Sistematik Derlemeler ve Meta Analiz
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Bir Diş Hekimliği Fakültesinde Psikososyal Riskler ve Ruh Sağlığı Durumunun Değerlendirilmesi

Yıl 2025, Cilt: 79 Sayı: 2, 144 - 153, 01.07.2025

Öz

Amaç: Diş hekimliği fakültesinde psikososyal riskleri, çalışanların ruh sağlığı durumunu ve ilgili faktörleri değerlendirmek amaçlanmıştır.

Gereç ve Yöntem: Kesitsel tipte olan çalışmada örneklem seçilmemiştir. Kasım 2021-Ocak 2022 tarihleri arasında diş hekimliği fakültesindeki tüm çalışanları kapsaması planlanmıştır. Veri toplama formunda sosyodemografik özellikler, çalışma yaşamı özellikleri ve Koronavirüs hastalığı-2019’a ilişkin sorular, Kopenhag Psikososyal Risk Değerlendirmesi Ölçeği (KOPSOR-TR) ve Genel Sağlık Anketi-12 yer almıştır. Veriler katılımcının işyerinde gözlem altında anket yöntemi kullanılarak toplanmıştır. İstatistiksel analizde ki-kare testi ve lojistik regresyon analizi uygulanmıştır. Çalışma için etik onay Balınmıştır.

bulgular: Çalışmaya 303 (%80 katılım oranı) çalışan dahil edilmiştir. Yüksek psikososyal risk puanına sahip katılımcıların yüzdesi en fazla iş doyumu eksikliği, çalışma koşulları güvencesizliği ve çalışma hızı boyutlarındadır. Çoğunluğun (%52) ruh sağlığı durumu kötüdür. KOPSOR-TR’nin çoğu
boyutunda risk puanı yüksek olanların ruh sağlığı durumu anlamlı ölçüde kötüdür. Regresyon analizinde, meslek grubu, yeterli ve uygun kişisel koruyucu donanıma ulaşabilme durumu, öngörülebilirlik eksikliği ve tükenmişlik ruh sağlığı durumunun kötü olması durumunu öngörmüştür.

Sonuç: En önemli psikososyal risklerin iş doyumu eksikliği, çalışma koşulları güvencesizliği ve çalışma hızı olduğu bulunmuştur. Çoğunluğun ruh sağlığı durumu kötüdür ve psikososyal risklerin katılımcıların ruh sağlığı durumuyla ilişkili olduğu gösterilmiştir.

Etik Beyan

Ethics Committee Approval: The ethical approval was obtained from Ankara University Rectorate Ethics Committee (approval no.: 18/198, date: 22.11.2021). Informed Consent: Informed consent of the employees was obtained. Footnotes Authorship Contributions Concept: B.A., M.E.O., Design: B.A., M.E.O., Data Collection and/or Processing: B.A., Analysis and/or Interpretation: B.A., M.E.O., Literature Search: B.A., Writing: B.A. Conflict of Interest: There is no potential conflict of interest to declare. Financial Disclosure: This study received no financial support.

Kaynakça

  • 1. Sahan C, Demiral Y. In: Copenhagen psychosocial risk assessment guideline. Sahan C, Demiral Y, editors. Psychosocial Risk Assessment at Work. 1st ed. İzmir: Occupational Hygienists Association (İHİDER); 2020. p.3-31.
  • 2. Metzler YA, von Groeling-Müller G, Bellingrath S. Better safe than sorry: methods for risk assessment of psychosocial hazards. Saf Sci. 2019;114:122139.
  • 3. Vatansever C. A new dimension in risk assessment: psychosocial hazards and risks. Work Soc. 2014;40:117-138.
  • 4. Leka S, Jain A. World Health Organization Health impact of psychosocial hazards at work: an overview.WHO; 2010: 4-89.
  • 5. Eurofound and EU-OSHA. Psychosocial risks in Europe: prevalence and strategies for prevention. Publications Office of the European Union. Luxembourg. 2014:6.
  • 6. Rada RE, Johnson-Leong C. Stress, burnout, anxiety and depression among dentists. J Am Dent Assoc. 2004;135:788-794.
  • 7. Lee C-Y, Wu J-H, Du J-K. Work stress and occupational burnout among dental staff in a medical center. J Dent Sci. 2019;14:295-301.
  • 8. WHO. Coronavirus disease (COVID-19) pandemic [Internet]. [Retrieved on 2024]. Available from: https://www.who.int/europe/emergencies/situations/ covid-19
  • 9. Mekhemar M, Attia S, Dörfer C, et al. Dental nurses’ mental health in Germany: a nationwide survey during the COVID-19 pandemic. Int J Environ Res Public Health. 2021;18:8108.
  • 10. Vergara-Buenaventura A, Chavez-Tuñon M, Castro-Ruiz C. The mental health consequences of Coronavirus Disease 2019 pandemic in dentistry. Disaster Med Public Health Prep. 2020;14:e31-34.
  • 11. Derruau S, Bouchet J, Nassif A, et al. COVID-19 and dentistry in 72 questions: an overview of the literature. J Clin Med. 2021;10:779.
  • 12. Cox T, Griffiths A, Stavroula L. Work organization and work‐related stress. In: Gardiner K, Harrington JM, editors. Occupational Hygiene. 3rd ed. Wiley Online Library; 2005. p. 421-432.
  • 13. World Health Organization. PRIMA-EF : guidance on the European framework for psychosocial risk management : a resource for employer and worker representatives. 2008. https://iris.who.int/handle/10665/43966
  • 14. Osborne D, Croucher R. Levels of burnout in general dental practitioners in the south-east of England. Br Dent J. 1994;177:372-377.
  • 15. Slabšinskienė E, Gorelik A, Kavaliauskienė A, et al. Burnout and ıts relationship with demographic and job-related variables among dentists in lithuania: a cross-sectional study. Int J Environ Res Public Health. 2021;18:3968.
  • 16. Jin M-U, Jeong S-H, Kim E-K, et al. Burnout and its related factors in Korean dentists. Int Dent J. 2015;65:22-31.
  • 17. Mekhemar M, Attia S, Dörfer C, et al. The psychological impact of the COVID-19 pandemic on dentists in Germany. J Clin Med. 2021;10:1008.
  • 18. Sarialioglu Gungor A, Donmez N, Uslu YS. Knowledge, stress levels, and clinical practice modifications of Turkish dentists due to COVID-19: a survey study. Braz Oral Res. 2021;35:1-12.
  • 19. COPSOQ Network. COPSOQ ınternational network [Internet]. [Retrieved on January 23, 2023]. Available from: https://www.copsoq-network.org/
  • 20. Sahan C, Baydur H, Demiral Y. A novel version of Copenhagen psychosocial questionnaire-3: Turkish validation study. Arch Environ Occup Health. 2019;74:297-309.
  • 21. Sahan C. Adaptation of the Copenhagen psychosocial risk assessment scale into Turkish (Public Health Master’s Thesis). İzmir, Türkiye. Dokuz Eylul University Institute of Health Sciences. 2016.
  • 22. Kilic C. General health questionnaire: reliability and validity study. Turkish J Psychiatry. 1996;7:3-9.
  • 23. Liang Y, Wang L, Yin X. The factor structure of the 12-item general health questionnaire (GHQ-12) in young Chinese civil servants. Health Qual Life Outcomes. 2016;14:136.
  • 24. Hayran M, Hayran M. Basic statistics for health research second edition. Omega Research Education Consultancy Limited Company; 2018; p.8-363.
  • 25. Field A. Discovering statistics using IBM SPSS statistics. SAGE Publications Ltd; 4th edition. 2013;293-814.
  • 26. Sato TD, de Faria BS, Albuquerque BB, et al. Poor health conditions among brazilian healthcare workers: the study design and baseline characteristics of the HEROES cohort. Healthcare (Basel). 2022;10:1-12.
  • 27. Gouveia PA, Lopes D, Henriques AR, et al. Psychosocial risks among the healthcare workforce working in COVID services: findings from a crosssectional study on psychosocial risks. Eur Psychiatry. 2022;65:253-254.
  • 28. Bozdag F, Kurt AO, Bugdayci BN, et al. Evaluation of psychosocial risks of employees of a university hospital. In: 3 International 21 National Public Health Congress; 26-30 November, 2019; Antalya, Türkiye. Ankara; HASUDER. p.454-460.
  • 29. Berthelsen H, Westerlund H, Hakanen JJ, et al. It is not just about occupation, but also about where you work. Community Dent Oral Epidemiol. 2017;45:372-379.
  • 30. Gorter RC, Freeman R. Burnout and engagement in relation with job demands and resources among dental staff in Northern Ireland. Community Dent Oral Epidemiol. 2011;39:87-95.
  • 31. Karatuna I, Owen M, Westerlund H, et al. The role of staff-assessed care quality in the relationship between job demands and stress in human service work: the example of dentistry. Int J Environ Res Public Health. 2022;19:12795.
  • 32. Wagner A, Rieger MA, Manser T, et al. Healthcare professionals’ perspectives on working conditions, leadership, and safety climate: a cross-sectional study. BMC Health Serv Res. 2019;19:53.
  • 33. Koch P, Zilezinski M, Schulte K, et al. How perceived quality of care and job satisfaction are associated with ıntention to leave the profession in young nurses and physicians. Int J Environ Res Public Health. 2020;17:2714.
  • 34. Turkili S, Aslan E, Tot S. Examination of difficulties, anxiety, depression and burnout syndrome among healthcare professionals in Türkiye due to the coronavirus outbreak. Mersin Univ J Heal Sci. 2022;15:74-87.
  • 35. Chang HE, Cho S-H. The ınfluence of social support on the relationship between emotional demands and health of hospital nurses: a crosssectional study. Healthcare (Basel). 2021;9:115.
  • 36. Ozaydın O, Vural A, Balcı N, et al. Job satisfaction of healthcare workers during the COVID-19 epidemic. Gumushane Univ J Heal Sci. 2022;11:54-62.
  • 37. Birdane G. Examining the psychosocial risks of nursing staff in a university hospital using the Copenhagen psychosocial risk assessment questionnaire and its relationship with mental well-being. (PhD Thesis). Ankara, Türkiye. Hacettepe University Institute of Health. 2022.
  • 38. Freimann T, Merisalu E. Work-related psychosocial risk factors and mental health problems amongst nurses at a university hospital in Estonia: a crosssectional study. Scand J Public Health. 2015;43:447-452.
  • 39. Malinauskienė V, Leišytė P, Malinauskas R. Psychosocial job characteristics, social support, and sense of coherence as determinants of mental health among nurses. Medicina (Kaunas). 2009;45:910-917.
  • 40. Puriene A, Aleksejuniene J, Petrauskiene J, et al. Self-perceived mental health and job satisfaction among lithuanian dentists. Ind Health. 2008;46:247-252.
  • 41. Tunc S, Kose S. The frequency and determining factors of psychiatric symptoms in healthcare professionals. Psychiatry Behav Sci. 2019;9:94-101.
  • 42. Bettinsoli ML, Di Riso D, Napier JL, et al. Mental health conditions of ıtalian healthcare professionals during the COVID-19 disease outbreak. Appl Psychol Heal Well-Being. 2020;12:1054-1573.
  • 43. Eldridge LA, Estrich CG, Gurenlian JR, et al. US dental health care workers’ mental health during the COVID-19 pandemic. J Am Dent Assoc. 2022;153:740-749.

Assessment of Psychosocial Risks and Mental Health Status in a Faculty of Dentistry

Yıl 2025, Cilt: 79 Sayı: 2, 144 - 153, 01.07.2025

Öz

Objectives: It was aimed to evaluate the psychosocial risks, mental health status of the employees and related factors in a faculty of dentistry.

Materials and Methods: In this cross-sectional study, no sample was selected. It is planned to include all employees at the faculty of dentistry between November 2021 and January 2022. The data collection form included questions on socio-demographic characteristics, working life characteristics and Coronavirus disease-2019, the Turkish Copenhagen Psychosocial Questionnaire (COPSOQ-TR) and the General Health Questionnaire-12. Data were collected using a survey method under observation in the participant’s workplace. Chi-square test and logistic regression analysis were applied in statistical analysis. Ethical approval was obtained for the study.

Results: Three hundred three (80% participation rate) employees were included in the study. The percentage of participants with high psychosocial risk scores is highest in the dimensions of lack of job satisfaction, insecurity over working conditions and work pace. The majority (52%) had poor mental health. Those with high risk scores in most dimensions of COPSOQ-TR have significantly poorer mental health status. In regression analysis, the variables of occupational group, access to adequate and appropriate personal protective equipment, lack of predictability, and burnout predicted poor mental health status.

Conclusion: It was found that the most important psychosocial risks are lack of job satisfaction, insecurity over working conditions and work pace. It has been demonstrated that the mental health status of the majority is poor and psychosocial risks are related to the mental health status of the participants.

Kaynakça

  • 1. Sahan C, Demiral Y. In: Copenhagen psychosocial risk assessment guideline. Sahan C, Demiral Y, editors. Psychosocial Risk Assessment at Work. 1st ed. İzmir: Occupational Hygienists Association (İHİDER); 2020. p.3-31.
  • 2. Metzler YA, von Groeling-Müller G, Bellingrath S. Better safe than sorry: methods for risk assessment of psychosocial hazards. Saf Sci. 2019;114:122139.
  • 3. Vatansever C. A new dimension in risk assessment: psychosocial hazards and risks. Work Soc. 2014;40:117-138.
  • 4. Leka S, Jain A. World Health Organization Health impact of psychosocial hazards at work: an overview.WHO; 2010: 4-89.
  • 5. Eurofound and EU-OSHA. Psychosocial risks in Europe: prevalence and strategies for prevention. Publications Office of the European Union. Luxembourg. 2014:6.
  • 6. Rada RE, Johnson-Leong C. Stress, burnout, anxiety and depression among dentists. J Am Dent Assoc. 2004;135:788-794.
  • 7. Lee C-Y, Wu J-H, Du J-K. Work stress and occupational burnout among dental staff in a medical center. J Dent Sci. 2019;14:295-301.
  • 8. WHO. Coronavirus disease (COVID-19) pandemic [Internet]. [Retrieved on 2024]. Available from: https://www.who.int/europe/emergencies/situations/ covid-19
  • 9. Mekhemar M, Attia S, Dörfer C, et al. Dental nurses’ mental health in Germany: a nationwide survey during the COVID-19 pandemic. Int J Environ Res Public Health. 2021;18:8108.
  • 10. Vergara-Buenaventura A, Chavez-Tuñon M, Castro-Ruiz C. The mental health consequences of Coronavirus Disease 2019 pandemic in dentistry. Disaster Med Public Health Prep. 2020;14:e31-34.
  • 11. Derruau S, Bouchet J, Nassif A, et al. COVID-19 and dentistry in 72 questions: an overview of the literature. J Clin Med. 2021;10:779.
  • 12. Cox T, Griffiths A, Stavroula L. Work organization and work‐related stress. In: Gardiner K, Harrington JM, editors. Occupational Hygiene. 3rd ed. Wiley Online Library; 2005. p. 421-432.
  • 13. World Health Organization. PRIMA-EF : guidance on the European framework for psychosocial risk management : a resource for employer and worker representatives. 2008. https://iris.who.int/handle/10665/43966
  • 14. Osborne D, Croucher R. Levels of burnout in general dental practitioners in the south-east of England. Br Dent J. 1994;177:372-377.
  • 15. Slabšinskienė E, Gorelik A, Kavaliauskienė A, et al. Burnout and ıts relationship with demographic and job-related variables among dentists in lithuania: a cross-sectional study. Int J Environ Res Public Health. 2021;18:3968.
  • 16. Jin M-U, Jeong S-H, Kim E-K, et al. Burnout and its related factors in Korean dentists. Int Dent J. 2015;65:22-31.
  • 17. Mekhemar M, Attia S, Dörfer C, et al. The psychological impact of the COVID-19 pandemic on dentists in Germany. J Clin Med. 2021;10:1008.
  • 18. Sarialioglu Gungor A, Donmez N, Uslu YS. Knowledge, stress levels, and clinical practice modifications of Turkish dentists due to COVID-19: a survey study. Braz Oral Res. 2021;35:1-12.
  • 19. COPSOQ Network. COPSOQ ınternational network [Internet]. [Retrieved on January 23, 2023]. Available from: https://www.copsoq-network.org/
  • 20. Sahan C, Baydur H, Demiral Y. A novel version of Copenhagen psychosocial questionnaire-3: Turkish validation study. Arch Environ Occup Health. 2019;74:297-309.
  • 21. Sahan C. Adaptation of the Copenhagen psychosocial risk assessment scale into Turkish (Public Health Master’s Thesis). İzmir, Türkiye. Dokuz Eylul University Institute of Health Sciences. 2016.
  • 22. Kilic C. General health questionnaire: reliability and validity study. Turkish J Psychiatry. 1996;7:3-9.
  • 23. Liang Y, Wang L, Yin X. The factor structure of the 12-item general health questionnaire (GHQ-12) in young Chinese civil servants. Health Qual Life Outcomes. 2016;14:136.
  • 24. Hayran M, Hayran M. Basic statistics for health research second edition. Omega Research Education Consultancy Limited Company; 2018; p.8-363.
  • 25. Field A. Discovering statistics using IBM SPSS statistics. SAGE Publications Ltd; 4th edition. 2013;293-814.
  • 26. Sato TD, de Faria BS, Albuquerque BB, et al. Poor health conditions among brazilian healthcare workers: the study design and baseline characteristics of the HEROES cohort. Healthcare (Basel). 2022;10:1-12.
  • 27. Gouveia PA, Lopes D, Henriques AR, et al. Psychosocial risks among the healthcare workforce working in COVID services: findings from a crosssectional study on psychosocial risks. Eur Psychiatry. 2022;65:253-254.
  • 28. Bozdag F, Kurt AO, Bugdayci BN, et al. Evaluation of psychosocial risks of employees of a university hospital. In: 3 International 21 National Public Health Congress; 26-30 November, 2019; Antalya, Türkiye. Ankara; HASUDER. p.454-460.
  • 29. Berthelsen H, Westerlund H, Hakanen JJ, et al. It is not just about occupation, but also about where you work. Community Dent Oral Epidemiol. 2017;45:372-379.
  • 30. Gorter RC, Freeman R. Burnout and engagement in relation with job demands and resources among dental staff in Northern Ireland. Community Dent Oral Epidemiol. 2011;39:87-95.
  • 31. Karatuna I, Owen M, Westerlund H, et al. The role of staff-assessed care quality in the relationship between job demands and stress in human service work: the example of dentistry. Int J Environ Res Public Health. 2022;19:12795.
  • 32. Wagner A, Rieger MA, Manser T, et al. Healthcare professionals’ perspectives on working conditions, leadership, and safety climate: a cross-sectional study. BMC Health Serv Res. 2019;19:53.
  • 33. Koch P, Zilezinski M, Schulte K, et al. How perceived quality of care and job satisfaction are associated with ıntention to leave the profession in young nurses and physicians. Int J Environ Res Public Health. 2020;17:2714.
  • 34. Turkili S, Aslan E, Tot S. Examination of difficulties, anxiety, depression and burnout syndrome among healthcare professionals in Türkiye due to the coronavirus outbreak. Mersin Univ J Heal Sci. 2022;15:74-87.
  • 35. Chang HE, Cho S-H. The ınfluence of social support on the relationship between emotional demands and health of hospital nurses: a crosssectional study. Healthcare (Basel). 2021;9:115.
  • 36. Ozaydın O, Vural A, Balcı N, et al. Job satisfaction of healthcare workers during the COVID-19 epidemic. Gumushane Univ J Heal Sci. 2022;11:54-62.
  • 37. Birdane G. Examining the psychosocial risks of nursing staff in a university hospital using the Copenhagen psychosocial risk assessment questionnaire and its relationship with mental well-being. (PhD Thesis). Ankara, Türkiye. Hacettepe University Institute of Health. 2022.
  • 38. Freimann T, Merisalu E. Work-related psychosocial risk factors and mental health problems amongst nurses at a university hospital in Estonia: a crosssectional study. Scand J Public Health. 2015;43:447-452.
  • 39. Malinauskienė V, Leišytė P, Malinauskas R. Psychosocial job characteristics, social support, and sense of coherence as determinants of mental health among nurses. Medicina (Kaunas). 2009;45:910-917.
  • 40. Puriene A, Aleksejuniene J, Petrauskiene J, et al. Self-perceived mental health and job satisfaction among lithuanian dentists. Ind Health. 2008;46:247-252.
  • 41. Tunc S, Kose S. The frequency and determining factors of psychiatric symptoms in healthcare professionals. Psychiatry Behav Sci. 2019;9:94-101.
  • 42. Bettinsoli ML, Di Riso D, Napier JL, et al. Mental health conditions of ıtalian healthcare professionals during the COVID-19 disease outbreak. Appl Psychol Heal Well-Being. 2020;12:1054-1573.
  • 43. Eldridge LA, Estrich CG, Gurenlian JR, et al. US dental health care workers’ mental health during the COVID-19 pandemic. J Am Dent Assoc. 2022;153:740-749.
Toplam 43 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Psikiyatri
Bölüm Makaleler
Yazarlar

Betül Akkaya 0000-0001-8902-0080

Mine Esin Ocaktan 0000-0001-7576-4943

Yayımlanma Tarihi 1 Temmuz 2025
Gönderilme Tarihi 2 Mayıs 2025
Kabul Tarihi 27 Haziran 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 79 Sayı: 2

Kaynak Göster

APA Akkaya, B., & Ocaktan, M. E. (2025). Assessment of Psychosocial Risks and Mental Health Status in a Faculty of Dentistry. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 79(2), 144-153. https://doi.org/10.4274/atfm.galenos.2025.80775
AMA Akkaya B, Ocaktan ME. Assessment of Psychosocial Risks and Mental Health Status in a Faculty of Dentistry. Ankara Üniversitesi Tıp Fakültesi Mecmuası. Temmuz 2025;79(2):144-153. doi:10.4274/atfm.galenos.2025.80775
Chicago Akkaya, Betül, ve Mine Esin Ocaktan. “Assessment of Psychosocial Risks and Mental Health Status in a Faculty of Dentistry”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 79, sy. 2 (Temmuz 2025): 144-53. https://doi.org/10.4274/atfm.galenos.2025.80775.
EndNote Akkaya B, Ocaktan ME (01 Temmuz 2025) Assessment of Psychosocial Risks and Mental Health Status in a Faculty of Dentistry. Ankara Üniversitesi Tıp Fakültesi Mecmuası 79 2 144–153.
IEEE B. Akkaya ve M. E. Ocaktan, “Assessment of Psychosocial Risks and Mental Health Status in a Faculty of Dentistry”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 79, sy. 2, ss. 144–153, 2025, doi: 10.4274/atfm.galenos.2025.80775.
ISNAD Akkaya, Betül - Ocaktan, Mine Esin. “Assessment of Psychosocial Risks and Mental Health Status in a Faculty of Dentistry”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 79/2 (Temmuz 2025), 144-153. https://doi.org/10.4274/atfm.galenos.2025.80775.
JAMA Akkaya B, Ocaktan ME. Assessment of Psychosocial Risks and Mental Health Status in a Faculty of Dentistry. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2025;79:144–153.
MLA Akkaya, Betül ve Mine Esin Ocaktan. “Assessment of Psychosocial Risks and Mental Health Status in a Faculty of Dentistry”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 79, sy. 2, 2025, ss. 144-53, doi:10.4274/atfm.galenos.2025.80775.
Vancouver Akkaya B, Ocaktan ME. Assessment of Psychosocial Risks and Mental Health Status in a Faculty of Dentistry. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2025;79(2):144-53.