Association of burnout with stress, coping strategies and vocational satisfaction in Chilean clinical dental students.

Francisco Pérez, Pablo Caro, Bárbara Valenzuela, Jorge Ortiz, Juan Narvaez


Objective: Dental students are particularly affected by stress, which can lead to ‘burnout syndrome’ by association with other psychological factors. The aim of this study was to analyse the effect of perceived stress, coping strategies, and vocational satisfaction on the severity of burnout in Chilean dental students in the clinical years. Method: The study population was comprised of clinical dental students of five Chilean dental schools. The following variables were considered: age, gender, year of study, burnout, coping strategies, perceived stress, and vocational satisfaction. Statistical analysis included descriptive measures, correlation tests, and stepwise multiple regression analysis. Results: The final sample included 244 students. Three (1.23%) students did not have burnout in any of its factors and 38 (15.57%) had severe levels in all three factors. There was a statistically significant greater ‘emotional exhaustion’ in 4th year students. There was a statistically significant correlation of the three factors of burnout with ‘social withdrawal’ coping strategy, high levels of perceived stress, and low levels of present and future vocational satisfaction. Conclusion: Most students presented moderate and high levels of burnout. This situation is associated with dysfunctional coping strategies, high levels of perceived stress, and low levels of present and future vocational satisfaction.


Burnout; Professional; Dental students; Education, Dental; Mental Health; Stress; Psychological.


Pérez F, Cartes-Velásquez R. Estrés y burnout en estudiantes de Odontología: Una situación preocupante en la formación profesional. Rev EDUMECENTRO. 2015;7(2):179–90.

Jain A, Bansal R. Stress among medical and dental students: a global issue. IOSR J Dent Med Sci. 2012;1(5):5–7.

Kumar S, Dagli RJ, Mathur A, Jain M, Prabu D, Kulkarni S. Perceived sources of stress amongst Indian dental students. Eur J Dent Educ. 2009;13(1):39–45.

Shankarapillai R, Nair MA, George R. The effect of yoga in stress reduction for dental students performing their first periodontal surgery: A randomized controlled study. Int J Yoga. 2012;5(1):48–51.

Corsini G, Bustos L, Fuentes J, Cantín M. Niveles de Ansiedad en la Comunidad Estudiantil Odontológica. Universidad de La Frontera, Temuco–Chile. Int J Odontostomat. 2012;6(1):51–7.

Alzahem A, van der Molen H, Alaujan A, Schmidt H, Zamakhshary M. Stress amongst dental students: a systematic review. Eur J Dent Educ. 2011;15(1):8–18.

Takayama Y, Miura E, Miura K, Ono S, Ohkubo C. Condition of depressive symptoms among Japanese dental students. Odontology. 2011;99(2):179–87.

Carrizo A. Dentists' training in Chile and some iberoamerican countries. Considerations for education, health and job. J Oral Res. 2014;3(2):119–22.

Gil-Monte PR. Factorial validity of the Maslach Burnout Inventory (MBI-HSS) among Spanish professionals. Rev Saude Publica. 2005;39(1):1–80.

Ahola K, Hakanen J. Job strain, burnout, and depressive symptoms: a prospective study among dentists. J Affect Disord. 2007;104(1-3):103–10.

Denton DA, Newton JT, Bower EJ. Occupational burnout and work engagement: a national survey of dentists in the United Kingdom. Br Dent J. 2008;205(7):E13–discussion 382-3.

Cano García FJ, Rodríguez Franco L, García Martínez J. Spanish version of the Coping Strategies Inventory. Actas Esp Psiquiatr. 2007;35(1):29–39.

Dahan H, Bedos C. A typology of dental students according to their experience of stress: a qualitative study. J Dent Educ. 2010;74(2):95–103.

Prinz P, Hertrich K, Hirschfelder U, de Zwaan M. Burnout, depression and depersonalisation--psychological factors and coping strategies in dental and medical students. GMS Z Med Ausbild. 2012;29(1):Doc10.

Cartes-Velásquez R. Exponential growth of dental schools in Chile: effects on academic, economic and workforce issues. Braz Oral Res. 2013;27(6):471–7.

Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 30th Ed. Palo Alto, California: Consulting Psychologists Press; 1996.

González M, Hernández R. Factor Structure of the Perceived Stress Scale (PSS) in a. Sample from Mexico. Spanish J Psychol. 2007;10(1):199–206.

Díaz R, Pérez E, Lartigue M. Burnout in a group of dentists. Rev ADM. 2006;63(6):220–4.

Prins JT, Gazendam-Donofrio SM, Tubben BJ, van der Heijden FM, van de Wiel HB, Hoekstra-Weebers JE. Burnout in medical residents: a review. Med Educ. 2007;41(8):788–800.

Burke FJ, Main JR, Freeman R. The practice of dentistry: an assessment of reasons for premature retirement. Br Dent J. 1997;182(7):250–4.

Divaris K, Lai CS, Polychronopoulou A, Eliades T, Katsaros C. Stress and burnout among Swiss dental residents. Schweiz Monatsschr Zahnmed. 2012;122(7-8):610–5.

Vera C. Empathetic Orientation in Dentistry students from Latin America. Literature review. J Oral Res. 2014;3(2):123–7.

Barbosa FT, Leão BA, Tavares GM, Santos JG. Burnout syndrome and weekly workload of on-call physicians: cross-sectional study. Sao Paulo Med J. 2012;130(5):282–8.

Sudhakara R, Lavanya Ramesh T, Vijayalaxmi N, Swapna LA, Rajesh S. Burnout among Dental Faculty and Students in a Dental College. Indian J Public Health Res Dev. 2014;5(1):64–8.

Polychronopoulou A, Divaris K. A longitudinal study of Greek dental students' perceived sources of stress. J Dent Educ. 2010;74(5):524–30.

Azimi S, AsgharNejad Farid AA, Kharazi Fard MJ, Khoei N. Emotional intelligence of dental students and patient satisfaction. Eur J Dent Educ. 2010;14(3):129–32.

Akbari M, Nejat A, Dastorani S, Rouhani A. Evaluation of Stress Level and Related Factors among Students of Mashhad Dental School (Iran) in Academic Year of 2008-2009. J Mash Dent Sch. 2011;35(3):165–76.

Serrano C. Educational Climate Diagnostic for Universidad de Concepción Dentistry School undergraduate program . Rev Educ Cienc Salud. 2012;9(1):43–9.

Murphy RJ, Gray SA, Sterling G, Reeves K, DuCette J. A comparative study of professional student stress. J Dent Educ. 2009;73(3):328–37.

Galán F, Ríos-Santos JV, Polo J, Rios-Carrasco B, Bullón P. Burnout, depression and suicidal ideation in dental students. Med Oral Patol Oral Cir Bucal. 2014;19(3):e206–11.

Gambetta K, Mariño R, Morgan M. Socio-demographic characteristics and career choices amongst Chilean dental students. J Oral Res. 2014;3(2):83–9.

Tangade PS, Mathur A, Gupta R, Chaudhary s. Assessment of Stress Level among Dental School Students: An Indian Outlook. Dent Res J (Isfahan) 2011;8(2):95–101.

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