ArticleBMJ open2023
Associations of academic environment, lifestyle, sense of coherence and social support with self-reported mental health status among dental students at a university in Brazil: a cross-sectional study.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 7 citations in OpenAlex.
- Quality-of-life attributes of chiropractic students that are significantly associated with students' sense of coherence: A cross-sectional study.The Journal of chiropractic education · 2026Article
- Prevalence and attributable risk of depressive and anxiety symptoms among secondary school students: the role of maternal mental health and other risk factors.BMC psychiatry · 2026Article
- Anxiety in young university students: the mediating role of sense of coherence and self-esteem.BMC public health · 2025Article
- Latent profile analysis of sense of coherence and relationship with meaning of life and professional identity among nursing undergraduate.BMC nursing · 2025Article
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe study evaluated the association of academic environment, lifestyle, sense of coherence (SOC) and social support with self-reported mental health status among dental students.
designSecondary analysis of data from a cross-sectional, questionnaire-based survey conducted from August to October 2018.
settingDental school of a public-funded university in the south-eastern region of Brazil.
participants233 undergraduate dental students recruited across all years of the course. OUTCOME MEASURES: Socioeconomic and demographic characteristics, city of origin and student's academic semester were obtained through self-completed questionnaires. Perception of the academic environment (Dundee Ready Education Environment Measure (DREEM)), individual lifestyle (Individual Lifestyle Profile Questionnaire (ILPQ)), SOC (SOC Scale (SOC-13)), social support (Medical Outcomes Study Scale (MOS)), and depression, anxiety and stress (Depression, Anxiety and Stress Scale-21 (DASS-21)) were assessed using validated instruments. The relationships between variables were investigated through multivariable negative binomial regression to obtain the rate ratios (RRs) and 95% CIs.
resultsFemale sex was associated with greater scores of anxiety (RR 1.74, 95% CI 1.10 to 1.97) and stress (RR 1.52, 95% CI 1.12 to 2.06). Students who perceived a better academic environment and those reporting a greater SOC had a lower probability of depression, anxiety and stress. Furthermore, a favourable lifestyle was associated with lower depression scores (RR 0.99, 95% CI 0.97 to 0.99). Social support did not remain associated with depression, anxiety and stress after adjustment.
conclusionsThe present findings suggest that self-reported mental health status is associated with students' sex, academic environment, SOC and lifestyle. Enhancing the educational environment and SOC, and promoting a healthy lifestyle may improve the psychological health of dental students.
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