Evidence map›Paper›PMID 41562158›Full record

ArticleJournal of dental education2026

Forgiveness of Self and Situations and Rumination as Mental Health Correlates in Dental School Students.

Loren Toussaint, Helen R Chapman, Vinodh Bhoopathi, Braydon Saltou, Nima Moghaddam, Amid I Ismail

Abstract read
In one paragraph

Article in Journal of dental education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Loren ToussaintDepartment of Psychology, Luther College, Decorah, Iowa, USA.
Helen R ChapmanSchool of Psychology, Sport Science & Wellbeing, College of Health and Science, University of Lincoln, Lincoln, UK.ORCID https://orcid.org/0000-0001-7699-9832
Vinodh BhoopathiUniversity of California at Los Angeles School of Dentistry, Los Angeles, California, USA.
Braydon SaltouUniversity of Iowa College of Dentistry, Iowa City, Iowa, USA.
Nima MoghaddamSchool of Psychology, Sport Science & Wellbeing, College of Health and Science, University of Lincoln, Lincoln, UK.
Amid I IsmailTemple University Kornberg School of Dentistry, Philadelphia, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIt is widely acknowledged that dental training is stressful, with students being vulnerable to burnout, anxiety, and depression.

objectiveThis study examined the associations between psychosocial risk factors (maladaptive perfectionism and rumination) and resilience factors (forgiveness of self, others, and situations, and compassion for self and others) with burnout, depression, and anxiety.

methodIn 2023, an electronic questionnaire was distributed to all dental students at a US dental school. Validated self-report measures were used to assess three domains: (a) mental health outcomes (burnout, depression, and anxiety), (b) risk factors (perfectionism and rumination), and (c) protective factors (compassion; self-compassion; and forgiveness of self, others, and situations). Socio-demographic measures were also collected. Seventy dental students participated, representing a 12% response rate, approximately evenly distributed across all four training years.

resultsBivariate analyses showed that perfectionistic discrepancies and rumination were associated with greater burnout, depression, and anxiety. Self-forgiveness and forgiveness of situations were associated with lower burnout, depression, and anxiety. In the final step of multiple regression models, where all variables were entered into the equation, self-forgiveness emerged as a significant predictor of lower burnout and depression. Forgiveness of situations significantly predicted lower anxiety, while rumination remained as a predictor of higher anxiety.

conclusionsThese findings represent an initial examination of risk and resilience factors considered jointly in relation to burnout, depression, and anxiety. Notably, the study highlights the potential of relatively under-researched constructs-forgiveness of self, others, and situations-in shaping mental health outcomes among dental students during training.

Indexed as

ForgivenessMental HealthRumination, CognitiveSelf ConceptStudents, DentalAnxietyBurnout, ProfessionalDepressionEmpathyFemaleHumansMalePerfectionismRisk FactorsSelf ReportSurveys and Questionnairesanxietyburnoutcompassiondental studentsdepressionforgivenessperfectionismruminationself‐compassionself‐forgiveness

Identifiers

PMID41562158
PMCPMC13568897

What OpenQuestion holds

Textmetadata
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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.