The evaluation of depression, anxiety, and stress among undergraduate dental students in graduation year in Mainland China: a cross-sectional study

Abstract Background Mental health issue in dental students has emerged as a worldwide concern. This study aims evaluate the mental health status among undergraduate dental students in their final year in mainland China, and to investigate the association factors behind it, aiming for better understa...

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Main Authors: Ying Fang, Mingya Yang, Wenyan Huang, Yijing Zhang, Xuguang Gao, Yijing Chen, Si Meng, Sujuan Zeng
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-07141-7
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author Ying Fang
Mingya Yang
Wenyan Huang
Yijing Zhang
Xuguang Gao
Yijing Chen
Si Meng
Sujuan Zeng
author_facet Ying Fang
Mingya Yang
Wenyan Huang
Yijing Zhang
Xuguang Gao
Yijing Chen
Si Meng
Sujuan Zeng
author_sort Ying Fang
collection DOAJ
description Abstract Background Mental health issue in dental students has emerged as a worldwide concern. This study aims evaluate the mental health status among undergraduate dental students in their final year in mainland China, and to investigate the association factors behind it, aiming for better understanding of current situation of dental education and provide some perspectives. Methods An analytical cross-sectional study was conducted using an Internet-based survey platform to collect data from undergraduate dental students in their final year in mainland China. The DASS-21 instrument was used to evaluate mental health outcomes, while a supplementary questionnaire was designed to gather information on their university experience and satisfaction across various aspects. The relationship between socio-educational characteristics and mental health was then analyzed. Results Varying levels of depression, anxiety, and stress were found among investigated participants. The mental problem was found related to gender (p < 0.01), school levels (p < 0.001), and regions (p = 0.001). Regression analysis identified several factors correlating with DASS-21 scores, with concerns about physical appearance being particularly prominent among students. Conclusion Undergraduate dental students in final year in mainland China experience significant mental health challenges, including depression, anxiety, and stress. Factors including gender, school levels, and regions all showed significant difference in stress, depression, and anxiety. Besides, various academic and social reasons would contribute to that. Social support should pay more attention to mental health in dental students.
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spelling doaj-art-ee297ff1c3cf40bea9a2a6e60b2783a22025-08-20T03:18:31ZengBMCBMC Medical Education1472-69202025-04-0125111210.1186/s12909-025-07141-7The evaluation of depression, anxiety, and stress among undergraduate dental students in graduation year in Mainland China: a cross-sectional studyYing Fang0Mingya Yang1Wenyan Huang2Yijing Zhang3Xuguang Gao4Yijing Chen5Si Meng6Sujuan Zeng7Department of Pediatric dentistry, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversitySchool of Stomatology, Guangzhou Medical UniversityDepartment of Pediatric dentistry, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversitySchool of Economics and Management, South China Agricultural UniversityDepartment of Pediatric dentistry, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversityDepartment of Pediatric dentistry, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversityDepartment of Pediatric dentistry, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversityDepartment of Pediatric dentistry, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical UniversityAbstract Background Mental health issue in dental students has emerged as a worldwide concern. This study aims evaluate the mental health status among undergraduate dental students in their final year in mainland China, and to investigate the association factors behind it, aiming for better understanding of current situation of dental education and provide some perspectives. Methods An analytical cross-sectional study was conducted using an Internet-based survey platform to collect data from undergraduate dental students in their final year in mainland China. The DASS-21 instrument was used to evaluate mental health outcomes, while a supplementary questionnaire was designed to gather information on their university experience and satisfaction across various aspects. The relationship between socio-educational characteristics and mental health was then analyzed. Results Varying levels of depression, anxiety, and stress were found among investigated participants. The mental problem was found related to gender (p < 0.01), school levels (p < 0.001), and regions (p = 0.001). Regression analysis identified several factors correlating with DASS-21 scores, with concerns about physical appearance being particularly prominent among students. Conclusion Undergraduate dental students in final year in mainland China experience significant mental health challenges, including depression, anxiety, and stress. Factors including gender, school levels, and regions all showed significant difference in stress, depression, and anxiety. Besides, various academic and social reasons would contribute to that. Social support should pay more attention to mental health in dental students.https://doi.org/10.1186/s12909-025-07141-7DASS-21Mental problemDental educationUndergraduate
spellingShingle Ying Fang
Mingya Yang
Wenyan Huang
Yijing Zhang
Xuguang Gao
Yijing Chen
Si Meng
Sujuan Zeng
The evaluation of depression, anxiety, and stress among undergraduate dental students in graduation year in Mainland China: a cross-sectional study
BMC Medical Education
DASS-21
Mental problem
Dental education
Undergraduate
title The evaluation of depression, anxiety, and stress among undergraduate dental students in graduation year in Mainland China: a cross-sectional study
title_full The evaluation of depression, anxiety, and stress among undergraduate dental students in graduation year in Mainland China: a cross-sectional study
title_fullStr The evaluation of depression, anxiety, and stress among undergraduate dental students in graduation year in Mainland China: a cross-sectional study
title_full_unstemmed The evaluation of depression, anxiety, and stress among undergraduate dental students in graduation year in Mainland China: a cross-sectional study
title_short The evaluation of depression, anxiety, and stress among undergraduate dental students in graduation year in Mainland China: a cross-sectional study
title_sort evaluation of depression anxiety and stress among undergraduate dental students in graduation year in mainland china a cross sectional study
topic DASS-21
Mental problem
Dental education
Undergraduate
url https://doi.org/10.1186/s12909-025-07141-7
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