{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T06:00:34Z","timestamp":1785218434430,"version":"3.55.0"},"reference-count":0,"publisher":"Pakistan Journal of Medical Sciences","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pak J Med Sci"],"abstract":"<jats:p>Objectives:\u00a0To assess the frequency of bullying and its association with depression, anxiety, stress, and coping strategies among undergraduate dental students.\nMethodology:\u00a0A cross-sectional study was conducted among 124 dental undergraduates at Bibi Aseefa Dental College, Larkana, Pakistan. Bullying exposure was assessed using an adapted 15-item Negative Acts Questionnaire\u2013Revised (NAQ-R), while psychological distress was measured using the 21-item Depression, Anxiety, and Stress Scale (DASS-21),Coping strategies were evaluated using the 24-item Brief-COPE inventory and were categorized as adaptive and maladaptive. Data were analyzed using descriptive statistics, Chi-square tests, and Spearman\u2019s correlation, with a p-value &lt; 0.05 considered statistically significant.\nResults: Most students reported\u00a0high bullying exposure (74.2%). Moderate to extremely severe depression was observed in\u00a050.8%, severe to extremely severe anxiety in\u00a054.0%, and moderate to severe stress in\u00a029.9%\u00a0of participants. Bullying exposure was significantly associated with depression (\u03c7\u00b2 = 18.2, p = 0.020), stress (\u03c7\u00b2 = 16.6, p = 0.035), and anxiety (\u03c7\u00b2 = 29.2, p &lt; 0.001). Spearman\u2019s correlation revealed that bullying was positively correlated with anxiety (\u03c1 = 0.427, p &lt; 0.001) and maladaptive coping (\u03c1 = 0.403, p &lt; 0.001), while maladaptive coping strongly correlated with anxiety (\u03c1 = 0.648, p &lt; 0.001). Adaptive coping showed weaker positive correlations with anxiety, suggesting increased coping efforts in response to distress. Multivariable analysis identified high bullying exposure (OR \u22486.0, p&lt;0.001) and maladaptive coping (OR \u2248 1.18, p&lt;0.001) as significant independent predictors of moderate to severe anxiety.\nConclusion:\u00a0Bullying is highly prevalent among dental students and strongly associated with anxiety, depression, and maladaptive coping. Targeted interventions, including bullying prevention, mental health support, and resilience training, are essential to safeguard student well-being.<\/jats:p>","DOI":"10.12669\/pjms.42.8.15956","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T05:43:01Z","timestamp":1785217381000},"page":"2045-2051","source":"Crossref","is-referenced-by-count":0,"title":["Striving or surviving? Influence of bullying on psychological well-being and coping approaches among undergraduate dental students"],"prefix":"10.12669","volume":"42","author":[{"given":"Preh","family":"Abro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Junaid Sarfraz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Saleem Raza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Yousif Ali Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4935","published-online":{"date-parts":[[2026,7,28]]},"container-title":["Pakistan Journal of Medical Sciences"],"original-title":[],"link":[{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/15956\/11581","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/15956\/11581","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T05:43:01Z","timestamp":1785217381000},"score":1,"resource":{"primary":{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/view\/15956"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,28]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,7,27]]}},"URL":"https:\/\/doi.org\/10.12669\/pjms.42.8.15956","relation":{},"ISSN":["1681-715X","1682-024X"],"issn-type":[{"value":"1681-715X","type":"electronic"},{"value":"1682-024X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7,28]]}}}