Differences in Perceived Stress During the COVID-19 Pandemic Among Military Dental Postgraduate Residents.

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Military Medicine Pub Date : 2024-11-05 DOI:10.1093/milmed/usae270
James M Ross, Nora L Watson, Nicholas J Hamlin, John E Schmidt
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Abstract

Introduction: In military training settings, stress can improve focus and motivation fostering effective learning. However, high perceived stress can be debilitating resulting in poor learning and clinical errors. Multiple studies have focused on medical residency stress; but there has been minimal focus on dental residents and even less on the impact of the unique stressors from the COVID-19 pandemic. The objectives of this study were to determine the impact of the COVID-19 pandemic on perceived stress of residents in a military dental residency training program and explore the association among perceived stress and anxiety, depression, sleep quality, and social support.

Materials and methods: Dental residents (N = 20) at the Naval Postgraduate Dental School participated in this study. Residents were assessed via self-report measures quarterly from March 2020 through June 2021. The assessment included measures of anxiety (GAD-7), depression (PHQ-9), perceived stress (PSS), fatigue (FSI), and social support (DUKE-SSQ).

Results: Before the pandemic shutdown, 60% of participants reported high perceived stress. These residents reported an initial decrease in symptoms of anxiety, depression, and fatigue compared to residents reporting low pre-pandemic perceived stress but returned to baseline levels post-shutdown. Additionally, the high stress participants reported lower social support.

Conclusions: Based on pre-pandemic perceived stress, participants responded differently to the impact of the pandemic shutdown. The low baseline stress participants may have a more robust sense of grit and resilience. These findings suggest that postgraduate dental training programs should integrate coping skills training opportunities, especially for residents reporting high perceived stress before residency.

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军队口腔医学研究生在 COVID-19 大流行期间感知到的压力差异。
介绍:在军事训练环境中,压力可以提高注意力和动力,促进有效学习。然而,高感知压力可能会导致学习效果不佳和临床错误。已有多项研究关注了医学住院医师的压力,但对牙科住院医师的关注却很少,而对 COVID-19 大流行病所带来的独特压力的影响的关注就更少了。本研究的目的是确定 COVID-19 大流行对军事牙科住院医师培训项目中住院医师感知压力的影响,并探讨感知压力与焦虑、抑郁、睡眠质量和社会支持之间的关联:海军牙科研究生院的牙科住院医师(N = 20)参与了这项研究。从 2020 年 3 月到 2021 年 6 月,住院医师每季度接受一次自我报告评估。评估内容包括焦虑(GAD-7)、抑郁(PHQ-9)、感知压力(PSS)、疲劳(FSI)和社会支持(DUKE-SSQ):在大流行关闭之前,60% 的参与者表示感受到了很大的压力。与大流行前感知压力较低的居民相比,这些居民最初的焦虑、抑郁和疲劳症状有所减轻,但在关机后又恢复到基线水平。此外,高压力参与者的社会支持也较低:结论:根据大流行前的压力感知,参与者对大流行关闭的影响做出了不同的反应。基线压力低的学员可能具有更强的勇气和适应力。这些研究结果表明,口腔医学研究生培训项目应整合应对技能培训机会,尤其是针对住院医师在实习前感知压力较大的情况。
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来源期刊
Military Medicine
Military Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.20
自引率
8.30%
发文量
393
审稿时长
4-8 weeks
期刊介绍: Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.
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