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Table 4 Mean score (SD) for each DES item by year of study

From: Stress and its association with academic performance among dental undergraduate students in Fujian, China: a cross-sectional online questionnaire survey

Stressor

First year

Second year

Third year

Fourth year

P-value

1. Moving away from home

1.38 (1.05)

1.36 (0.86)

1.16 (0.89)

1.26 (1.07)

0.411

2. Lack of home atmosphere

1.30 (0.93)

1.39 (1.04)

1.20 (0.96)

1.24 (0.95)

0.555

3. Environment in which to study

1.49 (1.06)

1.67 (1.03)

1.63 (1.15)

1.79 (0.93)

0.309

4. Making friends

1.67 (0.96)

1.81 (0.95)

1.68 (1.03)

1.60 (0.90)

0.545

5. Intimate relationships

1.23 (1.34)

1.25 (1.25)

1.01 (1.00)

1.16 (1.11)

0.549

6. Conflict with spouse/partner over career development

0.63 (0.97)

0.80 (0.98)

0.59 (0.81)

0.67 (0.98)

0.516

7. Having multiple roles

1.38 (1.04)

1.43 (1.14)

1.18 (1.13)

1.19 (1.17)

0.337

8. Personal physical health

1.45 (0.93)

1.76 (1.00)

1.57 (1.18)

1.71 (1.06)

0.205

9. Financial responsibilities

1.81 (1.06)

1.92 (0.99)

1.89 (0.98)

1.47 (0.95)

0.011 (1,2,3 > 4)

10. Discrimination due to gender or social class

1.31 (1.02)

1.15 (0.78)

1.04 (0.81)

1.33 (1.03)

0.099

11. Expectation vs reality of dental school

1.66 (1.10)

1.84 (0.99)

1.71 (1.11)

1.69 (0.95)

0.678

12. Approachability of staff

1.01 (0.99)

0.93 (0.92)

0.98 (0.82)

1.07 (0.96)

0.794

13. Criticism about academic or preclinical work

1.41 (1.16)

1.53 (1.05)

1.83 (1.11)

1.62 (1.11)

0.080

14. Rules and regulations of the dental school

1.42 (0.99)

1.62 (1.05)

1.75 (0.98)

1.95 (0.94)

0.005 (2,3,4 > 1)

15. Amount of cheating in school

1.12 (0.89)

1.21 (0.82)

1.24 (0.88)

1.40 (0.88)

0.195

16. Lack of input in decision making process in dental school

1.69 (1.01)

2.07 (1.04)

1.87 (0.91)

2.15 (0.95)

0.009 (4 > 1,2,3)

17. Lack of time for relaxation

1.91 (0.98)

2.21 (0.98)

2.15 (0.99)

2.33 (0.93)

0.036 (4 > 1,2,3)

18. Having reduced holidays compared with other students

1.55 (0.95)

1.69 (1.01)

1.55 (0.89)

1.53 (0.96)

0.680

19. Amount of assigned course work

1.42 (1.04)

1.62 (1.17)

1.93 (1.03)

2.19 (0.82)

< 0.001 (4,3 > 2,1)

20. Lack of time to do assigned school work

1.55 (1.10)

1.62 (1.26)

1.98 (0.83)

2.05 (0.97)

0.002 (4,3 > 2,1)

21. Learning precision manual skills required for clinical and laboratory work

1.26 (1.04)

1.45 (0.98)

1.26 (0.81)

1.33 (0.92)

0.498

22. Late ending time/completing graduation requirements

1.84 (1.11)

2.01 (1.13)

2.08 (0.99)

2.27 (1.09)

0.074

23. Language barrier

1.37 (1.19)

1.25 (1.10)

1.14 (1.01)

1.22 (1.00)

0.556

24. Fear of not being able to catch up if falling behind

2.12 (1.13)

2.27 (1.05)

2.36 (1.01)

2.34 (0.98)

0.418

25. Lack of confidence to be a successful dental student

2.14 (1.22)

2.29 (1.26)

2.36 (1.20)

2.01 (1.04)

0.222

26. Uncertainty about dental career

0.87 (1.02)

0.98 (0.99)

0.66 (0.82)

1.28 (1.11)

0.001 (4 > 1,2,3)

27. Lack of confidence to become a successful dentist

1.17 (0.90)

1.37 (1.00)

1.61 (1.08)

1.34 (1.04)

0.044 (2,3,4 > 1)

28. Difficulty of course work

1.59 (0.96)

1.82 (1.14)

1.82 (0.93)

2.00 (0.99)

0.075

29. Examinations

2.33 (1.20)

2.65 (1.04)

2.74 (1.02)

2.68 (0.95)

0.058

30. Competition for grades

1.95 (1.14)

2.37 (1.09)

2.48 (0.97)

2.54 (1.05)

0.001 (2,3,4 > 1)

31. Fear of failing a course of the year

1.83 (1.11)

1.97 (1.06)

2.38 (1.01)

2.34 (1.03)

0.001 (3,4 > 1,2)

32. Fear of not having possibility to pursue a postgraduate dental education program

1.77 (1.06)

1.96 (1.12)

2.02 (0.99)

2.00 (1.07)

0.378

  1. > indicates statistical significance (P < 0.05)