Sir, we read, with interest, the letters of R. Bernstein1 and R. Swainston2 regarding the need for research to explore the emotional drivers of dentists, and particularly young dentists' distress. We also read the letter from GDPs in Peru3 highlighting the apparent lack of a study evaluating primary interventions to deal with the dentists' stress.

We would like to point out that initial research into this area has already been conducted4,5,6,7and published in this journal. It resulted in an evidence-based self-help programme8 which was both statistically and clinically effective in both the short- and longer-term. Participants in the research and programmes run to date have included a range of practitioners, from foundation dentists to established dentists in general practice. This programme has been made available to postgraduate medical education centres in the UK. It would also be possible to make it available elsewhere.

Our research and improvement of the stress/burnout coping skills package will continue, subject to research funding.