{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T15:12:57Z","timestamp":1792595577377,"version":"4.5.0"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T00:00:00Z","timestamp":1707782400000},"content-version":"vor","delay-in-days":43,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Objectives: To assess the stress level, the impact of stress factors, and discrepancies between fourth- and fifth-year undergraduate clinical students at the University of Jordan.<\/jats:p>\n               <jats:p>Methods: A cross-sectional study was conducted in the academic year 2022\/2023. The study group included fourth- and fifth-year dental students at the University of Jordan (n\u2009=\u2009382) who were asked to voluntarily fill in an online dental environment stress (DES) questionnaire. Analysis was conducted using Mann-Whitney U test, independent t-test, \u03c72 test, and Spearman \u03c1 rank correlations. Statistical significance was inferred when P\u2009&amp;lt;\u2009.05.<\/jats:p>\n               <jats:p>Results: Fourth-year students reported higher levels of nervousness before treating patients for the first time. Fifth-year students faced more difficulty, higher stress, and\/or fear regarding the amount of assigned work, provided treatment, completed requirements, failing the course, time to finish assignments, patient comprehensive care, and financial expenses of the course. Comparison between groups revealed that the fifth-year students scored higher levels of stress on the total DES score and all partial DES scores. Furthermore, the total DES questionnaire scores were significantly correlated with grade point average (GPA) among the total study sample and the prosthodontics clinical course marks among the fourth-year students\u2019 group.<\/jats:p>\n               <jats:p>Conclusions: The stress level among students in clinical courses was influenced by their academic performance, gender, year level, and the type and time needed for the provided treatment. Completing course requirements was among the most commonly faced stressors. Future research endeavors might be considered to study each clinical factor, its impact on students\u2019 stress level, and how to manage and positively improve these factors.<\/jats:p>","DOI":"10.1093\/joccuh\/uiae006","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T09:10:26Z","timestamp":1707815426000},"source":"Crossref","is-referenced-by-count":28,"title":["Stress experienced by dental students performing clinical training in different dental disciplines: a cross-sectional study"],"prefix":"10.1093","volume":"66","author":[{"given":"Rasha A","family":"Alamoush","sequence":"first","affiliation":[{"name":"School of Dentistry, The University of Jordan Department of Fixed and Removable Prosthodontics, , Queen Rania Street, Amman 11942, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sereen","family":"Al-sawaeir","sequence":"additional","affiliation":[{"name":"School of Dentistry, The University of Jordan , Queen Rania Street, Amman 11942, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dima Abu","family":"Baker","sequence":"additional","affiliation":[{"name":"School of Dentistry, The University of Jordan Department of Fixed and Removable Prosthodontics, , Queen Rania Street, Amman 11942, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanaa A","family":"Aljamani","sequence":"additional","affiliation":[{"name":"School of Dentistry, The University of Jordan Restorative Department, , Queen Rania Street, Amman 11942, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salah A","family":"Alomoush","sequence":"additional","affiliation":[{"name":"School of Dentistry, The University of Jordan Department of Fixed and Removable Prosthodontics, , Queen Rania Street, Amman 11942, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud K","family":"AL-Omiri","sequence":"additional","affiliation":[{"name":"The City of London Dental School Department of Prosthodontics, , Canada Water, Lower Road, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,2,13]]},"reference":[{"key":"2024071808422002700_ref1","first-page":"3","article-title":"Stress: definition and history","author":"Fink","year":"2010","journal-title":"Stress Sci"},{"issue":"6","key":"2024071808422002700_ref2","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1038\/nrn2639","article-title":"Effects of stress throughout the lifespan on the brain, behaviour and cognition","volume":"10","author":"Lupien","year":"2009","journal-title":"Nat Rev Neurosci"},{"issue":"3","key":"2024071808422002700_ref3","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1111\/jopr.13134","article-title":"Changes in optical characteristics and surface topography of CAD\/CAM materials after bleaching applications: an AFM 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