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CC BY-NC-ND 4.0 · Eur J Dent 2020; 14(S 01): S110-S115
DOI: 10.1055/s-0040-1722091
Original Article

Effect of COVID-19 Pandemic on the Levels of Empathy among Undergraduate Dental Students in Pakistan

Sundas Ghaus
1   Department of Dental Materials, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad, Pakistan
,
Madiha Abdul Waheed
2   Department of Operative Dentistry, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad, Pakistan
,
Shahreen Zahid Khan
1   Department of Dental Materials, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad, Pakistan
3   Department of Biomedical Sciences, SMME, National University of Science and Technology, Islamabad, Pakistan
,
Laila Mustafa
4   Department of Paediatric Dentistry, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad, Pakistan
,
Sohaib Siddique
5   Department of Periodontics, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad, Pakistan
,
Ali Waqar Quershi
6   Department of Prosthetic Dentistry, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad, Pakistan
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Abstract

Objective The purpose of our study is to determine the effect of coronavirus disease 2019 (COVID-19) on the levels of empathy toward patients among undergraduate dental students in Pakistan.

Materials and Methods A cross-sectional, survey-based study was conducted at Islamic International Dental College, Islamabad, Pakistan. After taking an informed consent, a validated and pretested Toronto Empathy Questionnaire (TEQ) was distributed amongst the undergraduate dental students at two points, one before the COVID-19 existed, and the other after August 7th, 2020, when the COVID-19 cases dropped in Pakistan. Responses were indicated on a five point Likert Scale.

Statistical Analysis A one-way ANOVA (analysis of variance) was used to compare the TEQ scores between the different years of education at the dental school. Difference within the groups was analyzed using the post-hoc Tukey test. Pre- and post-COVID-19 comparison was done using the Chi-square test (significance level p < 0.05).

Results A total of 221 out of 260 students in the pre-COVID-19 group, while 210 out of 260 students in the post-COVID-19 group enrolled in the dentistry program participated in the study. Significant difference in the empathy levels was observed in the pre- and post-COVID-19 groups of the same population, i.e., (p < 0.05). The response rate was 85%.

Conclusions This study showed an increase in mean empathy scores among the undergraduate dental students after COVID-19, indicating a significant improvement in their empathy levels during the time of COVID-19. It highlights the impact of the pandemic, whereby death and chaos seem to have brought about an improvement in interpersonal harmony.

Keywords

empathy - COVID-19 - pandemic - dentistry - students


Publication History

Article published online:
26 December 2020

© 2020. European Journal of Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet 2020; 395 (10223) 470-473
    CrossrefPubMedGoogle Scholar
  • 2 Huang C, Wang Y, Li X. et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395 (10223) 497-506
    CrossrefPubMedGoogle Scholar
  • 3 Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Res 2020; 99 (05) 481-487
    CrossrefPubMedGoogle Scholar
  • 4 Coulthard P. Dentistry and coronavirus (COVID-19)—moral decision-making. Br Dent J 2020; 228 (07) 503-505
    CrossrefPubMedGoogle Scholar
  • 5 Kamran R, Bari A, Ijaz F. et al. Levels of empathy among dental students at CMH Lahore Medical College and Institute of Dentistry (NUMS) Lahore Pakistan. Int J Med Res Heal Sci 2019; 8 (08) 14-18
    Google Scholar
  • 6 Jeffrey D. Empathy, sympathy and compassion in healthcare: is there a problem? Is there a difference? Does it matter?. J R Soc Med 2016; 109 (12) 446-452
    CrossrefPubMedGoogle Scholar
  • 7 Lamiani G, Dordoni P, Vegni E, Barajon I. Caring for critically ill patients: clinicians’ empathy promotes job satisfaction and does not predict moral distress. Front Psychol 2020; 10: 2902
    CrossrefPubMedGoogle Scholar
  • 8 Haslam D. More than kindness. J Compassionate Health Care 2015; 2 (01) 6
    CrossrefGoogle Scholar
  • 9 Huang L, Thai J, Zhong Y, Peng H, Koran J, Zhao XD. The positive association between empathy and self-esteem in Chinese medical students: a multi-institutional study. Front Psychol 2019; 10: 1921 DOI: 10.3389/fpsyg.2019.01921.
    CrossrefPubMedGoogle Scholar
  • 10 Narang R, Mittal L, Saha S, Aggarwal VP, Sood P, Mehra S. Empathy among dental students: a systematic review of literature. J Indian Soc Pedod Prev Dent 2019; 37 (04) 316-326
    CrossrefPubMedGoogle Scholar
  • 11 Souror YR, Aljehani DK, Alshaikh MH. Empathy of dental students towards children after behaviour guidance lectures and clinical experience. Eur J Dent Educ 2020; 24 (03) 458-464
    CrossrefPubMedGoogle Scholar
  • 12 Mac Giolla Phadraig C, Griffiths C, McCallion P, McCarron M, Wride MA, Nunn JH. How dentists learn behaviour support skills for adults with intellectual developmental disorders: a qualitative analysis. Eur J Dent Educ 2020; 24 (03) 535-541
    CrossrefPubMedGoogle Scholar
  • 13 Moudatsou M, Stavropoulou A, Philalithis A, Koukouli S. The role of empathy in health and social care professionals. Healthcare (Basel) 2020; 8 (01) 26
    CrossrefPubMedGoogle Scholar
  • 14 Hudson JN, Lethbridge A, Vella S, Caputi P. Decline in medical students’ attitudes to interprofessional learning and patient centredness. Med Educ 2016; 50 (05) 550-559
    CrossrefPubMedGoogle Scholar
  • 15 Aggarwal VP, Garg R, Goyal N. et al. Exploring the missing link—empathy among dental students: an institutional cross-sectional survey. Dent Res J (Isfahan) 2016; 13 (05) 419-423
    CrossrefPubMedGoogle Scholar
  • 16 Salari N, Hosseinian-Far A, Jalali R. et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health 2020; 16 (01) 57
    CrossrefPubMedGoogle Scholar
  • 17 Taylor MR, Agho KE, Stevens GJ, Raphael B. Factors influencing psychological distress during a disease epidemic: data from Australia’s first outbreak of equine influenza. BMC Public Health 2008; 8: 347
    CrossrefPubMedGoogle Scholar
  • 18 Yilmaz HG, Kurtulmus-Yilmaz S, Cengiz E, Bayindir H, Aykac Y. Clinical evaluation of Er, Cr:YSGG and GaAlAs laser therapy for treating dentine hypersensitivity: a randomized controlled clinical trial. J Dent 2011; 39 (03) 249-254
    CrossrefPubMedGoogle Scholar
  • 19 Alhadidi MM, Abdalrahim MS, Al-Hussami M. Nurses’ caring and empathy in Jordanian psychiatric hospitals: A national survey. Int J Ment Health Nurs 2016; 25 (04) 337-345
    CrossrefPubMedGoogle Scholar
  • 20 Javed MQ. The evaluation of empathy level of undergraduate dental students in Pakistan: A cross-sectional study. J Ayub Med Coll Abbottabad 2019; 31 (03) 402-406
    PubMedGoogle Scholar
  • 21 Igde FA, Sahin MK. Changes in empathy during medical education: An example from Turkey. Pak J Med Sci 2017; 33 (05) 1177-1181
    PubMedGoogle Scholar
  • 22 Prabhu S, Prasanth SS, Kishore S, Kumar VS. Standing in patients’ shoes—survey on empathy among dental students in India. J Educ Ethics Dent 2014; 4 (02) 69-73
    CrossrefGoogle Scholar
  • 23 Williams B, Brown T, McKenna L. et al. Empathy levels among health professional students: a cross-sectional study at two universities in Australia. Adv Med Educ Pract 2014; 5: 107-113
    CrossrefPubMedGoogle Scholar
  • 24 Naguib G, Sindi A, Attar M, Alshouibi E, Hamed M. A cross-sectional study of empathy among dental students at King Abdulaziz University. J Dent Educ 2019; 83: e1-e5
    Google Scholar
  • 25 Mocny-Pachońska K, Łanowy P, Trzcionka A, Skaba D, Tanasiewicz M. Gender related changes of empathy level among Polish dental students over the course of training. Medicine (Baltimore) 2020; 99 (01) e18470
    CrossrefPubMedGoogle Scholar
  • 26 Sarwar H, Akhtar H, Naeem MM, et al. Self-reported effectiveness of e-learning classes during COVID-19 pandemic: A nation-wide survey of Pakistani undergraduate dentistry students. Eur J Dent 2020;14(suppl S1):S34–S43 doi:10.1055/s-0040-1717000
  • 27 Barello S, Palamenghi L, Graffigna G. Empathic communication as a “Risky strength” for health during the COVID-19 pandemic: The case of frontline Italian healthcare workers. Patient Educ Couns 2020; 103 (10) 2200-2202
    CrossrefPubMedGoogle Scholar
  • 28 Sarfaraz S, Shabbir J, Mudasser MA. et al. Knowledge and attitude of dental practitioners related to disinfection during the COVID-19 pandemic. Healthcare (Basel) 2020; 8 (03) 232
    CrossrefPubMedGoogle Scholar
  • 29 Azim AA, Shabbir J, Khurshid Z, Zafar MS, Ghabbani HM, Dummer PMH. Clinical endodontic management during the COVID-19 pandemic: a literature review and clinical recommendations. Int Endod J 2020; 53 (11) 1461-1471 DOI: 10.1111/iej.13406.
    CrossrefPubMedGoogle Scholar
  • 30 Barello S, Graffigna G. Caring for health professionals in the COVID-19 pandemic emergency: toward an “epidemic of empathy” in healthcare. Front Psychol 2020; 11: 1431
    CrossrefPubMedGoogle Scholar
  • 31 Finset A, Bosworth H, Butow P. et al. Effective health communication—a key factor in fighting the COVID-19 pandemic. Patient Educ Couns 2020; 103 (05) 873-876
    CrossrefPubMedGoogle Scholar
  • 32 Ahmed MA, Jouhar R, Ahmed N. et al. Fear and practice modifications among dentists to combat novel coronavirus disease (COVID-19) outbreak. Int J Environ Res Public Health 2020; 17 (08) E2821
    CrossrefPubMedGoogle Scholar
  • 33 Araújo FJO, de Lima LSA, Cidade PIM, Nobre CB, Neto MLR. Impact of SARS-CoV-2 and its reverberation in global higher education and mental health. Psychiatry Res 2020; 288: 112977
    CrossrefPubMedGoogle Scholar
  • 34 World Health Organization. Available at: https://apps.who.int/iris/bitstream/handle/10665/331490/WHO-2019-nCoV-MentalHealth-2020.1-eng.pdf. Accessed September 19, 2020
  • 35 Ahmed MZ, Ahmed O, Aibao Z, Hanbin S, Siyu L, Ahmad A. Epidemic of COVID-19 in China and associated psychological problems. Asian J Psychiatr 2020; 51: 102092
    CrossrefPubMedGoogle Scholar
  • 36 Cao W, Fang Z, Hou G. et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res 2020; 287: 112934
    CrossrefPubMedGoogle Scholar
  • 37 Wang Y, Di Y, Ye J, Wei W. Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China [published online ahead of print, 2020 Mar 30]. Psychol Heal Med 2020; 1-10 (e-pub ahead of print) DOI: 10.1080/13548506.2020.1746817.
    CrossrefPubMedGoogle Scholar
  • 38 Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res 2020; 288: 112954
    CrossrefPubMedGoogle Scholar
  • 39 Rajkumar RP. COVID-19 and mental health: a review of the existing literature. Asian J Psychiatr 2020; 52: 102066
    CrossrefPubMedGoogle Scholar
  • 40 Xiao H, Zhang Y, Kong D, Li S, Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019(COVID-19) in January and February 2020 in China. Med Sci Monit 2020; 26: e923549-e1
    CrossrefPubMedGoogle Scholar