Loading…

Perceived sources of stress amongst dental students: A multicountry study

Aims The aim of this study was to explore the perceived sources of stress reported by dental students from fourteen different countries. Methods A total of 3568 dental students were recruited from 14 different dental schools. The dental environmental stress (DES) questionnaire was used including 7 d...

Full description

Saved in:
Bibliographic Details
Published in:European journal of dental education 2018-11, Vol.22 (4), p.258-271
Main Authors: Alhajj, M. N., Khader, Y., Murad, A. H., Celebic, A., Halboub, E., Márquez, J. R., Macizo, C. C., Khan, S., Basnet, B. B., Makzoumé, J. E., Sousa‐Neto, M. D., Camargo, R., Prasad, D. A., Faheemuddin, M., Mir, S., Elkholy, S., Abdullah, A. G., Ibrahim, A. A., Al‐Anesi, M. S., Al‐Basmi, A. A.
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c3530-ec07c1353c82e71c8d048fda9ce65d7fd469855b83c0c0d1f8721865fb0197683
cites cdi_FETCH-LOGICAL-c3530-ec07c1353c82e71c8d048fda9ce65d7fd469855b83c0c0d1f8721865fb0197683
container_end_page 271
container_issue 4
container_start_page 258
container_title European journal of dental education
container_volume 22
creator Alhajj, M. N.
Khader, Y.
Murad, A. H.
Celebic, A.
Halboub, E.
Márquez, J. R.
Macizo, C. C.
Khan, S.
Basnet, B. B.
Makzoumé, J. E.
Sousa‐Neto, M. D.
Camargo, R.
Prasad, D. A.
Faheemuddin, M.
Mir, S.
Elkholy, S.
Abdullah, A. G.
Ibrahim, A. A.
Al‐Anesi, M. S.
Al‐Basmi, A. A.
description Aims The aim of this study was to explore the perceived sources of stress reported by dental students from fourteen different countries. Methods A total of 3568 dental students were recruited from 14 different dental schools. The dental environmental stress (DES) questionnaire was used including 7 domains. Responses to the DES were scored in 4‐point Likert scale. Comparison between students was performed according to the study variables. The top 5 stress‐provoking questions were identified amongst dental schools. Data were analysed using SPSS software program. Mann‐Whitney and Kruskal‐Wallis tests were used as appropriate. Logistic regression analysis was also conducted to determine the effect of the studied variables on the stress domains. The level of statistical significance was set at
doi_str_mv 10.1111/eje.12350
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2020876400</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2119681290</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3530-ec07c1353c82e71c8d048fda9ce65d7fd469855b83c0c0d1f8721865fb0197683</originalsourceid><addsrcrecordid>eNp1kE1Lw0AQhhdRbK0e_AMS8KKHtLNJ98tbKVUrBT3oeUl3J5KSj5pNlPx7t031IDiXedl5eGfnJeSSwpj6muAGxzSKGRyRIeUAITChjr2OFQ-ZlPGAnDm3AQDJYjglg0hxEExOh2T5grXB7BNt4KrWSxdUaeCaGp0LkqIq310TWCybJPev7U65u2AWFG3eZKZqy6bu9oPunJykSe7w4tBH5O1-8Tp_DFfPD8v5bBWa2C8P0YAw1EsjIxTUSAtTmdpEGeTMitROuZKMrWVswIClqRQRlZyla6BKcBmPyE3vu62rjxZdo4vMGczzpMSqdTqCCKTgUwCPXv9BN_7G0v9OR5QqLmmkdtRtT5m6cq7GVG_rrEjqTlPQu3y1z1fv8_Xs1cGxXRdof8mfQD0w6YGvLMfufye9eFr0lt-5goML</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2119681290</pqid></control><display><type>article</type><title>Perceived sources of stress amongst dental students: A multicountry study</title><source>Wiley</source><creator>Alhajj, M. N. ; Khader, Y. ; Murad, A. H. ; Celebic, A. ; Halboub, E. ; Márquez, J. R. ; Macizo, C. C. ; Khan, S. ; Basnet, B. B. ; Makzoumé, J. E. ; Sousa‐Neto, M. D. ; Camargo, R. ; Prasad, D. A. ; Faheemuddin, M. ; Mir, S. ; Elkholy, S. ; Abdullah, A. G. ; Ibrahim, A. A. ; Al‐Anesi, M. S. ; Al‐Basmi, A. A.</creator><creatorcontrib>Alhajj, M. N. ; Khader, Y. ; Murad, A. H. ; Celebic, A. ; Halboub, E. ; Márquez, J. R. ; Macizo, C. C. ; Khan, S. ; Basnet, B. B. ; Makzoumé, J. E. ; Sousa‐Neto, M. D. ; Camargo, R. ; Prasad, D. A. ; Faheemuddin, M. ; Mir, S. ; Elkholy, S. ; Abdullah, A. G. ; Ibrahim, A. A. ; Al‐Anesi, M. S. ; Al‐Basmi, A. A.</creatorcontrib><description>Aims The aim of this study was to explore the perceived sources of stress reported by dental students from fourteen different countries. Methods A total of 3568 dental students were recruited from 14 different dental schools. The dental environmental stress (DES) questionnaire was used including 7 domains. Responses to the DES were scored in 4‐point Likert scale. Comparison between students was performed according to the study variables. The top 5 stress‐provoking questions were identified amongst dental schools. Data were analysed using SPSS software program. Mann‐Whitney and Kruskal‐Wallis tests were used as appropriate. Logistic regression analysis was also conducted to determine the effect of the studied variables on the stress domains. The level of statistical significance was set at &lt;.05. Results Internal consistency of the scale was excellent (0.927). Female students formed the majority of the total student population. The percentage of married students was 4.8%. Numbers of students in pre‐clinical and clinical stages were close together. The most stress‐provoking domain was “workload” with a score of 2.05 ± 0.56. Female students scored higher stress than male students did in most of the domains. Significant differences were found between participating countries in all stress‐provoking domains. Dental students from Egypt scored the highest level of stress whilst dental students from Jordan scored the lowest level of stress. Conclusion The self‐reported stress in the dental environment is still high and the stressors seem to be comparable amongst the participating countries. Effective management programmes are needed to minimise dental environment stress.</description><identifier>ISSN: 1396-5883</identifier><identifier>EISSN: 1600-0579</identifier><identifier>DOI: 10.1111/eje.12350</identifier><identifier>PMID: 29607584</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Burnout, Professional - epidemiology ; Burnout, Professional - prevention &amp; control ; Cross-Sectional Studies ; Data Analysis ; Data processing ; dental education ; dental environment ; Dental schools ; dental students ; Dentistry ; Dentists ; Developing Countries - statistics &amp; numerical data ; Education, Dental ; Egypt ; Environment ; Environmental stress ; Female ; Humans ; Jordan ; Logistic Models ; Male ; Schools, Dental - statistics &amp; numerical data ; Stress ; Stress, Psychological - epidemiology ; Stress, Psychological - prevention &amp; control ; Students ; Students, Dental - psychology ; Surveys and Questionnaires</subject><ispartof>European journal of dental education, 2018-11, Vol.22 (4), p.258-271</ispartof><rights>2018 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2018 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2018 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3530-ec07c1353c82e71c8d048fda9ce65d7fd469855b83c0c0d1f8721865fb0197683</citedby><cites>FETCH-LOGICAL-c3530-ec07c1353c82e71c8d048fda9ce65d7fd469855b83c0c0d1f8721865fb0197683</cites><orcidid>0000-0002-2161-4445 ; 0000-0002-1894-470X ; 0000-0003-4785-7872 ; 0000-0003-4477-3024 ; 0000-0002-7830-6857 ; 0000-0001-5209-2670</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Feje.12350$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Feje.12350$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29607584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alhajj, M. N.</creatorcontrib><creatorcontrib>Khader, Y.</creatorcontrib><creatorcontrib>Murad, A. H.</creatorcontrib><creatorcontrib>Celebic, A.</creatorcontrib><creatorcontrib>Halboub, E.</creatorcontrib><creatorcontrib>Márquez, J. R.</creatorcontrib><creatorcontrib>Macizo, C. C.</creatorcontrib><creatorcontrib>Khan, S.</creatorcontrib><creatorcontrib>Basnet, B. B.</creatorcontrib><creatorcontrib>Makzoumé, J. E.</creatorcontrib><creatorcontrib>Sousa‐Neto, M. D.</creatorcontrib><creatorcontrib>Camargo, R.</creatorcontrib><creatorcontrib>Prasad, D. A.</creatorcontrib><creatorcontrib>Faheemuddin, M.</creatorcontrib><creatorcontrib>Mir, S.</creatorcontrib><creatorcontrib>Elkholy, S.</creatorcontrib><creatorcontrib>Abdullah, A. G.</creatorcontrib><creatorcontrib>Ibrahim, A. A.</creatorcontrib><creatorcontrib>Al‐Anesi, M. S.</creatorcontrib><creatorcontrib>Al‐Basmi, A. A.</creatorcontrib><title>Perceived sources of stress amongst dental students: A multicountry study</title><title>European journal of dental education</title><addtitle>Eur J Dent Educ</addtitle><description>Aims The aim of this study was to explore the perceived sources of stress reported by dental students from fourteen different countries. Methods A total of 3568 dental students were recruited from 14 different dental schools. The dental environmental stress (DES) questionnaire was used including 7 domains. Responses to the DES were scored in 4‐point Likert scale. Comparison between students was performed according to the study variables. The top 5 stress‐provoking questions were identified amongst dental schools. Data were analysed using SPSS software program. Mann‐Whitney and Kruskal‐Wallis tests were used as appropriate. Logistic regression analysis was also conducted to determine the effect of the studied variables on the stress domains. The level of statistical significance was set at &lt;.05. Results Internal consistency of the scale was excellent (0.927). Female students formed the majority of the total student population. The percentage of married students was 4.8%. Numbers of students in pre‐clinical and clinical stages were close together. The most stress‐provoking domain was “workload” with a score of 2.05 ± 0.56. Female students scored higher stress than male students did in most of the domains. Significant differences were found between participating countries in all stress‐provoking domains. Dental students from Egypt scored the highest level of stress whilst dental students from Jordan scored the lowest level of stress. Conclusion The self‐reported stress in the dental environment is still high and the stressors seem to be comparable amongst the participating countries. Effective management programmes are needed to minimise dental environment stress.</description><subject>Burnout, Professional - epidemiology</subject><subject>Burnout, Professional - prevention &amp; control</subject><subject>Cross-Sectional Studies</subject><subject>Data Analysis</subject><subject>Data processing</subject><subject>dental education</subject><subject>dental environment</subject><subject>Dental schools</subject><subject>dental students</subject><subject>Dentistry</subject><subject>Dentists</subject><subject>Developing Countries - statistics &amp; numerical data</subject><subject>Education, Dental</subject><subject>Egypt</subject><subject>Environment</subject><subject>Environmental stress</subject><subject>Female</subject><subject>Humans</subject><subject>Jordan</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Schools, Dental - statistics &amp; numerical data</subject><subject>Stress</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - prevention &amp; control</subject><subject>Students</subject><subject>Students, Dental - psychology</subject><subject>Surveys and Questionnaires</subject><issn>1396-5883</issn><issn>1600-0579</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kE1Lw0AQhhdRbK0e_AMS8KKHtLNJ98tbKVUrBT3oeUl3J5KSj5pNlPx7t031IDiXedl5eGfnJeSSwpj6muAGxzSKGRyRIeUAITChjr2OFQ-ZlPGAnDm3AQDJYjglg0hxEExOh2T5grXB7BNt4KrWSxdUaeCaGp0LkqIq310TWCybJPev7U65u2AWFG3eZKZqy6bu9oPunJykSe7w4tBH5O1-8Tp_DFfPD8v5bBWa2C8P0YAw1EsjIxTUSAtTmdpEGeTMitROuZKMrWVswIClqRQRlZyla6BKcBmPyE3vu62rjxZdo4vMGczzpMSqdTqCCKTgUwCPXv9BN_7G0v9OR5QqLmmkdtRtT5m6cq7GVG_rrEjqTlPQu3y1z1fv8_Xs1cGxXRdof8mfQD0w6YGvLMfufye9eFr0lt-5goML</recordid><startdate>201811</startdate><enddate>201811</enddate><creator>Alhajj, M. N.</creator><creator>Khader, Y.</creator><creator>Murad, A. H.</creator><creator>Celebic, A.</creator><creator>Halboub, E.</creator><creator>Márquez, J. R.</creator><creator>Macizo, C. C.</creator><creator>Khan, S.</creator><creator>Basnet, B. B.</creator><creator>Makzoumé, J. E.</creator><creator>Sousa‐Neto, M. D.</creator><creator>Camargo, R.</creator><creator>Prasad, D. A.</creator><creator>Faheemuddin, M.</creator><creator>Mir, S.</creator><creator>Elkholy, S.</creator><creator>Abdullah, A. G.</creator><creator>Ibrahim, A. A.</creator><creator>Al‐Anesi, M. S.</creator><creator>Al‐Basmi, A. A.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2161-4445</orcidid><orcidid>https://orcid.org/0000-0002-1894-470X</orcidid><orcidid>https://orcid.org/0000-0003-4785-7872</orcidid><orcidid>https://orcid.org/0000-0003-4477-3024</orcidid><orcidid>https://orcid.org/0000-0002-7830-6857</orcidid><orcidid>https://orcid.org/0000-0001-5209-2670</orcidid></search><sort><creationdate>201811</creationdate><title>Perceived sources of stress amongst dental students: A multicountry study</title><author>Alhajj, M. N. ; Khader, Y. ; Murad, A. H. ; Celebic, A. ; Halboub, E. ; Márquez, J. R. ; Macizo, C. C. ; Khan, S. ; Basnet, B. B. ; Makzoumé, J. E. ; Sousa‐Neto, M. D. ; Camargo, R. ; Prasad, D. A. ; Faheemuddin, M. ; Mir, S. ; Elkholy, S. ; Abdullah, A. G. ; Ibrahim, A. A. ; Al‐Anesi, M. S. ; Al‐Basmi, A. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3530-ec07c1353c82e71c8d048fda9ce65d7fd469855b83c0c0d1f8721865fb0197683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Burnout, Professional - epidemiology</topic><topic>Burnout, Professional - prevention &amp; control</topic><topic>Cross-Sectional Studies</topic><topic>Data Analysis</topic><topic>Data processing</topic><topic>dental education</topic><topic>dental environment</topic><topic>Dental schools</topic><topic>dental students</topic><topic>Dentistry</topic><topic>Dentists</topic><topic>Developing Countries - statistics &amp; numerical data</topic><topic>Education, Dental</topic><topic>Egypt</topic><topic>Environment</topic><topic>Environmental stress</topic><topic>Female</topic><topic>Humans</topic><topic>Jordan</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Schools, Dental - statistics &amp; numerical data</topic><topic>Stress</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - prevention &amp; control</topic><topic>Students</topic><topic>Students, Dental - psychology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alhajj, M. N.</creatorcontrib><creatorcontrib>Khader, Y.</creatorcontrib><creatorcontrib>Murad, A. H.</creatorcontrib><creatorcontrib>Celebic, A.</creatorcontrib><creatorcontrib>Halboub, E.</creatorcontrib><creatorcontrib>Márquez, J. R.</creatorcontrib><creatorcontrib>Macizo, C. C.</creatorcontrib><creatorcontrib>Khan, S.</creatorcontrib><creatorcontrib>Basnet, B. B.</creatorcontrib><creatorcontrib>Makzoumé, J. E.</creatorcontrib><creatorcontrib>Sousa‐Neto, M. D.</creatorcontrib><creatorcontrib>Camargo, R.</creatorcontrib><creatorcontrib>Prasad, D. A.</creatorcontrib><creatorcontrib>Faheemuddin, M.</creatorcontrib><creatorcontrib>Mir, S.</creatorcontrib><creatorcontrib>Elkholy, S.</creatorcontrib><creatorcontrib>Abdullah, A. G.</creatorcontrib><creatorcontrib>Ibrahim, A. A.</creatorcontrib><creatorcontrib>Al‐Anesi, M. S.</creatorcontrib><creatorcontrib>Al‐Basmi, A. A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of dental education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alhajj, M. N.</au><au>Khader, Y.</au><au>Murad, A. H.</au><au>Celebic, A.</au><au>Halboub, E.</au><au>Márquez, J. R.</au><au>Macizo, C. C.</au><au>Khan, S.</au><au>Basnet, B. B.</au><au>Makzoumé, J. E.</au><au>Sousa‐Neto, M. D.</au><au>Camargo, R.</au><au>Prasad, D. A.</au><au>Faheemuddin, M.</au><au>Mir, S.</au><au>Elkholy, S.</au><au>Abdullah, A. G.</au><au>Ibrahim, A. A.</au><au>Al‐Anesi, M. S.</au><au>Al‐Basmi, A. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perceived sources of stress amongst dental students: A multicountry study</atitle><jtitle>European journal of dental education</jtitle><addtitle>Eur J Dent Educ</addtitle><date>2018-11</date><risdate>2018</risdate><volume>22</volume><issue>4</issue><spage>258</spage><epage>271</epage><pages>258-271</pages><issn>1396-5883</issn><eissn>1600-0579</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Aims The aim of this study was to explore the perceived sources of stress reported by dental students from fourteen different countries. Methods A total of 3568 dental students were recruited from 14 different dental schools. The dental environmental stress (DES) questionnaire was used including 7 domains. Responses to the DES were scored in 4‐point Likert scale. Comparison between students was performed according to the study variables. The top 5 stress‐provoking questions were identified amongst dental schools. Data were analysed using SPSS software program. Mann‐Whitney and Kruskal‐Wallis tests were used as appropriate. Logistic regression analysis was also conducted to determine the effect of the studied variables on the stress domains. The level of statistical significance was set at &lt;.05. Results Internal consistency of the scale was excellent (0.927). Female students formed the majority of the total student population. The percentage of married students was 4.8%. Numbers of students in pre‐clinical and clinical stages were close together. The most stress‐provoking domain was “workload” with a score of 2.05 ± 0.56. Female students scored higher stress than male students did in most of the domains. Significant differences were found between participating countries in all stress‐provoking domains. Dental students from Egypt scored the highest level of stress whilst dental students from Jordan scored the lowest level of stress. Conclusion The self‐reported stress in the dental environment is still high and the stressors seem to be comparable amongst the participating countries. Effective management programmes are needed to minimise dental environment stress.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>29607584</pmid><doi>10.1111/eje.12350</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-2161-4445</orcidid><orcidid>https://orcid.org/0000-0002-1894-470X</orcidid><orcidid>https://orcid.org/0000-0003-4785-7872</orcidid><orcidid>https://orcid.org/0000-0003-4477-3024</orcidid><orcidid>https://orcid.org/0000-0002-7830-6857</orcidid><orcidid>https://orcid.org/0000-0001-5209-2670</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1396-5883
ispartof European journal of dental education, 2018-11, Vol.22 (4), p.258-271
issn 1396-5883
1600-0579
language eng
recordid cdi_proquest_miscellaneous_2020876400
source Wiley
subjects Burnout, Professional - epidemiology
Burnout, Professional - prevention & control
Cross-Sectional Studies
Data Analysis
Data processing
dental education
dental environment
Dental schools
dental students
Dentistry
Dentists
Developing Countries - statistics & numerical data
Education, Dental
Egypt
Environment
Environmental stress
Female
Humans
Jordan
Logistic Models
Male
Schools, Dental - statistics & numerical data
Stress
Stress, Psychological - epidemiology
Stress, Psychological - prevention & control
Students
Students, Dental - psychology
Surveys and Questionnaires
title Perceived sources of stress amongst dental students: A multicountry study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-21T05%3A47%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Perceived%20sources%20of%20stress%20amongst%20dental%20students:%20A%20multicountry%20study&rft.jtitle=European%20journal%20of%20dental%20education&rft.au=Alhajj,%20M.%20N.&rft.date=2018-11&rft.volume=22&rft.issue=4&rft.spage=258&rft.epage=271&rft.pages=258-271&rft.issn=1396-5883&rft.eissn=1600-0579&rft_id=info:doi/10.1111/eje.12350&rft_dat=%3Cproquest_cross%3E2119681290%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c3530-ec07c1353c82e71c8d048fda9ce65d7fd469855b83c0c0d1f8721865fb0197683%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2119681290&rft_id=info:pmid/29607584&rfr_iscdi=true