Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Investigation of Stress-Inducing Factors and Occupational Stress Levels in General and Pediatric Dentists

일반 진료 치과의사와 소아 진료 치과의사의 스트레스 유발 요인과 직무 스트레스 정도에 대한 연구

  • Seunghyun, Kim (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Jaesik, Lee (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University)
  • 김승현 (경북대학교 치의학대학원 소아치과학교실) ;
  • 이제식 (경북대학교 치의학대학원 소아치과학교실)
  • Received : 2022.09.16
  • Accepted : 2022.10.26
  • Published : 2022.11.30
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Abstract

The purpose of this study was to compare factors causing stress in pediatric and general dentists when treating pediatric patients and to evaluate their overall occupational stress level. A total of 191 dentists participated in the online survey, consisting of 66 pediatric dentists and 125 general dentists. The questionnaire was conducted using Google Form. Both groups were stressed due to poor cooperation of patient and caregiver, uncertain prognosis of treatment, and low cost of pediatric dental treatment. The pediatric dentists felt relatively high stress due to poor cooperation from caregivers and an uncertain prognosis of treatment (p < 0.05). Overall occupational stress was high in both groups in the order of patient, time, job environment, and income-related stress, and the degrees of pediatric dentists were lower than general dentists. Among the 3 sub-factors of occupational burnout, more than 98% of both groups showed burnout in "depersonalization", and more than 69% of both groups showed burnout in "emotional exhaustion". Both groups showed a low burnout rate in "reduced sense of accomplishment" and pediatric dentists showed a higher sense of accomplishment than general dentists (p < 0.05). This study showed that both groups were under high occupational stress due to various factors, and efforts were required to relieve stress.

이번 연구는 소아 환자를 치료할 때 소아 진료 치과의사와 일반 진료 치과의사들에게 스트레스를 유발하는 원인과 직무 스트레스 정도에 대해 알아보고자 하였으며 66명의 소아진료 치과의사와 125명의 일반 진료 치과의사, 총 191명의 연구대상자를 통해 평가하였다. 소아 환자 치료 시 2개의 군 모두 환자의 협조도 부족에 의해 가장 높은 스트레스를 느꼈으며 이외에도 예후의 불확실성과 낮은 수가, 보호자의 협조도 부족 등에 의해 스트레스를 나타내었다. 또한 보호자의 협조도 부족과 예후의 불확실성에 의해 소아 진료 치과의사가 일반 진료 치과의사보다 유의하게 높은 스트레스를 받고 있었다(p < 0.05). 전반적 직무스트레스는 2개의 군 모두 환자, 시간, 직무 환경, 수입 관련 스트레스 순으로 높았으며 소아 진료 치과의사의 스트레스 정도가 더 낮았다. 직업적 번아웃은 '냉소주의'에서 2개의 군 모두 98% 이상이 번아웃을 보였으며 '정서적 소진'은 69% 이상이 번아웃을 보여 그 비율이 매우 높았다. 또한 '성취감 저하'는 번아웃의 비율이 낮았으며 소아 진료 치과의사가 일반 진료 치과의사에 비해 통계적으로 유의하게 높은 성취감을 나타내었다(p < 0.05). 이번 연구를 통해 2개의 군 모두 높은 직무 스트레스를 보였으며 이를 완화하기 위한 노력이 필요하다.

Keywords

References

  1. Pejcic N, Petrovic V, IlicDimitrijevic I, Jakovljevic A, Nikodijevic-Latinovic A, Petrovic R, Perunovic N : Occupational stress among dental professionals. Balk J Dent Med, 25:67-72, 2021. https://doi.org/10.2478/bjdm-2021-0011
  2. Furlow B : Ergonomics in the health care environment. Radiol Technol, 74:137-150, 2002.
  3. Song KW, Choi WS, Jee HJ, Yuh CS, Kim YK, Kim L, Lee HJ, Cho CH : Correlation of occupational stress with depression, anxiety, and sleep in Korean dentists: cross-sectional study. BMC psychiatry, 17:398, 2017.
  4. Pejcic N, Petrovic V, Markovic D, Milicic B, Dimitrijevic II, Perunovic N, Cakic S : Assessment of risk factors and preventive measures and their relations to work-related musculoskeletal pain among dentists. Work, 57:573-593, 2017. https://doi.org/10.3233/wor-172588
  5. Colligan TW, Higgins EM : Workplace stress: Etiology and consequences. J Workplace Behav Health, 21:89-97, 2006. https://doi.org/10.1300/J490v21n02_07
  6. Gorter RC, Eijkman MA, Hoogstraten J : Burnout and health among Dutch dentists. Eur J Oral Sci, 108:261-267, 2000. https://doi.org/10.1034/j.1600-0722.2000.108004261.x
  7. Rada RE, Johnson-Leong C : Stress, burnout, anxiety and depression among dentists. J Am Dent Assoc, 135:788-794, 2004. https://doi.org/10.14219/jada.archive.2004.0279
  8. Jin MU, Jeong SH, Kim EK, Choi YH, Song KB : Burnout and its related factors in Korean dentists. Int Dent J, 65:22-31, 2015. https://doi.org/10.1111/idj.12142
  9. Chohan L, Dewa CS, El-Badrawy W, Nainar SH : Occupational burnout and depression among paediatric dentists in the United States. Int J Paediatr Dent, 30: 570-577, 2020. https://doi.org/10.1111/ipd.12634
  10. Maslach C, Leiter MP : Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry, 15:103-111, 2016. https://doi.org/10.1002/wps.20311
  11. Slabsinskiene E, Gorelik A, Vasiliauskiene I, Kavaliauskiene A, Zaborskis A : Factorial validity and variance of the Maslach Burnout Inventory between demographic and workload groups among dentists of Lithuania. Int J Environ Res Public Health, 17:9154, 2020.
  12. Davidovich E, Pessov Y, Banisl A, Ram D : Levels of stress among general practitioners, students and specialists in pediatric dentistry during dental treatment. J Clin Pediatr Dent, 39:419-422, 2015. https://doi.org/10.17796/1053-4628-39.5.419
  13. Sancho FM, Ruiz CN : Risk of suicide amongst dentists: myth or reality? Int Dent J, 60:411-418, 2010.
  14. Gorter RC, Eijkman MA, Hoogstraten J : A career counseling program for dentists: effects on burnout. Patient Educ Couns, 43:23-30, 2001. https://doi.org/10.1016/S0738-3991(00)00141-5
  15. Yansane A, Tokede O, Walji M, Obadan-Udoh E, Riedy C, White J, Kalenderian E : Burnout, engagement, and dental errors among US dentists. J Patient Saf, 17: E1050-E1056, 2021. https://doi.org/10.1097/PTS.0000000000000673
  16. Blechter B, Jiang N, Cleland C, Berry C, Ogedegbe O, Shelley D : Correlates of burnout in small independent primary care practices in an urban setting. J Am Board Fam Med, 31:529-536, 2018. https://doi.org/10.3122/jabfm.2018.04.170360
  17. Boran A, Shawaheen M, Khader Y, Amarin Z, Hill RV : Work-related stress among health professionals in northern Jordan. Occup Med (Lond), 62:145-147, 2012. https://doi.org/10.1093/occmed/kqr180
  18. Ronneberg A, Strom K, Skaare AB, Willumsen T, Espelid I : Dentists' self-perceived stress and difficulties when performing restorative treatment in children. Eur Arch Paediatr Dent, 16:341-347, 2015. https://doi.org/10.1007/s40368-014-0168-2
  19. Farokh GE, Hatamvand M : Investigation of stress level among dentistry students, general dentists, and pediatric dental specialists during performing pediatric dentistry in Kerman, Iran, in 2017. Open Dent J, 12:631-637, 2018. https://doi.org/10.2174/1745017901814010631
  20. Choy HB, Wong MC : Occupational stress and burnout among Hong Kong dentists. Hong Kong Med J, 23:480-488, 2017.
  21. Kim HW, Kim JB : A trend of treatment in department of pediatric dentistry for 10 years. J Korean Acad Pediatr Dent, 46:328-336, 2019. https://doi.org/10.5933/JKAPD.2019.46.3.328
  22. Han JH, Song JS, Shin TJ, Hyun HK, Kim YJ, Kim JW, Jang KT, Lee SH : A study on treatment under general anesthesia in pediatric dentistry at Seoul national university dental hospital. J Korean Acad Pediatr Dent, 45:170-178, 2018. https://doi.org/10.5933/JKAPD.2018.45.2.170
  23. Yang Y, Shin T, Yoo S, Choi S, Kim J, Jeong T : Survery of sedation practices by pediatric dentists. J Korean Acad Pediatr Dent, 41:257-265, 2014. https://doi.org/10.5933/JKAPD.2014.41.3.257
  24. Lee K, Song JS, Kim SO, Lee J, Choi B, Choi HJ : The changes of sedation in the department of pediatric dentistry. J Korean Acad Pediatr Dent, 45:154-161, 2018. https://doi.org/10.5933/JKAPD.2018.45.2.154
  25. Dou G, Wang D, Zhang S, Ma W, Xu M, Xia B : A retrospective study on the long-term outcomes of pulpectomy and influencing factors in primary teeth. J Dent Sci, 17:771-779, 2022.
  26. Elmsmari F, Ruiz XF, Miro Q, Feijoo-Pato N, DuranSindreu F, Olivieri JG : Outcome of partial pulpotomy in cariously exposed posterior permanent teeth: a systematic review and meta-analysis. J Endod, 45: 1296-1306.E3, 2019. https://doi.org/10.1016/j.joen.2019.07.005
  27. Silujjai J, Linsuwanont P : Treatment outcomes of apexification or revascularization in nonvital immature permanent teeth: a retrospective study. J Endod, 43:238-245, 2017. https://doi.org/10.1016/j.joen.2016.10.030
  28. Anabuki AA, Correa-Faria P, Batista AC, Costa LR : Paediatric dentists' stress during dental care for children under sedation: a cross-sectional study. Eur Arch Paediatr Dent, 22:301-306, 2021. https://doi.org/10.1007/s40368-020-00565-3
  29. Holt VP, Ladwa R : Mentoring. A Quality Assurance Tool for Dentists Part 2: What are Mentoring and Coaching? Prim Dent Care, 16:19-24, 2009. https://doi.org/10.1308/135576109786994604
  30. Kumar MS, Aravinth V, Chenchugopal M, Elangovan A, Thomas A, Aishwarya V, Jerisha GR : Assessing the Attitude of Parents Towards Various Behaviour Management Techniques Used During Paediatric Dental Treatment: A Cross-sectional Study. J Clin Diagn Res, 15:35-40, 2021.
  31. Aldawood MM, Battepati P, Holenarasipur AV, Alotaibi MZ, Alghamdi SS, Aljuaid T : Parents Awareness about the First Dental Visit and Behaviour Management. J Clin Diagn Res, 13:ZC11-ZC14, 2019.
  32. Mejia-Rubalcava C, Alanis-Tavira J, Mendieta-Zeron H, Sanchez-Perez L : Changes induced by music therapy to physiologic parameters in patients with dental anxiety. Complement Ther Clin Pract, 21:282-286, 2015. https://doi.org/10.1016/j.ctcp.2015.10.005
  33. Hill KB, Hainsworth JM, Burke FJT, Fairbrother KJ : Evaluation of dentists' perceived needs regarding treatment of the anxious patient. Br Dent J, 204:E13, 2008.
  34. Han YK, Kim SH, Yang JY, Yu JS, Bae SM : A survey of dentists' opinions on the performance of dental hygienists. J Korean Acad Dent Admin, 7:1-9, 2019. https://doi.org/10.22671/JKADA.2019.7.1.1
  35. Park Y, Lee J, Bae S, Lee K, Lee S, Jang S, Hur H, Park Y : A study on dentist and dental hygienist burnout. J Korean Acad Oral Health, 43:100-108, 2019. https://doi.org/10.11149/jkaoh.2019.43.2.100
  36. Jung S, Kim E, Jo J, Hu KS, Lee JY, Jung HI : Comparison of Communication Skills in Dental Education between Korean and United States Dental Colleges. J Korean Dent Assoc, 57:664-671, 2019. https://doi.org/10.22974/JKDA.2019.57.11.003
  37. Ozarslan M, Caliskan S : Attitudes and predictive factors of psychological distress and occupational burnout among dentists during COVID-19 pandemic in Turkey. Curr Psychol, 40:3113-3124, 2021. https://doi.org/10.1007/s12144-021-01764-x
  38. Owen C, Seddon C, Clarke K, Bysouth T, Johnson D : The impact of the COVID-19 pandemic on the mental health of dentists in Wales. Br Dent J, 232:44-54, 2022. https://doi.org/10.1038/s41415-021-3756-7
  39. Tiwari S, Ameshgolwara, Kulkarni P, Jitendra, Sharma D : Perceived Stress, Anxiety And Psychological Response Of Dentist To Covid 19 Pandemic-An Observational Cross-Sectional Study. Nat Volatiles Essent Oils, 8:233-248, 2021.
  40. Westgarth D : Mental health in dentistry: Has the profession opened up through the years? BDJ In Pract, 35:18-22, 2022. https://doi.org/10.1038/s41404-022-1182-4
  41. Singh P, Aulak DS, Mangat SS, Aulak MS : Systematic review: factors contributing to burnout in dentistry. Occup Med (Lond), 66:27-31, 2016. https://doi.org/10.1093/occmed/kqv119
  42. Needleman HL, Bang S, Zhou J, Johnson JR, McPeek B, Graham D : Personality types of pediatric dentists: comparative analysis and associated factors. Pediatr Dent, 33:37-45, 2011.