Common mental disorders and related factors in undergraduate and graduate students from three dental faculties in cartagena, colombia. Study protocol

Miguel Angel Simancas; Katherine Margarita Arrieta

doi:10.17126/joralres.2014.042

Miguel Angel Simancas Facultad de Odontología, Universidad de Cartagena.
Katherine Margarita Arrieta Facultad de Odontología, Universidad de Cartagena.

DOI: https://doi.org/10.17126/joralres.2014.042

Abstract

Background: having in mind the growing incidence of mental disorders in worldwide young population, the aim of this research is to estimate the prevalence of common mental disorders (CMD) and related factors in dental students of Cartagena, Colombia. Methodology: A cross sectional study will be performed on all undergraduate and graduate students of Dentistry in Cartagena, Colombia using a multicenter and census sampling until the population fulfillment in 1.072 students. The measurement of CMD’s will be made through Goldberg’s General Health Questionnaire 12 (GHQ-12) instrument using a self-administered survey which asks about the presence of sociodemographic, personal and academic factors. It will be requested to each center a full list of the active dental students. Also, it will be assigned a code to maintain the confidentiality of the data. Once the information is collected will be tabulated and analyzed using descriptive and inferential statistics through X2, student’s t test and multivariate logistic regression analysis. Additionally, it will be performed a description of the CMD’s founded in the final sample: anxiety and depression, social dysfunction and loss of confidence and esteem will be reported. Statistical analysis will be using STATA™ for Windows. Expected outcomes: according the results of this research, to study the presence, distribution and relationship of CMD’s with demographic measurements. Also taking into account the factors, suggest possible intervention strategies targeted by risk type.

Keywords: epidemiology; dental students; mental disorders; anxiety; depression.

Trastornos mentales comunes y factores relacionados en estudiantes de pre y posgrado de tres facultades odontología en Cartagena, Colombia. Protocolo de estudio

Introducción: teniendo en cuenta la creciente incidencia de las patologías mentales en población joven a nivel mundial, el objetivo de esta investigación es estimar la prevalencia de trastornos mentales comunes (TMC) y factores relacionados en estudiantes de pre y posgrado de Odontología en Cartagena, Colombia. Metodología: estudio de corte transversal en todos los estudiantes de pre y postgrado de Odontología de Cartagena, Colombia. A través de un censo, se completará la población de estudio de 1.072 sujetos. La medición de los TMC se realizará empleando el instrumento General Health Questionnaire-12 (GHQ-12) a través de una encuesta autoadministrada que indaga además sobre existencia de factores sociodemográficos, personales y académicos. Se solicitará a cada centro participante un listado completo de los estudiantes participantes y se asignarán códigos alfanuméricos para mantener la confidencialidad de la información. Una vez recogida la información, será tabulada y analizada empleando estadística descriptiva con frecuencias, proporciones, medidas de tendencia central y dispersión e inferencial a través de X2, t de student y multivariado con regresión logística. Adicionalmente, se realizará una caracterización de los trastornos mentales comunes encontrados en la población: ansiedad y depresión, disfunción social y pérdida de confianza y autoestima. El análisis se realizará en el paquete STATA™ para Windows. Resultados esperados: se pretende investigar la presencia y, distribución de los TMC en estudiantes de Odontología y su relación con otras variables de interés. Así mismo y teniendo en cuenta los factores, sugerir posibles estrategias de intervención focalizadas por tipo de riesgo.

Palabras clave: epidemiología; estudiantes de odontología; psicosis; ansiedad; depresión.

References

1. Schele IA, Hedman LR, Hammarstrom A. A model of psychosocial work environment, stress, and satisfaction among dental students in Sweden. J Dent Educ. 2012; 76(9): 1206-17.
2. Abu-Ghazaleh SB, Rajab LD, Sonbol HN. Psychological stress among dental students at the University of Jordan. J Dent Educ. 2011; 75(8): 1107-14.
3. Wexler M. Mental health and dental education. J Dent Educ. 1978; 42(2): 74-7.
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.
5. Gorter R, Freeman R, Hammen S, Murtomaa H, Blinkhorn A, Humphris G. Psychological stress and health in undergraduate dental students: fifth year outcomes compared with first year baseline results from five European dental schools. Eur J Dent Educ. 2008; 12(2): 61-8.
6. Divaris K, Mafla AC, Villa-Torres L, Sánchez-Molina M, Gallego-Gómez CL, Vélez-Jaramillo LF, Tamayo-Cardona JA, Pérez-Cepeda D, Vergara-Mercado ML, Simancas-Pallares MÁ. Psychological distress and its correlates among dental students: a survey of 17 Colombian dental schools. BMC Med Educ. 2013; 13: 91.
7. Takarada T, Asada T, Sumi Y, Higuchi Y. Effect of a rotation training system on the mental health status of postgraduate dental trainees at Kyushu University Hospital, Fukuoka, Japan. J Dent Educ. 2014; 78(2): 243-9.
8. Fonseca J, Divaris K, Villalba S, Pizarro S, Fernandez M, Codjambassis A, Villa-Torres L, Polychronopoulou A. Perceived sources of stress amongst Chilean and Argentinean dental students. Eur J Dent Educ. 2013; 17(1): 30-8.
9. Galan F, Rios-Santos JV, Polo J, Rios-Carrasco B, Bullon P. Burnout, depression and suicidal ideation in dental students. Med Oral Patol Oral Cir Bucal. 2014; 19(3): e206-11.
10. Alzahem AM, van der Molen HT, Alaujan AH, Schmidt HG, Zamakhshary MH. Stress amongst dental students: a systematic review. Eur J Dent Educ. 2011; 15(1): 8-18.
11. Madhan B, Rajpurohit AS, Gayathri H. Mental Health of Postgraduate Orthodontic Students in India: A Multi-Institution Survey. J Dent Educ. 2012; 76(2): 200-9.
12. Takayama Y, Miura E, Miura K, Ono S, Ohkubo C. Condition of depressive symptoms among Japanese dental students. Odontology. 2011; 99(2): 179-87.
13. Harding TW, De Arango M, Baltazar J, Climent C, Ibrahim H, Ladrido-Ignacio L, Murthy RS, Wig N. Mental disorders in primary health care: a study of their frequency and diagnosis in four developing countries. Psychol Med. 1980; 10(2): 231-41.
14. Peltzer K, Pengpid S, Mohan K. Prevalence of health behaviors and their associated factors among a sample of university students in India. Int J Adolesc Med Health 2014. In Press.
15. Goldberg DP, Gater R, Sartorious N, Ustun TB, Piccinelli M, Gureje O, Rutter C. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med. 1997; 27: 191-7.
16. Santander J, Romero MI, Hitschfeld MJ, Zamora V. Prevalencia de ansiedad y depresión entre los estudiantes de medicina de la Pontificia Universidad Católica de Chile. Rev Chil Neuropsiquiatr. 2011; 49(1): 47-55.
17. Elani HW, Bedos C, Allison PJ. Sources of stress in Canadian dental students: a prospective mixed methods study. J Dent Educ. 2013; 77(11): 1488-97.
18. Sedky NA. Perceived Sources of Stress among Junior & Mid-Senior Egyptian Dental Students. Int J Health Sci. 2012; 6(2): 141-57.
19. Campo-Arias A. Cuestionario general de salud-12: análisis de factores en población general de Bucaramanga, Colombia. Iatriea 2007; 20(1): 29-36.
20. Werneke U, Goldberg DP, Yalcin I, Üstün B. The stability of the factor structure of the General Health Questionnaire. Psychol Med. 2000; 30(04): 823-9.