The impact of the COVID-19 pandemic on the stress level of dentists

Relevance. The COVID-19 pandemic significantly affected the stress levels of healthcare workers. Like some other medical specialties, dentists have the highest risk of infection due to close contact with the patient's oral cavity and aerosol-generating procedures.

Purpose. The study aimed to study the impact of the COVID-19 pandemic on the stress level of dentists in Novosibirsk.

Material and methods. The study involved 273 dentists of various specialties aged from 20 to 65 years. The study assessed the overall level of perceived stress, overstrain and counteraction to stress using the "Perceived stress scale" (PSS-10). The Peritraumatic Distress Inventory (PDI) evaluated the level of distress associated with the pandemic.

Results. The overall level of perceived stress is sufficiently high in all groups; the indicators increase with age from 6.9% in the younger age group to 95.7% in the older one. Older dentists are aware of the higher risks of a severe course and consequences of the disease and fear for the lives of loved ones. In the middle and younger age groups, the level of distress associated with professional activities is within the normal range. The older age group showed a high peritraumatic distress level associated with practising medicine during the COVID-19 pandemic. Gender differences in the perceived stress and distress levels were not found.

Conclusion. The COVID-19 pandemic caused an increase in the psychological stress level among dentists, especially among older age groups. The study allowed us to identify factors affecting stress levels, which must be considered when organizing effective psychological assistance to doctors during epidemics of infectious diseases and providing targeted help to those in need.

1. Knezevic B, Milosevic M, Golubic R, Belosevic L, Russo A, Mustajbegovic J. Work-related stress and work ability among Croatian university hospital midwives. Midwifery. 2011;27(2):146–153. doi: 10.1016/j.midw.2009.04.002

2. Pejčić N, Petrović V, Ilić-Dimitrijević I, Jakovljević A, Nikodijević-Latinović A, Petrović R, et al. Occupational stress among dental professionals. Balkan Journal of Dental Medicine. 2021;25(2):67-2021. doi: 10.2478/bjdm-2021-0011

3. Muhic E, Plancak D, Lajnert V, Muhic A. Predictors of Job Satisfaction in Dental Professionals of the Bosnia and Herzegovina Federation. Acta Stomatol Croat. 2016;50(3):222-229. doi: 10.15644/asc50/3/4.

4. Mujić Jahić I, Bukejlović J, Alić-Drina S, Nakaš E. Assessment of Stress among Doctors of Dental Medicine. Acta Stomatol Croat. 201;53(4):354-362. doi: 10.15644/asc53/4/6

5. Lietz J, Westermann C, Nienhaus A, Schablon A. The occupational risk of influenza A (H1N1) infection among healthcare personnel during the 2009 pandemic: a systematic review and meta-analysis of observational studies. PLoS One. 2016;11(8):e0162061 doi: 10.1371/journal.pone.0162061

6. Choi SH, Chung JW, Jeon MH, Lee MS. Risk factors for pandemic H1N1 2009 infection in healthcare personnel of four general hospitals. Journal of Infection. 2011;63(4):267-273. doi: 10.1016/j.jinf.2011.04.009

7. Huremović D. Social distancing, quarantine, and isolation. In: Huremović D, editor. Psychiatry of Pandemics. Springer; 2019. Pp. 85–94. doi: 10.1007/978-3-030-15346-5_8

8. Galbraith N, Boyda D, McFeeters D, Hassan T. The mental health of doctors during the COVID-19 pandemic. BJPsych Bulletin. 2021;45(2):93-97. doi: 10.1192/bjb.2020.44

9. Walton M, Murray E, Christian MD. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. Eur Heart J Acute Cardiovasc Ca European Heart Journal. Acute Cardiovascular Care. 2020;9(3):241-247. doi: 10.1177/2048872620922795.

10. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA network open. 2020;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976

11. Moraes RR, Correa MB, Queiroz AB, Daneris Â, Lopes JP, Pereira-Cenci T, et al. COVID-19 challenges to dentistry in the new pandemic epicenter: Brazil. PLoS One. 2020;15(11):e0242251. doi: 10.1371/journal.pone.0242251

12. Zhang, M. Estimation of differential occupational risk of COVID-19 by comparing risk factors with case data by occupational group. American Journal of Industrial Medicine. 2021;64(1):39-47. doi: 10.1002/ajim.23199.

13. Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus Disease 19 (COVID-19): Implications for Clinical Dental Care. J Endod. 2020;46(5):584-595. doi: 10.1016/j.joen.2020.03.008

14. Cirillo N. COVID-19 outbreak: succinct advice for dentists and oral healthcare professionals. Clinical Oral Investigations. 2020;24(7):2529-2535. doi: 10.1007/s00784-020-03323-3

15. Beltrán-Aguilar E, Benzian H, Niederman R. Rational perspectives on risk and certainty for dentistry during the COVID-19 pandemic. American Journal of Infection Control. 2020;49(1):131-133. doi: 10.1016/j.ajic.2020.06.007.

16. Faccini M, Ferruzzi F, Mori AA, Santin GC, Oliveira RC, de Oliveira RCG, et al. Dental Care during COVID-19 Outbreak: A Web-Based Survey. European journal of dentistry. 2020;14(01):14-19. doi: 10.1055/s-0040-1715990

17. Zhang W R, Wang K, Yin L, Zhao W F, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychotherapy and psychosomatics. 2020;89(4):242-250. doi: 10.1159/000507639

18. Sarapultseva M, Zolotareva A, Kritsky I, Nasretdinova N, Sarapultsev A. Psychological Distress and PostTraumatic Symptomatology Among Dental Healthcare Workers in Russia: Results of a Pilot Study. Int J Environ Res Public Health. 2021;18(2):708. doi: 10.3390/ijerph18020708.

19. Tagiltseva EV, Petrova TG, Vanyunina VV, Borodina NB. Validation of the russian version of the questionnaire «Covid-19 Peritraumatic distress index» (CPDI) and the transfer to the universal Questionnaire «Index of peritraumatic distress». Journal of New medical technologies. eEdition. 2022;16(6):45-51 (In Russ.). doi: 10.24412/2075-4094-2022-6-1-5

20. Ym DH, Bai Y, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Services. 2004;55:1055–1057. doi: 10.1176/appi.ps.55.9.1055

21. Maunder RG, Lancee WJ, Balderson KE, Bennett JP, Borgundvaag B, Evans S, et al. Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerg Infect Dis. 2006;12(12):1924–1932. doi: 10.3201%2Feid1212.060584