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The Protective Role of Resilience in Emotional Exhaustion Among Dental Students at Clinical Levels
Psychology Research and Behavior Management ( IF 2.8 ) Pub Date : 2020-11-13 , DOI: 10.2147/prbm.s281580 Alla Alsharif 1
Psychology Research and Behavior Management ( IF 2.8 ) Pub Date : 2020-11-13 , DOI: 10.2147/prbm.s281580 Alla Alsharif 1
Affiliation
Purpose: The epidemic of burnout among dental students has been repeatedly documented. This study aimed to assess burnout, specifically emotional exhaustion (EE), and examined the impact of protective and risk psychological factors for EE among clinical-level dental students in Saudi Arabia (SA).
Methods: A cross-sectional study was conducted, using a convenience sample of undergraduate dental students who were recruited from five separate dental schools. A self-administered questionnaire was distributed to 500 students to obtain socio-demographic data and to assess the students’ psychological characteristics (Maslach Burnout Inventory EE subscale, Dental Environment Stress Scale [DES] and Brief Resilience Scale [BRS]). Descriptive, bivariate and multivariable logistic regression analyses were performed.
Results: Of 272 respondents, 53% reported high EE. Adjusted multivariable logistic regression modelling demonstrated that students who reported higher BRS scores were significantly less likely to report high EE (adjusted odds ratio [AOR]=0.79, 95% CI=0.70– 0.89, p< 0.001). However, females were more than twice as likely as males to report high EE (AOR=2.27, 95% CI=1.14– 4.61, p=0.024). In addition, students who reported higher DES scores also reported high EE (AOR=1.10, 95% CI=1.07– 1.12, p< 0.001).
Conclusion: The findings suggest that resilience is a protective factor against high EE, after adjusting for key characteristics. There is a need for a preventive programme that addresses EE, taking into consideration other unexplored underlying factors.
Keywords: burnout, emotional exhaustion, stress, dental, students, resilience
中文翻译：
弹性在临床水平的牙科学生情绪衰竭中的保护作用
目的：牙科学生职业倦怠的流行已被反复记录。本研究旨在评估职业倦怠，特别是情绪衰竭 (EE)，并检查保护性和风险心理因素对沙特阿拉伯 (SA) 临床级牙科学生的 EE 的影响。
方法：使用从五个不同牙科学校招募的本科牙科学生的便利样本进行了横断面研究。向 500 名学生分发了一份自我管理的问卷，以获得社会人口学数据并评估学生的心理特征（Maslach 倦怠量表 EE 子量表、牙科环境压力量表 [DES] 和简要恢复力量表 [BRS]）。进行了描述性、双变量和多变量逻辑回归分析。
结果：在 272 名受访者中，53% 的人表示 EE 较高。调整后的多变量逻辑回归模型表明，报告较高 BRS 分数的学生报告高 EE 的可能性显着降低（调整后的优势比 [AOR]=0.79, 95% CI=0.70–0.89, p<0.001）。然而，女性报告高 EE 的可能性是男性的两倍多（AOR=2.27, 95% CI=1.14–4.61, p=0.024）。此外，报告较高 DES 分数的学生也报告了较高的 EE（AOR=1.10, 95% CI=1.07–1.12, p<0.001）。
结论：研究结果表明，在调整关键特征后，复原力是对抗高 EE 的保护因素。考虑到其他未探索的潜在因素，需要一个针对 EE 的预防计划。
关键词：倦怠, 情绪衰竭, 压力, 牙科, 学生, 复原力
更新日期：2020-11-13
Methods: A cross-sectional study was conducted, using a convenience sample of undergraduate dental students who were recruited from five separate dental schools. A self-administered questionnaire was distributed to 500 students to obtain socio-demographic data and to assess the students’ psychological characteristics (Maslach Burnout Inventory EE subscale, Dental Environment Stress Scale [DES] and Brief Resilience Scale [BRS]). Descriptive, bivariate and multivariable logistic regression analyses were performed.
Results: Of 272 respondents, 53% reported high EE. Adjusted multivariable logistic regression modelling demonstrated that students who reported higher BRS scores were significantly less likely to report high EE (adjusted odds ratio [AOR]=0.79, 95% CI=0.70– 0.89, p< 0.001). However, females were more than twice as likely as males to report high EE (AOR=2.27, 95% CI=1.14– 4.61, p=0.024). In addition, students who reported higher DES scores also reported high EE (AOR=1.10, 95% CI=1.07– 1.12, p< 0.001).
Conclusion: The findings suggest that resilience is a protective factor against high EE, after adjusting for key characteristics. There is a need for a preventive programme that addresses EE, taking into consideration other unexplored underlying factors.
Keywords: burnout, emotional exhaustion, stress, dental, students, resilience
中文翻译：
弹性在临床水平的牙科学生情绪衰竭中的保护作用
目的：牙科学生职业倦怠的流行已被反复记录。本研究旨在评估职业倦怠，特别是情绪衰竭 (EE)，并检查保护性和风险心理因素对沙特阿拉伯 (SA) 临床级牙科学生的 EE 的影响。
方法：使用从五个不同牙科学校招募的本科牙科学生的便利样本进行了横断面研究。向 500 名学生分发了一份自我管理的问卷，以获得社会人口学数据并评估学生的心理特征（Maslach 倦怠量表 EE 子量表、牙科环境压力量表 [DES] 和简要恢复力量表 [BRS]）。进行了描述性、双变量和多变量逻辑回归分析。
结果：在 272 名受访者中，53% 的人表示 EE 较高。调整后的多变量逻辑回归模型表明，报告较高 BRS 分数的学生报告高 EE 的可能性显着降低（调整后的优势比 [AOR]=0.79, 95% CI=0.70–0.89, p<0.001）。然而，女性报告高 EE 的可能性是男性的两倍多（AOR=2.27, 95% CI=1.14–4.61, p=0.024）。此外，报告较高 DES 分数的学生也报告了较高的 EE（AOR=1.10, 95% CI=1.07–1.12, p<0.001）。
结论：研究结果表明，在调整关键特征后，复原力是对抗高 EE 的保护因素。考虑到其他未探索的潜在因素，需要一个针对 EE 的预防计划。
关键词：倦怠, 情绪衰竭, 压力, 牙科, 学生, 复原力
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