Skip to main content
Top
Published in: BMC Psychiatry 1/2017

Open Access 01-12-2017 | Research article

Correlation of occupational stress with depression, anxiety, and sleep in Korean dentists: cross-sectional study

Authors: Kyung-Won Song, Won-Seok Choi, Hee-Jung Jee, Chi-Sung Yuh, Yong-Ku Kim, Leen Kim, Heon-Jeong Lee, Chul-Hyun Cho

Published in: BMC Psychiatry | Issue 1/2017

Login to get access

Abstract

Background

This study aimed to investigate the degree of occupational stress and the clinical mental state of dentists. In addition, we investigated the correlation of occupational stress with depression, anxiety, and sleep among dentists in Korea.

Methods

A cross-sectional survey on 231 dentists was conducted using the Doctor Job Stress Scale, Center for Epidemiologic Studies Depression Scale (CES-D), State-Trait Anxiety Index (STAI), and Pittsburgh Sleep Quality Index (PSQI). Correlation of occupational stress with mental health was investigated by adjusted multiple regression analysis.

Results

The scores of CES-D, STAI, and PSQI revealed a significant correlation with the Doctor Job Stress Scale (t = 3.93, P < 0.0001; t = 4.05, P < 0.0001; t = 4.18, P < 0.0001, respectively). In particular, patient factors and clinical responsibility/judgment factors were significantly associated with depression (t = 2.80, P = 0.0056; t = 4.93, P < 0.0001, respectively), anxiety (t = 2.35, P = 0.0195; t = 5.11, P < 0.0001, respectively), and sleep (t = 3.78, P = 0.0002; t = 4.30, P < 0.0001, respectively), whereas work factors were not associated with any mental health state.

Conclusions

This study confirms that dentists as professions experience more severe mental states. For successful mental health care among dentists, stress management focusing on interpersonal relationship with patients and responsibility as an expert rather than the intensity of work should be considered.
Literature
1.
go back to reference Freeman R, Main JR, Burke FJ. Occupational stress and dentistry: theory and practice. Part I. Recognition. Br Dent J. 1995;178(6):214–7.CrossRefPubMed Freeman R, Main JR, Burke FJ. Occupational stress and dentistry: theory and practice. Part I. Recognition. Br Dent J. 1995;178(6):214–7.CrossRefPubMed
2.
go back to reference Rada RE, Johnson-Leong C. Stress, burnout, anxiety and depression among dentists. Journal of the American Dental Association (1939). 2004;135(6):788–94.CrossRef Rada RE, Johnson-Leong C. Stress, burnout, anxiety and depression among dentists. Journal of the American Dental Association (1939). 2004;135(6):788–94.CrossRef
3.
go back to reference Sancho FM, Ruiz CN. Risk of suicide amongst dentists: myth or reality? Int Dent J. 2010;60(6):411–8.PubMed Sancho FM, Ruiz CN. Risk of suicide amongst dentists: myth or reality? Int Dent J. 2010;60(6):411–8.PubMed
4.
go back to reference de Jonge J, Bosma H, Peter R, Siegrist J. Job strain, effort-reward imbalance and employee well-being: a large-scale cross-sectional study. Social science & medicine (1982). 2000;50(9):1317–27.CrossRef de Jonge J, Bosma H, Peter R, Siegrist J. Job strain, effort-reward imbalance and employee well-being: a large-scale cross-sectional study. Social science & medicine (1982). 2000;50(9):1317–27.CrossRef
5.
go back to reference Kudielka BM, Hanebuth D, von Kanel R, Gander ML, Grande G, Fischer JE. Health-related quality of life measured by the SF12 in working populations: associations with psychosocial work characteristics. J Occup Health Psychol. 2005;10(4):429–40.CrossRefPubMed Kudielka BM, Hanebuth D, von Kanel R, Gander ML, Grande G, Fischer JE. Health-related quality of life measured by the SF12 in working populations: associations with psychosocial work characteristics. J Occup Health Psychol. 2005;10(4):429–40.CrossRefPubMed
6.
go back to reference Tsutsumi A, Kayaba K, Theorell T, Siegrist J. Association between job stress and depression among Japanese employees threatened by job loss in a comparison between two complementary job-stress models. Scand J Work Environ Health. 2001;27(2):146–53.CrossRefPubMed Tsutsumi A, Kayaba K, Theorell T, Siegrist J. Association between job stress and depression among Japanese employees threatened by job loss in a comparison between two complementary job-stress models. Scand J Work Environ Health. 2001;27(2):146–53.CrossRefPubMed
7.
go back to reference Kawakami N, Haratani T, Araki S. Effects of perceived job stress on depressive symptoms in blue-collar workers of an electrical factory in Japan. Scand J Work Environ Health. 1992;18(3):195–200.CrossRefPubMed Kawakami N, Haratani T, Araki S. Effects of perceived job stress on depressive symptoms in blue-collar workers of an electrical factory in Japan. Scand J Work Environ Health. 1992;18(3):195–200.CrossRefPubMed
8.
go back to reference Larisch M, Joksimovic L, von Dem Knesebeck O, Starke D, Siegrist J. Effort-reward imbalance at work and depressive symptoms--a cross-sectional investigation of middle-aged employees. Psychother Psychosom Med Psychol. 2003;53(5):223–8.CrossRefPubMed Larisch M, Joksimovic L, von Dem Knesebeck O, Starke D, Siegrist J. Effort-reward imbalance at work and depressive symptoms--a cross-sectional investigation of middle-aged employees. Psychother Psychosom Med Psychol. 2003;53(5):223–8.CrossRefPubMed
9.
go back to reference Ostry A, Maggi S, Tansey J, Dunn J, Hershler R, Chen L, Louie AM, Hertzman C. The impact of psychosocial work conditions on attempted and completed suicide among western Canadian sawmill workers. Scandinavian journal of public health. 2007;35(3):265–71.CrossRefPubMed Ostry A, Maggi S, Tansey J, Dunn J, Hershler R, Chen L, Louie AM, Hertzman C. The impact of psychosocial work conditions on attempted and completed suicide among western Canadian sawmill workers. Scandinavian journal of public health. 2007;35(3):265–71.CrossRefPubMed
10.
go back to reference Tsutsumi A, Kayaba K, Ojima T, Ishikawa S, Kawakami N. Low control at work and the risk of suicide in Japanese men: a prospective cohort study. Psychother Psychosom. 2007;76(3):177–85.CrossRefPubMed Tsutsumi A, Kayaba K, Ojima T, Ishikawa S, Kawakami N. Low control at work and the risk of suicide in Japanese men: a prospective cohort study. Psychother Psychosom. 2007;76(3):177–85.CrossRefPubMed
11.
go back to reference Almasi K, Belso N, Kapur N, Webb R, Cooper J, Hadley S, Kerfoot M, Dunn G, Sotonyi P, Rihmer Z, et al. Risk factors for suicide in Hungary: a case-control study. BMC psychiatry. 2009;9:45.CrossRefPubMedPubMedCentral Almasi K, Belso N, Kapur N, Webb R, Cooper J, Hadley S, Kerfoot M, Dunn G, Sotonyi P, Rihmer Z, et al. Risk factors for suicide in Hungary: a case-control study. BMC psychiatry. 2009;9:45.CrossRefPubMedPubMedCentral
12.
go back to reference Abbasi M, Nejadsarvari N, Kiani M, Borhani F, Bazmi S, Nazari Tavaokkoli S, Rasouli H. Moral distress in physicians practicing in hospitals affiliated to medical sciences universities. Iran Red Crescent Med J. 2014;16(10):e18797.CrossRefPubMedPubMedCentral Abbasi M, Nejadsarvari N, Kiani M, Borhani F, Bazmi S, Nazari Tavaokkoli S, Rasouli H. Moral distress in physicians practicing in hospitals affiliated to medical sciences universities. Iran Red Crescent Med J. 2014;16(10):e18797.CrossRefPubMedPubMedCentral
13.
go back to reference Jin DG, Kam S, Kang YS, Cho YK, Lee SW, Kim JY, Ahn SG, Chun BY, Yeh MH. Professional job perception, job stress and job satisfaction of doctors practicing in local clinic in Daegu city. Korean. J Prev Med. 2003;36(2):153–62. Jin DG, Kam S, Kang YS, Cho YK, Lee SW, Kim JY, Ahn SG, Chun BY, Yeh MH. Professional job perception, job stress and job satisfaction of doctors practicing in local clinic in Daegu city. Korean. J Prev Med. 2003;36(2):153–62.
14.
go back to reference McCue JD. The effects of stress on physicians and their medical practice. N Engl J Med. 1982;306(8):458–63.CrossRefPubMed McCue JD. The effects of stress on physicians and their medical practice. N Engl J Med. 1982;306(8):458–63.CrossRefPubMed
15.
go back to reference Kang MK, Kang YS, Kim JR, Jeong BG, Park KS, Kam S, Hong DY. The levels of psychosocial stress, job stress and related factors of medical doctors practicing at local clinics. Journal of preventive medicine and public health = Yebang Uihakhoe chi. 2007;40(2):177–84.CrossRefPubMed Kang MK, Kang YS, Kim JR, Jeong BG, Park KS, Kam S, Hong DY. The levels of psychosocial stress, job stress and related factors of medical doctors practicing at local clinics. Journal of preventive medicine and public health = Yebang Uihakhoe chi. 2007;40(2):177–84.CrossRefPubMed
16.
go back to reference Newbury-Birch D, Lowry RJ, Kamali F. The changing patterns of drinking, illicit drug use, stress, anxiety and depression in dental students in a UK dental school: a longitudinal study. Br Dent J. 2002;192(11):646–9.CrossRefPubMed Newbury-Birch D, Lowry RJ, Kamali F. The changing patterns of drinking, illicit drug use, stress, anxiety and depression in dental students in a UK dental school: a longitudinal study. Br Dent J. 2002;192(11):646–9.CrossRefPubMed
17.
go back to reference Kay EJ, Lowe JC. A survey of stress levels, self-perceived health and health-related behaviours of UK dental practitioners in 2005. Br Dent J. 2008;204(11):E19. discussion 622-623CrossRefPubMed Kay EJ, Lowe JC. A survey of stress levels, self-perceived health and health-related behaviours of UK dental practitioners in 2005. Br Dent J. 2008;204(11):E19. discussion 622-623CrossRefPubMed
18.
go back to reference Kim JY, Kam S, Kang YS, Cho YK, Lee SW, Jin DG, Ahn SG, Chun BY, Yeh MH. Professional job perception, job stress and job satisfaction of westerm doctors and oriental doctors practicing at local clinic. Journal of preventive medicine and public health=Yebang Uihakhoe chi. 2004;37(1):44–50.PubMed Kim JY, Kam S, Kang YS, Cho YK, Lee SW, Jin DG, Ahn SG, Chun BY, Yeh MH. Professional job perception, job stress and job satisfaction of westerm doctors and oriental doctors practicing at local clinic. Journal of preventive medicine and public health=Yebang Uihakhoe chi. 2004;37(1):44–50.PubMed
19.
go back to reference Gale EN. Stress in dentistry. The New York state dental journal. 1998;64(8):30–4.PubMed Gale EN. Stress in dentistry. The New York state dental journal. 1998;64(8):30–4.PubMed
20.
go back to reference Desjardins M. Physician suicide. Can something be done? Canadian family physician Medecin de famille canadien. 1997;43:1900–1. 1907-1909PubMedPubMedCentral Desjardins M. Physician suicide. Can something be done? Canadian family physician Medecin de famille canadien. 1997;43:1900–1. 1907-1909PubMedPubMedCentral
21.
go back to reference Pitts FN Jr, Schuller AB, Rich CL, Pitts AF. Suicide among U.S. women physicians, 1967-1972. Am J Psychiatry. 1979;136(5):694–6.CrossRefPubMed Pitts FN Jr, Schuller AB, Rich CL, Pitts AF. Suicide among U.S. women physicians, 1967-1972. Am J Psychiatry. 1979;136(5):694–6.CrossRefPubMed
22.
go back to reference Simon W. Suicide among physicians: prevention and postvention. Crisis. 1986;7(1):1–13.PubMed Simon W. Suicide among physicians: prevention and postvention. Crisis. 1986;7(1):1–13.PubMed
23.
go back to reference Myers HL, Myers LB. 'It's difficult being a dentist': stress and health in the general dental practitioner. Br Dent J. 2004;197(2):89–93. discussion 83; quiz 100-101CrossRefPubMed Myers HL, Myers LB. 'It's difficult being a dentist': stress and health in the general dental practitioner. Br Dent J. 2004;197(2):89–93. discussion 83; quiz 100-101CrossRefPubMed
24.
go back to reference Alexander RE. Stress-related suicide by dentists and other health care workers. Fact or folklore? Journal of the American Dental Association (1939). 2001;132(6):786–94.CrossRef Alexander RE. Stress-related suicide by dentists and other health care workers. Fact or folklore? Journal of the American Dental Association (1939). 2001;132(6):786–94.CrossRef
25.
go back to reference Moller AT, Spangenberg JJ. Stress and coping amongst south African dentists in private practice. The Journal of the Dental Association of South Africa = Die Tydskrif van die Tandheelkundige Vereniging van Suid-Afrika. 1996;51(6):347–57. Moller AT, Spangenberg JJ. Stress and coping amongst south African dentists in private practice. The Journal of the Dental Association of South Africa = Die Tydskrif van die Tandheelkundige Vereniging van Suid-Afrika. 1996;51(6):347–57.
26.
go back to reference Lang-Runtz H. Stress in dentistry: it can kill you. Journal (Canadian Dental Association). 1984;50(7):539–41. Lang-Runtz H. Stress in dentistry: it can kill you. Journal (Canadian Dental Association). 1984;50(7):539–41.
27.
go back to reference Kang YS, Kam S, Lee SW, Chun BY, Yeh MH. Job stress and its related factors in south Korean doctors. Korean J Prev Med. 2001;34(2):141–8. Kang YS, Kam S, Lee SW, Chun BY, Yeh MH. Job stress and its related factors in south Korean doctors. Korean J Prev Med. 2001;34(2):141–8.
28.
go back to reference Frank SH, Zyzanski SJ. Psychosocial instrument. The Journal of family practice. 1988;26(5):533–9.PubMed Frank SH, Zyzanski SJ. Psychosocial instrument. The Journal of family practice. 1988;26(5):533–9.PubMed
29.
go back to reference Yim J, Bae J, Choi S, Kim S, Hwang H, Huh B. The validity of modified Korean-translated BEPSI (brief encounter psychosocial instrument) as instrument of stress measurement in outpatient clinic. J Korean Acad Fam Med. 1996;17(1):42–53. Yim J, Bae J, Choi S, Kim S, Hwang H, Huh B. The validity of modified Korean-translated BEPSI (brief encounter psychosocial instrument) as instrument of stress measurement in outpatient clinic. J Korean Acad Fam Med. 1996;17(1):42–53.
30.
go back to reference Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRef Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRef
31.
go back to reference Cho MJ, Kim KH. Use of the Center for Epidemiologic Studies Depression (CES-D) scale in Korea. J Nerv Ment Dis. 1998;186(5):304–10.CrossRefPubMed Cho MJ, Kim KH. Use of the Center for Epidemiologic Studies Depression (CES-D) scale in Korea. J Nerv Ment Dis. 1998;186(5):304–10.CrossRefPubMed
32.
go back to reference Spielberger CD, Gorsuch RL, Lushene RE: Manual for the state-trait anxiety inventory. 1970. Spielberger CD, Gorsuch RL, Lushene RE: Manual for the state-trait anxiety inventory. 1970.
33.
go back to reference Kim J. The relationship of trait anxiety and sociability. Seoul: Korea Univ; 1978. Kim J. The relationship of trait anxiety and sociability. Seoul: Korea Univ; 1978.
34.
go back to reference Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.CrossRefPubMed Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.CrossRefPubMed
35.
go back to reference Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the Pittsburgh sleep quality index. Sleep & breathing = Schlaf & Atmung. 2012;16(3):803–12.CrossRef Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the Pittsburgh sleep quality index. Sleep & breathing = Schlaf & Atmung. 2012;16(3):803–12.CrossRef
36.
go back to reference Kim KN, Park JY, Shin TS, Jun KJ, Choi EY, Kim HJ, Lee SH, Yoo TW, Huh BY. Degree of stress and stress-related factors by the Korean version of the BEPSI. J Korean Acad Fam Med. 1998;19(7):559–70. Kim KN, Park JY, Shin TS, Jun KJ, Choi EY, Kim HJ, Lee SH, Yoo TW, Huh BY. Degree of stress and stress-related factors by the Korean version of the BEPSI. J Korean Acad Fam Med. 1998;19(7):559–70.
37.
go back to reference Jeon HJ, Kim JH, Kim BN, Park SJ, Fava M, Mischoulon D, Kang EH, Roh S, Lee D. Sleep quality, posttraumatic stress, depression, and human errors in train drivers: a population-based nationwide study in South Korea. Sleep. 2014;37(12):1969–75.CrossRefPubMedPubMedCentral Jeon HJ, Kim JH, Kim BN, Park SJ, Fava M, Mischoulon D, Kang EH, Roh S, Lee D. Sleep quality, posttraumatic stress, depression, and human errors in train drivers: a population-based nationwide study in South Korea. Sleep. 2014;37(12):1969–75.CrossRefPubMedPubMedCentral
38.
go back to reference Hahn D-W, Lee C-H, Chon K-K. Korean adaptation of Spielberger's STAI (K-STAI). Korean J Health Psychol. 1996;1(1):1–14. Hahn D-W, Lee C-H, Chon K-K. Korean adaptation of Spielberger's STAI (K-STAI). Korean J Health Psychol. 1996;1(1):1–14.
39.
go back to reference Lim HE, Lee MS, Ko YH, Park YM, Joe SH, Kim YK, Han C, Lee HY, Pedersen SS, Denollet J. Assessment of the type D personality construct in the Korean population: a validation study of the Korean DS14. J Korean Med Sci. 2011;26(1):116–23.CrossRefPubMed Lim HE, Lee MS, Ko YH, Park YM, Joe SH, Kim YK, Han C, Lee HY, Pedersen SS, Denollet J. Assessment of the type D personality construct in the Korean population: a validation study of the Korean DS14. J Korean Med Sci. 2011;26(1):116–23.CrossRefPubMed
40.
go back to reference Wu H, Liu L, Wang Y, Gao F, Zhao X, Wang L. Factors associated with burnout among Chinese hospital doctors: a cross-sectional study. BMC Public Health. 2013;13(1):786.CrossRefPubMedPubMedCentral Wu H, Liu L, Wang Y, Gao F, Zhao X, Wang L. Factors associated with burnout among Chinese hospital doctors: a cross-sectional study. BMC Public Health. 2013;13(1):786.CrossRefPubMedPubMedCentral
41.
go back to reference Wu H, Zhao Y, Wang J-N, Wang L. Factors associated with occupational stress among Chinese doctors: a cross-sectional survey. Int Arch Occup Environ Health. 2010;83(2):155–64.CrossRefPubMed Wu H, Zhao Y, Wang J-N, Wang L. Factors associated with occupational stress among Chinese doctors: a cross-sectional survey. Int Arch Occup Environ Health. 2010;83(2):155–64.CrossRefPubMed
42.
go back to reference BMSc NK. Burnout among faculty physicians in an academic health science centre. Health. 2011;16(7):409–13. BMSc NK. Burnout among faculty physicians in an academic health science centre. Health. 2011;16(7):409–13.
43.
go back to reference Selmanovic S, Ramic E, Brekalo-Lazarevic S, Alic A. Stress at work and burnout syndrome in hospital doctors. Medical archives. 2011;65(4):221.CrossRefPubMed Selmanovic S, Ramic E, Brekalo-Lazarevic S, Alic A. Stress at work and burnout syndrome in hospital doctors. Medical archives. 2011;65(4):221.CrossRefPubMed
44.
go back to reference Porto G, Carneiro S, Vasconcelos B, Nascimento M, Leal J. Burnout syndrome in oral and maxillofacial surgeons: a critical analysis. Int J Oral Maxillofac Surg. 2014;43(7):894–9.CrossRefPubMed Porto G, Carneiro S, Vasconcelos B, Nascimento M, Leal J. Burnout syndrome in oral and maxillofacial surgeons: a critical analysis. Int J Oral Maxillofac Surg. 2014;43(7):894–9.CrossRefPubMed
45.
go back to reference Ahola K, Hakanen J. Job strain, burnout, and depressive symptoms: a prospective study among dentists. J Affect Disord. 2007;104(1–3):103–10.CrossRefPubMed Ahola K, Hakanen J. Job strain, burnout, and depressive symptoms: a prospective study among dentists. J Affect Disord. 2007;104(1–3):103–10.CrossRefPubMed
46.
go back to reference Gorter RC, Albrecht G, Hoogstraten J, Eijkman MA. Professional burnout among Dutch dentists. Community Dent Oral Epidemiol. 1999;27(2):109–16.CrossRefPubMed Gorter RC, Albrecht G, Hoogstraten J, Eijkman MA. Professional burnout among Dutch dentists. Community Dent Oral Epidemiol. 1999;27(2):109–16.CrossRefPubMed
47.
go back to reference Kulkarni S, Dagli N, Duraiswamy P, Desai H, Vyas H, Baroudi K. Stress and professional burnout among newly graduated dentists. Journal of International Society of Preventive & Community Dentistry. 2016;6(6):535–41.CrossRef Kulkarni S, Dagli N, Duraiswamy P, Desai H, Vyas H, Baroudi K. Stress and professional burnout among newly graduated dentists. Journal of International Society of Preventive & Community Dentistry. 2016;6(6):535–41.CrossRef
48.
go back to reference West CP, Huschka MM, Novotny PJ, Sloan JA, Kolars JC, Habermann TM, Shanafelt TD. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 2006;296(9):1071–8.CrossRefPubMed West CP, Huschka MM, Novotny PJ, Sloan JA, Kolars JC, Habermann TM, Shanafelt TD. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 2006;296(9):1071–8.CrossRefPubMed
49.
go back to reference West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294–300.CrossRefPubMed West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294–300.CrossRefPubMed
50.
go back to reference Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, Collicott P, Novotny PJ, Sloan J, Freischlag J. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995–1000.CrossRefPubMed Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, Collicott P, Novotny PJ, Sloan J, Freischlag J. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995–1000.CrossRefPubMed
51.
go back to reference Fahrenkopf AM, Sectish TC, Barger LK, Sharek PJ, Lewin D, Chiang VW, Edwards S, Wiedermann BL, Landrigan CP. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ (Clinical research ed). 2008;336(7642):488–91.CrossRef Fahrenkopf AM, Sectish TC, Barger LK, Sharek PJ, Lewin D, Chiang VW, Edwards S, Wiedermann BL, Landrigan CP. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ (Clinical research ed). 2008;336(7642):488–91.CrossRef
52.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
53.
go back to reference Dunlap JE, Stewart JD. Survey suggests less stress in group offices. Dental economics - oral hygiene. 1982;72(2):46–8. 51, 53-44 passimPubMed Dunlap JE, Stewart JD. Survey suggests less stress in group offices. Dental economics - oral hygiene. 1982;72(2):46–8. 51, 53-44 passimPubMed
54.
go back to reference O'Shea RM, Corah NL, Ayer WA. Sources of dentists' stress. Journal of the American Dental Association (1939). 1984;109(1):48–51.CrossRef O'Shea RM, Corah NL, Ayer WA. Sources of dentists' stress. Journal of the American Dental Association (1939). 1984;109(1):48–51.CrossRef
55.
go back to reference Jager AJ, Tutty MA, Kao AC. Association between physician burnout and identification with medicine as a calling. Mayo Clin Proc. 2017;92(3):415–22.CrossRefPubMed Jager AJ, Tutty MA, Kao AC. Association between physician burnout and identification with medicine as a calling. Mayo Clin Proc. 2017;92(3):415–22.CrossRefPubMed
56.
go back to reference Tak HJ, Curlin FA, Yoon JD. Association of Intrinsic Motivating Factors and Markers of physician well-being: a National Physician Survey. J Gen Intern Med. 2017;32(7):739-46. PMID 28168540. Tak HJ, Curlin FA, Yoon JD. Association of Intrinsic Motivating Factors and Markers of physician well-being: a National Physician Survey. J Gen Intern Med. 2017;32(7):739-46. PMID 28168540.
Metadata
Title
Correlation of occupational stress with depression, anxiety, and sleep in Korean dentists: cross-sectional study
Authors
Kyung-Won Song
Won-Seok Choi
Hee-Jung Jee
Chi-Sung Yuh
Yong-Ku Kim
Leen Kim
Heon-Jeong Lee
Chul-Hyun Cho
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2017
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-017-1568-8

Other articles of this Issue 1/2017

BMC Psychiatry 1/2017 Go to the issue