{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T04:12:36Z","timestamp":1791173556158,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T00:00:00Z","timestamp":1743811200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T00:00:00Z","timestamp":1743811200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dental Education"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Stress among dental students is mainly driven by the demanding nature of dental education which is exaggerated during exams and specifically final year oral examinations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to assess the emotional status (depression, anxiety, and stress) of fifth\u2010year dental students undergoing two forms of oral examinations: conventional viva (CV) and case presentation (CP) based examinations using a DASS\u201021 scale, and to explore the effects of gender, origin, accommodation, grade point average, and satisfaction with friends and college on the students\u2019 DASS\u201021 scores within each group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three hundred\u2010thirty fifth\u2010year students did one CP for a clinical case they completed in removable prosthodontics, and also attended a viva exam as a requirement for graduation. Then, an online survey, originated from the DASS\u201021 survey, was sent to all fifth\u2010year dental students one week after completing both exams.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred twenty\u2010nine students completed the survey with a response rate of 38%. The overall prevalence of depression, anxiety, and stress in the CV group was 22.37%, 21.49%, 19.05% and 24.70%, 24.41%, 21.75% in the CP group, respectively. The severity levels among undergraduate dental students were as follows: moderate levels of depression, moderate to severe levels of anxiety, and normal levels of stress which were not relevant to the oral examination type. High achieving students showed overall higher scores in both study groups, while females showed higher depression scores in the CP group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dental students at our institution were experiencing increased levels of depression and anxiety in both forms of oral examinations. Sources of depression and anxiety should be outlined and different support strategies should be implemented to help students overcome emotional distress during oral exams.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jdd.13884","type":"journal-article","created":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T20:17:08Z","timestamp":1743884228000},"page":"1617-1626","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Depression, Anxiety, and Stress in Undergraduate Dental Students During Viva and Case Presentation Oral Examinations Using the DASS\u201021 Scale"],"prefix":"10.1002","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9043-8238","authenticated-orcid":false,"given":"Samiha Yousef","family":"Sartawi","sequence":"first","affiliation":[{"name":"Department of Prosthodontics, School of Dentistry The University of Jordan  Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2101-5829","authenticated-orcid":false,"given":"Dima Abu","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, School of Dentistry The University of Jordan  Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6592-4923","authenticated-orcid":false,"given":"Sanaa Abdallah","family":"Aljamani","sequence":"additional","affiliation":[{"name":"Restorative Department School of Dentistry, The University of Jordan  Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0593-2355","authenticated-orcid":false,"given":"Rahaf","family":"Nassar","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics Jordan University Hospital  Amman 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