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Psychiatric disorder, stress and burn-out

Published online by Cambridge University Press:  02 January 2018

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This paper will focus primarily on the most recent research studies involving doctors in the UK. We will not discuss the treatment of doctors who are psychiatrically unwell as this is covered in other papers elsewhere in this issue. Before reviewing specific studies, we will consider the measurement of psychiatric disorder, stress and burn-out.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1997 

References

British Medical Association (1992) Stress and the Medical Profession. London: BMA.Google Scholar
British Medical Association (1993) The Morbidity and Mortality of the Medical Profession. London: BMA Board of Science and Education.Google Scholar
Borrill, C. S., Wall, M. A., West, G. E. et al (1996) Mental Health of the Workforce in NHS Trusts. Final Report. Leeds: Institute of Work Psychology, University of Sheffield and Department of Psychology, University of Leeds.Google Scholar
Brooke, D, Edwards, G. & Taylor, C. (1991) Addiction as an occupational hazard: 144 doctors with drug and alcohol problems. British Journal of Addiction, 86, 10111016.Google Scholar
Caplan, R. P. (1994) Stress, anxiety, and depression in hospital consultants, general practitoners, and senior health service managers. British Medical Journal, 309, 12611263.Google Scholar
Clare, A. W. (1990) The alcohol problem in universities and the professions. Alcohol and Alcoholism, 25, 277285.Google Scholar
Cooper, C. L., Sloan, S. J. & Williams, S. (1988) Occupational Stress Indicator Guide. Windsor: NFER-Nelson.Google Scholar
Cooper, C. L., Rout, U. & Faragher, B. (1989) Mental health, job satisfaction, and job stress among general practitioners. British Medical Journal, 298, 366370.CrossRefGoogle ScholarPubMed
Crown, S. & Crisp, A. H. (1979) Manual of the Crown-Crisp Experiential Index. London: Hodder and Stoughton.Google Scholar
Edelwich, J. & Brodsky, A. (1980) Burn-out: Stages of Disillusionment in the Helping Professions. New York: Human Sciences Press.Google Scholar
Firth-Cozens, J. (1987) Emotional distress in junior house officers. British Medical Journal, 295, 533536.Google Scholar
Firth-Cozens, J. (1995) Stress in Doctors: A Longitudinal Study. Leeds: University of Leeds.Google Scholar
Firth, J. & Morrison, L. (1986) What stresses health professionals? A coding system for their answers. British Journal of Clinical Psychology, 25, 309310.Google Scholar
Freundenberger, H. J. & Richelson, G. (1980) Burnout: The High Cost of High Achievement. Garden City, NY: Doubleday.Google Scholar
Glass, D. G. & McKnight, J. D. (1996) Perceived control, depressive symptomatology, and professional burnout: a review of the evidence. Psychology and Health, 11, 2348.Google Scholar
Goldberg, D. & Williams, P. A. (1988) A User's Guide to the General Health Questionnaire. Berkshire: NFER-Nelson.Google Scholar
Graham, J. R. (1987) The MMPI. A Practical Guide, 2nd edn. New York: Oxford University Press.Google Scholar
Grainger, C., Harris, E., Temple, J. et al (1995) Job satisfaction and health of house offices in the West Midlands. Health Trends, 27, 2730.Google Scholar
Guthrie, E. A., Black, D., Shaw, C. M. et al (1995) Embarking upon a medical career: psychological morbidity in first year medical students. Medical Education, 29, 337341.Google Scholar
Humphris, G., Kaney, S., Broomfield, D. et al (1994) Stress in Junior Medical and Dental Staff. Liverpool: University of Liverpool and Mersey Regional Health Authority.Google Scholar
Kelly, S., Charlton, J. & Jenkins, R. (1995) Suicide deaths in England and Wales, 1982–1992: the contribution of occupation and geography. Population Trends, 80, 1625.Google Scholar
Maslach, C. & Jackson, S. (1986) Maslach Burnout Inventory (2nd edn). Palo Alto, CA: Consulting Psychologist's Press.Google Scholar
Miller, P. McC. & Surtees, P.G. (1991) Psychological symptoms and their course in first-year medical students as assessed by the interval general health questionnaire (I–GHQ). British Journal of Psychiatry, 159, 199207.Google Scholar
McCranie, E. W. & Brandsma, J. M. (1988) Personality antecedents of burnout among middle-aged physicians. Behavioural Medicine, 14, 3036.Google Scholar
McKevitt, C., Morgan, M., Simpson, J. et al (1995) Doctors'Health and Needs for Services. London: Nuffield Provincial Hospitals Trust.Google Scholar
Murray, R. M. (1976) Alcoholism amongst male doctors in Scotland. Lancet, ii, 729731.CrossRefGoogle Scholar
Pines, A., Aronson, E & Kafry, D. (1981) Burnout: From Tedium to Personal Growth. New York: Free Press.Google Scholar
Ramirez, A., Graham, J., Richards, M. A. et al (1996) Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet, 347, 724728.Google Scholar
Richings, J. C., Khara, G. S. & McDowell, M. (1986) Suicide in young doctors. British Journal of Psychiatry, 149, 475478.Google Scholar
Steppacher, R. C. & Mausner, J. S. (1974) Suicide in male and female physicians. Journal of the American Medical Association, 228, 323328.Google Scholar
Sutherland, V. J. & Cooper, C. L. (1992) Job stress, satisfaction, and mental health among general practitioners before and after introduction of new contract. British Medical Journal, 304, 15451548.CrossRefGoogle ScholarPubMed
Zigmond, A. S. & Snaith, R. P. (1983) The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361370.Google Scholar
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