Survey on Depression among Dental Professionals in Pakistan

  • Hashmat Gul Army Medical College, Rawalpindi, Pakistan
  • Abida Saleem Shifa College of Dentistry, Islamabad, Pakistan
  • Ayesha Aslam Army Medical College, Rawalpindi, Pakistan
  • Ujala Liaqat National Defense University, Islamabad, Pakistan
  • Abdul Samad Khan College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudia Arabia
Keywords: Depression, Dental professionals, Female Dentists, Suicide

Abstract

Objective: To assess association of depression among Pakistani dentists with demographic variables and
correlate patient health questionnaire (PHQ-9) depression severity measure (DSM) variables.
Study Design: Cross sectional study.
Place and Duration of Study: The study was carried out at Department of Dental Materials, Army Medical
College, Rawalpindi from March 2018 to October 2018.
Materials and Methods: Minimum sample size of 350 was ascertained at 95% confidence level via Raosoft
sample size calculator. Targeted population included 378 Pakistani dentists. Consent from Institutional Review
Board and study participants was taken. SPSS version 21 was utilized to analyze and interpret the collected data.
Percentages were used to present categorical variables. Chi-square test was used to compare association of
DSM with demographic variables. Pearson Correlations between all PHQ-9 variables and DSM was also
established. P< 0.05 was taken significant.
Results: Majority of study participants were female dentists (63.2%) from Punjab (63.2%), 27-31 years old
(33.3%), married (56.6%) and only BDS qualified (66.9%). Majority were M.Phil./FCPS residents (31%) with ≤ 5
years' work experience (64%), working ≥48 hours/week (42.3%). Statistically significant association of DSM was
observed with province, age, marital status, designation and experience. Statistically significant correlations
were observed between all PHQ-9 variables and DSM.
Conclusion: Dentistry is dominated by young Pakistani females, majority of whom are pursuing higher
education and exhibit moderate depression. Depression is more pronounced among young, single, fresh
graduates with ≤ 5 years' work experience.

References

Milner AJ, Maheen H, Bismark MM, Spittal MJ. Suicide by health professionals: a retrospective mortality study in Australia, 2001-2012. The Medical Journal of Australia. 2016; 205: 260-5.

Mata DA, Ramos MA, Bansal N, Khan R, Guille C, Di Angelantonio E, et al. Prevalence of depression and

depressive symptoms among resident physicians: a systematic review and meta-analysis. The Journal of the

American Medical Association. 2015; 314: 2373-83.

Bailey E, Robinson J, McGorry P. Depression and suicide among medical practitioners in Australia. Internal Medicine Journal. 2018; 48: 254-8.

Rothermund E, Michaelis M, Jarczok MN, Balint EM, Lange R, Zipfel S, et al. Prevention of common mental disorders in employees. Perspectives on collaboration from three health care professions. International Journal of Environmental Research and Public Health. 2018; 15: 278-90.

Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. International Journal of Epidemiology. 2014; 43: 476-93.

Inam SB. Anxiety and depression among students of a medical college in Saudi Arabia. International Journal of

Health Sciences. 2007; 1: 295.

Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, et al. Burnout among US medical students, residents, and early career physicians relative to the general US population. Academic Medicine. 2014; 89: 443-51.

Mata DA, Ramos MA, Bansal N, Khan R, Guille C, Di Angelantonio E, et al. Prevalence of Depression and

Depressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis. Survey of

Anesthesiology. 2016; 60: 146-83.

Kõlves K, De Leo D. Suicide in medical doctors and nurses: An analysis of the Queensland Suicide Register. The Journal of Nervous and Mental Disease. 2013; 201: 987-90.

Ogawa R, Seo E, Maeno T, Ito M, Sanuki M, Maeno T. The relationship between long working hours and depression among first-year residents in Japan. BMC medical education. 2018; 18: 1-8.

Elliot L, Tan J, Norris S. The mental health of doctors: a systematic literature review: Beyond Blue; 2010.

Yap MBH, Reavley N, Jorm AF. Where would young people seek help for mental disorders and what stops them? Findings from an Australian national survey. Journal of Affective Disorders. 2013; 147: 255-61.

Adams EF, Lee AJ, Pritchard CW, White RJ. What stops us from healing the healers: a survey of help-seeking

behaviour, stigmatisation and depression within the medical profession. International Journal of Social

Psychiatry. 2010; 56: 359-70.

Swannell C. A perfect storm. The Medical Journal of Australia. 2015; 202: C1.

Schwenk TL, Gorenflo DW, Leja LM. A survey on the impact of being depressed on the professional status and mental health care of physicians. The Journal of clinical psychiatry. 2008; 69: 617-20.

Khan A, Alvi H, Qadeer S, Khan A, Khan KI, Khan NS. The prevalence of stress and associated factors in dentists working at Islamic International Dental College Hospital, Islamabad. Pakistan Oral and Dental Journal. 2010; 30: 521-5.

Abdullah S, Saeed T. Comparison of role stressors, job satisfaction and turnover intensions of dentists working in public and private sectors. Pakistan Oral & Dental Journal. 2013; 33: 412-7.

Azad AA, Qurrat-Ul-Ain S, Nisar N, Ashfaq M, MUNIR A, Ahmed A, et al. Prevalence of stress and burnout among dentists of Rawalpindi and Islamabad. Pakistan Oral & Dental Journal. 2013; 33: 407-11.

Kroenke K, Spitzer R, Williams J. The PHQ-9: validity of a brief depression severity measure.[Research Support. Non-US Gov't. 2001.

Manea L, Gilbody S, McMillan D. Optimal cut-off score for diagnosing depression with the Patient Health

Questionnaire (PHQ-9): a meta-analysis. Cmaj. 2012; 184: E191-6.

Aboalshamat K, Hou XY, Strodl E. Psychological well-being status among medical and dental students in Makkah, Saudi Arabia: A cross-sectional study. Medical Teacher. 2015; 37: S75-S81.

Song KW, Choi WS, Jee HJ, Yuh CS, Kim YK, Kim L, et al. Correlation of occupational stress with depression, anxiety, and sleep in Korean dentists: cross-sectional study. BMC Psychiatry. 2017; 17: 398-408.

Ballenger J. A Survey on the Impact of Being Depressed on the Professional Status and Mental Health Care of

Physicians. Year Book of Psychiatry & Applied Mental Health. 2009; 2009: 222-3.

Riley GJ. Understanding the stresses and strains of being a doctor. Medical Journal of Australia. 2004; 181: 350-3.

Gorter RC, Freeman R. Burnout and engagement in relation with job demands and resources among dental staff in Northern Ireland. Community Dentistry and Oral Epidemiology. 2011; 39: 87-95.

Loas G, Lefebvre G, Rotsaert M, Englert Y. Relationships between anhedonia, suicidal ideation and suicide attempts in a large sample of physicians. PloS one. 2018; 13: e0193619.

Published
2021-12-31
Section
Original Article