Impact of Negative Behavior of Patients and Their Relatives towards Dental Students: A Cross-Sectional Study

Abstract

Background: The clinical training of dental students involves direct patient interaction, which plays a crucial role in developing clinical competence and communication skills. However, negative behavior from patients and their relatives can adversely affect students psychological well-being and learning experience.

Aim: To evaluate the prevalence and impact of negative behavior exhibited by patients and their relatives toward dental students, and to assess its effects on their psychological state and clinical performance.

Methods: A cross-sectional, questionnaire-based study was conducted among 323 undergraduate dental students (III BDS, IV BDS, and interns) from dental colleges in the western region of Maharashtra. Data were collected using a validated, self-structured questionnaire distributed via an online platform. The questionnaire assessed types and frequency of negative behavior, psychological impact, effects on clinical learning, coping strategies, and reporting patterns. Data were analyzed using descriptive statistics and chi-square tests, with a p-value <0.05 considered statistically significant. Results: More than half of the participants (56%) reported experiencing negative behavior from patients, while 42% reported similar experiences involving patients’ relatives. A significant proportion of students reported stress (63.1%), decreased confidence (35.9%), reduced motivation (28.8%), and increased anxiety (19.8%). Additionally, 43% of students reported hesitation in interacting with patients, and 26.9% experienced difficulty in concentration. Nearly half of the incidents (49.5%) were not reported, indicating under-reporting.

Conclusion: Negative behavior from patients and their relatives significantly impacts the psychological well-being and clinical performance of dental students. There is a need for structured training, improved institutional support, and effective reporting systems to ensure a safer and more supportive clinical learning environment.