Evidence map›Paper›PMID 34023094›Full record

ArticleJournal of the American Dental Association (1939)2021

Dental trainees' mental health and intention to leave their programs during the COVID-19 pandemic.

Donald L Chi, Cameron L Randall, Courtney M Hill

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
14.8field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 57 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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  4. Prevalence of Anxiety in Dental Students during the COVID-19 Outbreak: A Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
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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.

Donald L Chi
Cameron L Randall
Courtney M Hill

Funding

Implementation of Evidence-Based Pain Assessment in Pediatric DentistryK23DE028906 · NIDCR · UNIVERSITY OF WASHINGTON · PI RANDALL, CAMERON L · 2019 to 2023
$816k
NIDCR NIH HHS K23 DE028906
6 · The paper itself

Abstract

backgroundDental trainees (dental students, graduate students, and postdoctoral residents) are at increased risk of experiencing poor mental health, which can lead to intentions to leave their program, especially during the COVID-19 pandemic.

methodsThe authors invited 355 dental trainees at the University of Washington School of Dentistry to complete an 83-item questionnaire in August and September 2020. The outcome analyzed was intention to leave their programs. There were 4 self-reported predictors: anxiety, burnout, depression, and COVID-19 impact on overall mental health. The authors ran multiple variable logistic regression models to evaluate relationships between each predictor and outcome (α = .05) and reported odds ratios (ORs) and 95% CIs.

resultsThe survey response rate was 35.5%. Overall, 12.7% of participants reported any intention to leave. In total, 22.2% and 16.7% of participants endorsed clinically significant anxiety or depression symptomatology, respectively; 28.6% reported 1 or more burnout symptoms; and 69.0% reported that COVID-19 affected their overall mental health. Participants reporting anxiety (OR, 8.87; 95% CI, 1.80 to 43.57; P = .007), depression (OR, 11.18; 95% CI, 1.84 to 67.74; P = .009), or burnout (OR, 8.14; 95% CI, 1.73 to 38.23; P = .008) were significantly more likely to report intention to leave than those not reporting mental health problems. All participants reporting that the COVID-19 pandemic impacted their mental health expressed intention to leave.

conclusionsPoor mental health is common among dental trainees and is associated with intention to leave their program. PRACTICAL IMPLICATIONS: COVID-19 has exacerbated the prevalence and consequences of poor mental health among dental students, highlighting the importance of providing wellness resources.

Indexed as

COVID-19PandemicsAnxietyCross-Sectional StudiesDepressionHumansIntentionMental HealthSARS-CoV-2Stress, Psychologicalanxiety disordersburnout, professionalCOVID-19Dental studentsdepressive disorder

Identifiers

PMID34023094
PMCPMC8238834
OpenAlexW3136821108

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.