biofeedback Training to Reduce Stress and Anxiety During Dentistry Students' Clinical Transition

TypeinterventionalSponsorEgas Moniz - Cooperativa de Ensino Superior, CRLRan2026 to 2026Enrolled50ConditionsStress (Psychology), Anxiety, Psychological DistressArmsHeart Rate Variability Biofeedback (HRVB) Training
3 · Its place in the literature

Who cites it

134 citing papers in PubMed, 5 syntheses or guidelines pooled it, 349 citations in OpenAlex.

  1. Impact of COVID-19 on Depression, Anxiety and Stress of Dental Students: A Systematic Review.European journal of dental education : official journal of the Association for Dental Education in Europe · 2025
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  7. Stress and Resilience Development in German Dental Students.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
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  10. Mental Health Matters: A Multi-Institution Study on the Mental Health of Undergraduate Dental Students.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
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  14. Evaluating Tolerance Levels of Dental Students in King Abdulaziz University, Saudi Arabia.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
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74 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Sumaya BasudanDepartment of Restorative Dental Sciences, College of Dentistry, King Saud University, Saudi Arabia.
Najla BinanzanEndodontic Postgraduate Program at the College of Dentistry, King Saud University, Saudi Arabia.
Aseel AlhassanSaudi Board of Restorative Dentistry, Saudi Arabia.
King Saud University · SASaudi Heart Association · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo measure the occurrence and levels of depression, anxiety and stress in undergraduate dental students using the Depression, Anxiety and Stress Scale (DASS-21).

methodsThis cross-sectional study was conducted in November and December of 2014. A total of 289 dental students were invited to participate, and 277 responded, resulting in a response rate of 96%. The final sample included 247 participants. Eligible participants were surveyed via a self-reported questionnaire that included the validated DASS-21 scale as the assessment tool and questions about demographic characteristics and methods for managing stress.

resultsAbnormal levels of depression, anxiety and stress were identified in 55.9%, 66.8% and 54.7% of the study participants, respectively. A multiple linear regression analysis revealed multiple predictors: gender (for anxiety b=-3.589, p=.016 and stress b=-4.099, p=.008), satisfaction with faculty relationships (for depression b=-2.318, p=.007; anxiety b=-2.213, p=.004; and stress b=-2.854, p<.001), satisfaction with peer relationships (for depression b=-3.527, p<.001; anxiety b=-2.213, p=.004; and stress b=-2.854, p<.001), and dentistry as the first choice for field of study (for stress b=-2.648, p=.045). The standardized coefficients demonstrated the relationship and strength of the predictors for each subscale. To cope with stress, students engaged in various activities such as reading, watching television and seeking emotional support from others.

conclusionsThe high occurrence of depression, anxiety and stress among dental students highlights the importance of providing support programs and implementing preventive measures to help students, particularly those who are most susceptible to higher levels of these psychological conditions.

Indexed as

Adaptation, PsychologicalAnxietyCareer ChoiceCross-Sectional StudiesDepressionFemaleHumansLinear ModelsMalePersonal SatisfactionSex FactorsStress, PsychologicalStudents, DentalSurveys and Questionnairesanxietydental studentkeywords: depressionpsychological healthstress

Identifiers

PMID28553831
PMCPMC5457790
OpenAlexW2618188957

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.