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      Mental health status of dentists during COVID‐19 pandemic: A systematic review and meta‐analysis

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          Abstract

          Background

          The effect of coronavirus disease‐2019 (COVID‐19) on the mental health status of dentists has been studied in various studies. The aim of this study was to review the mental health status of dentists during COVID‐19 pandemic.

          Methods

          English databases including PubMed, Web of Science and Scopus were systematically searched till July 2021. Studies that examined the mental health status of dentists during COVID‐19 pandemic were included. The heterogeneity of articles was assessed with the Cochran Test and I 2 statistics. The prevalence rates of anxiety, fear, sadness, concern, and anger were calculated using the random‐effect model.

          Findings

          Of 560 initial searched articles, 15 articles were eligible to include. The prevalence of anxiety, fear of carrying the infection, fear of getting infected, fear of getting quarantined, and fear of dying people by COVID‐19 were 64%, 92%, 85%, 61%, and 65%, respectively. The distribution frequency of light, moderate, and intense sadness was 22%, 25%, and 30%, respectively; light, moderate, and intense anger was 21%, 14%, and 23%, respectively; light, moderate, and intense concern was 30%, 30%, and 34%, respectively; light, moderate, and intense fear was 38%, 24%, and 15%, respectively.

          Conclusion

          Fear of COVID‐19 and anxiety was very high among dentists. A significant proportion of dentists had moderate to intense COVID‐19‐associated sadness, concern, and anger. Providing educational content along with providing the necessary personal protective equipment and extensive vaccinations will help maintain the mental health of dentists and provide better quality services.

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          Most cited references21

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          Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among frontline healthcare workers.

          The outbreak of severe acute respiratory syndrome (SARS) posed an unprecedented threat and a great challenge to health professionals in Hong Kong. The study reported here aimed at investigating the origin of stress and psychological morbidity among frontline healthcare workers in response to this catastrophe. Self-administered questionnaires were sent to frontline healthcare workers in three hospitals. The General Health Questionnaire was used to identify psychological distress. Socio-demographic and stress variables were entered into a logistic regression analysis to find out the variables associated with psychological morbidity. The response rate was 40 %. Sixty-eight per cent of participants reported a high level of stress. About 57 % were found to have experienced psychological distress. The healthcare workers' psychological morbidity was best understood by the perceptions of personal vulnerability, stress and support in the workplace. These findings shed light on the need for hospital administrators to be aware of the extent and sources of stress and psychological distress among frontline healthcare workers during disease outbreak.
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            Fear and Practice Modifications among Dentists to Combat Novel Coronavirus Disease (COVID-19) Outbreak

            An outbreak of novel coronavirus disease (COVID-19) in China has influenced every aspect of life. Healthcare professionals, especially dentists, are exposed to a higher risk of getting infected due to close contact with infected patients. The current study was conducted to assess anxiety and fear of getting infected among dentists while working during the current novel coronavirus diseases (COVID-19) outbreak. In addition, dentists’ knowledge about various practice modifications to combat COVID-19 has been evaluated. A cross-sectional study was conducted using an online survey from 10th to 17th March 2020. The well-constructed questionnaire was designed and registered at online website (Kwiksurveys) and validated. A total of 669 participants from 30 different countries across the world responded. After scrutiny, completed questionnaires (n = 650) were included in the study. Statistical analysis was performed using SPSS version 25. Chi-Square and Spearman correlation tests were applied to control confounders and assess the relation of dentists’ response with respect to gender and educational level. More than two-thirds of the general dental practitioners (78%) from 30 countries questioned were anxious and scared by the devastating effects of COVID-19. A large number of dentists (90%) were aware of recent changes in the treatment protocols. However, execution of amended treatment protocol was recorded as 61%. The majority of the dentists (76%) were working in the hospital setting out of which 74% were from private, and 20% were from government setups. Individually we received a large number of responses from Pakistan and Saudi Arabia, but collectively more than 50% of the responses were from other parts of the world. Despite having a high standard of knowledge and practice, dental practitioners around the globe are in a state of anxiety and fear while working in their respective fields due to the COVID-19 pandemic impact on humanity. A number of dental practices have either modified their services according to the recommended guidelines to emergency treatment only or closed down practices for an uncertain period.
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              Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers.

              To assess the immediate and sustained psychological health of health care workers who were at high risk of exposure during the severe acute respiratory syndrome (SARS) outbreak. At the peak of the 2003 SARS outbreak, we assessed health care workers in 2 acute care Hong Kong general hospitals with the Perceived Stress Scale (PSS-10). One year later, we reassessed these health care workers with the PSS-10, the 21-Item Depression and Anxiety Scale (DASS-21), and the Impact of Events Scale-Revised (IES-R). We recruited high-risk health care workers who practised respiratory medicine and compared them with nonrespiratory medicine workers, who formed the low-risk health care worker control group. In 2003, high-risk health care workers had elevated stress levels (PSS-10 score = 17.0) that were not significantly different from levels in low-risk health care worker control subjects (PSS-10 score = 15.9). More high-risk health care workers reported fatigue, poor sleep, worry about health, and fear of social contact, despite their confidence in infection-control measures. By 2004, however, stress levels in the high-risk group were not only higher (PSS-10 score = 18.6) but also significantly higher than scores among low-risk health care worker control subjects (PSS-10 score = 14.8, P < 0.05). In 2004, the perceived stress levels in the high-risk group were associated with higher depression, anxiety, and posttraumatic stress scores (P < 0.001). Posttraumatic stress scores were a partial mediator of the relation between the high risk of exposure to SARS and higher perceived stress. Health care workers who were at high risk of contracting SARS appear not only to have chronic stress but also higher levels of depression and anxiety. Front-line staff could benefit from stress management as part of preparation for future outbreaks.
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                Author and article information

                Contributors
                hamidabbaszade@yahoo.com
                Journal
                Health Sci Rep
                Health Sci Rep
                10.1002/(ISSN)2398-8835
                HSR2
                Health Science Reports
                John Wiley and Sons Inc. (Hoboken )
                2398-8835
                18 April 2022
                May 2022
                : 5
                : 3 ( doiID: 10.1002/hsr2.v5.3 )
                : e617
                Affiliations
                [ 1 ] Social Determinants of Health Research Center Birjand University of Medical Sciences Birjand Iran
                [ 2 ] Department of Epidemiology, School of Public Health and Safety Iran University of Medical Sciences Tehran Iran
                [ 3 ] Department of Oral and Maxillofacial Pathology, Faculty of Dentistry Birjand University of Medical Sciences Birjand Iran
                Author notes
                [*] [* ] Correspondence: Hamid Abbaszadeh, Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, South Khorasan, Iran.

                Email: hamidabbaszade@ 123456yahoo.com

                Author information
                http://orcid.org/0000-0001-7642-5214
                http://orcid.org/0000-0002-7443-0607
                Article
                HSR2617
                10.1002/hsr2.617
                9059210
                35509394
                3569f854-573c-4c89-a65a-0e26e9fae3ae
                © 2022 The Authors. Health Science Reports published by Wiley Periodicals LLC.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 28 March 2022
                : 10 January 2022
                : 06 April 2022
                Page count
                Figures: 6, Tables: 1, Pages: 8, Words: 4119
                Categories
                Review
                Reviews
                Custom metadata
                2.0
                May 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.4 mode:remove_FC converted:18.04.2022

                anxiety,covid‐19,dentists,fear,prevalence
                anxiety, covid‐19, dentists, fear, prevalence

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