{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:01:56Z","timestamp":1791871316491,"version":"4.3.4"},"reference-count":47,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T00:00:00Z","timestamp":1757116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Burnout syndrome, caused by chronic unmanaged stress, is common among health sciences students, and dental students in clinical training are particularly vulnerable due to the intense cognitive, emotional, and practical demands. This multicenter cross-sectional study assessed burnout and related factors in 312 students in their 8th\u201310th semesters at three Ecuadorian universities using the Maslach Burnout Inventory and a questionnaire on physical and emotional symptoms. High emotional exhaustion affected 79.5% of students, high depersonalization 54.5%, and low personal accomplishment 11.5%, with an overall burnout prevalence of 8.01%. No statistically significant associations were found with university or academic semester, although students studying or working more than 30 h per week showed a non-significant trend toward higher risk (OR = 3.39; p = 0.208), and the model\u2019s predictive capacity was low (AUC = 0.645). Frequently reported physical symptoms included lower back pain (41.35%), neck pain (35.9%), and headaches (30.45%). These findings reveal that burnout, often accompanied by physical discomfort, affects a significant number of dental students, highlighting the need for institutional strategies such as psychological support and curricular adjustments to reduce stress and improve overall well-being.<\/jats:p>","DOI":"10.3390\/ijerph22091393","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T08:06:32Z","timestamp":1757318792000},"page":"1393","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Burnout Syndrome Among Dental Students in Clinical Training: A Multicenter Cross-Sectional Study in Ecuador"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8713-951X","authenticated-orcid":false,"given":"Luis","family":"Chauca-Baja\u00f1a","sequence":"first","affiliation":[{"name":"Dental Sciences, College Dentistry, University of Guayaquil, Guayaquil 090514, Ecuador"},{"name":"Dental Sciences, College Dentistry, Universidade Santiago de Compostela, 15782 Santiago de Compostela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Ordo\u00f1ez Balladares","sequence":"additional","affiliation":[{"name":"Dental Sciences, College Dentistry, University of Guayaquil, Guayaquil 090514, Ecuador"},{"name":"Dental Sciences, College Dentistry, Universidade Santiago de Compostela, 15782 Santiago de Compostela, Spain"},{"name":"Dental Sciences, College Dentistry, Bolivarian University of Ecuador, Dur\u00e1n 092406, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivonne Alison","family":"Carri\u00f3n Bustamante","sequence":"additional","affiliation":[{"name":"Esthetic and Operative Dentistry, College Dentistry, University of Guayaquil, Guayaquil 090514, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea Carolina","family":"S\u00e1nchez Salcedo","sequence":"additional","affiliation":[{"name":"Oral Rehabilitation, College Dentistry, University of Guayaquil, Guayaquil 090514, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Su\u00e1rez-Palacios","sequence":"additional","affiliation":[{"name":"Oral Rehabilitation, College Dentistry, University of Guayaquil, Guayaquil 090514, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier Andr\u00e9s","family":"Villao-Le\u00f3n","sequence":"additional","affiliation":[{"name":"Endodontics Oral Research, College of Dentistry, University of Guayaquil, Guayaquil 090514, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco Jorge","family":"Mor\u00e1n Pe\u00f1a","sequence":"additional","affiliation":[{"name":"Educational Informatics, College of Dentistry, University of Guayaquil, Guayaquil 090514, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita Carolina","family":"Eg\u00fc\u00e9s Cevallos","sequence":"additional","affiliation":[{"name":"Educational Informatics, College of Dentistry, University of Guayaquil, Guayaquil 090514, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Tolozano-Benites","sequence":"additional","affiliation":[{"name":"Pedagogical Sciences Education, Universidad Bolivariana del Ecuador, Dur\u00e1n 092406, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5660-3941","authenticated-orcid":false,"given":"Byron","family":"Vel\u00e1squez Ron","sequence":"additional","affiliation":[{"name":"Dental Prosthesis Department Research, College Dentistry, University of the Americas, UDLA. Av, Colon y 6 de diciembre, Campus Col\u00f3n, Quito 170102, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Atroszko, P.A., Demetrovics, Z., and Griffiths, M.D. (2020). Work Addiction, Obsessive-Compulsive Personality Disorder, Burn-Out, and Global Burden of Disease: Implications from the ICD-11. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17020660"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1002\/jclp.23617","article-title":"Is the road to burnout paved with perfectionism? The prevalence of obsessive-compulsive personality disorder in a clinical longitudinal sample of female patients with stress-related exhaustion","volume":"80","author":"Reinhardt","year":"2024","journal-title":"J. Clin. 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