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Stress in health professionals

from Psychology, health and illness

Published online by Cambridge University Press:  18 December 2014

By
Chris McManus
Edited by
Susan Ayers ,
Andrew Baum ,
Chris McManus ,
Stanton Newman ,
Kenneth Wallston ,
John Weinman  and
Robert West
Chris McManus
Affiliation:
University College London
Susan Ayers
Affiliation:
University of Sussex
Andrew Baum
Affiliation:
University of Pittsburgh
Chris McManus
Affiliation:
St Mary's Hospital Medical School
Stanton Newman
Affiliation:
University College and Middlesex School of Medicine
Kenneth Wallston
Affiliation:
Vanderbilt University School of Nursing
John Weinman
Affiliation:
United Medical and Dental Schools of Guy's and St Thomas's
Robert West
Affiliation:
St George's Hospital Medical School, University of London
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Summary

Stress and burnout are inevitable problems for the highly committed, highly involved individuals who work in healthcare services, as they deal with the physical and emotional problems of seriously ill and sometimes emotionally disturbed patients, while also having to cope with running effective teams, dealing with complex management structures and conflicting demands at all hours of the day and night. Anyone working in such conditions will inevitably become stressed if enough such pressures are placed upon them. Having said that, not everyone in practice does become stressed, and that raises a host of questions about who becomes stressed, why people become stressed, what are the precipitating and protective factors and what are the causal processes underlying the separate but related conditions of stress and burnout. A brief review such as this can inevitably only present a personal view of a large research area. Several recent edited volumes are recommended as good starting places for studying the field further (Dollard et al., 2003; Cooper, 2005).

Defining and measuring stress and burnout

Stress

As p. 1 of Cox (1978) pointed out long ago, ‘the concept of stress is elusive … It is a concept which familiar to both layman and professional alike; it is understood by all when used in a general context but by very few when a more precise account is required …’.

Type
Chapter
Information
Cambridge Handbook of Psychology, Health and Medicine , pp. 500 - 505
Publisher: Cambridge University Press
Print publication year: 2007

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References

Bellarosa, C. & Chen, P. Y. (1997). The effectiveness and practicality of occupational stress management interventions: a survey of subject matter expert opinions. Journal of Occupational Health Psychology, 2, 247–62.Google Scholar
Bovier, P. A. & Perneger, T. V. (2003). Predictors of work satisfaction among physicians. European Journal of Public Health, 13, 299–305.Google Scholar
Cooper, C. L. (2005). Handbook of Stress Medicine and Health (2nd edn.). Boca Raton, FL: CRC Press.
Cox, T. (1978). Stress. Basingstoke, UK: Macmillan.
Deary, I. J., Blenkin, H., Agius, R. M.et al. (1996a). Models of job-related stress and personal achievement among consultant doctors. British Journal of Psychology, 87, 3–29.Google Scholar
Deary, I. J., Agius, R. M. & Sadler, A. (1996b). Personality and stress in consultant psychiatrists. International Journal of Social Psychiatry, 42, 112–23.Google Scholar
Delvaux, N., Razavi, D., Marchal, S.et al. (2004). Effects of a 105 hours psychological training program on attitudes, communication skills and occupational stress in oncology: a randomised study. British Journal of Cancer, 90, 106–14.Google Scholar
Dollard, M. F., Winefield, A. H. & Winefield, H. R. (2003). Occupational stress in the service professions. London: Taylor and Francis.
Edwards, D., Haningan, B., Fothergill, A. & Burnard, P. (2002). Stress management for mental health professionals: a review of effective techniques. Stress and Health, 18, 203–15.Google Scholar
Goldberg, D. P. (1972). The detection of psychiatric illness by questionnaire. London: Oxford University Press.
Goldberg, D. P., Gater, R., Sartorius, N.et al. (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine, 27, 191–7.Google Scholar
Graham, J., Albery, I. P., Ramirez, A. J. & Richards, M. A. (2005). How hospital consultants cope with stress at work: implications for their mental health. Stress and Health, 17, 85–9.Google Scholar
Graham, J., Potts, H. W. W. & Ramirez, A. J. (2002). Stress and burnout in doctors. Lancet, 360, 1975–6.Google Scholar
Heller, D., Watson, D. & Ilies, R. (2004). The role of person versus situation in life satisfaction: a critical examination. Psychological Bulletin, 130, 574–600.Google Scholar
Kalliath, T. J., O'Driscoll, M. P. & Brough, P. (2004). A confirmatory factor analysis of the general health questionnaire-12. Stress and Health, 20, 11–20.Google Scholar
Kirby, J. R., Delva, M. D., Knapper, C. K. & Birtwhistle, R. V. (2003). Development of the approaches to work and workplace climate questionnaires for physicians. Evaluation and the Health Professions, 26, 104–21.Google Scholar
Maslach, C. & Jackson, S. E. (1986). Maslach burnout inventory. Palo Alto, CA: Consulting Psychologists Press.
Maslach, C., Schaufeli, W. B. & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397–422.Google Scholar
Matthews, G., Deary, I. J. & Whiteman, M. C. (2003). Personality Traits (2nd edn.). Cambridge: Cambridge University Press.
Maxwell, H. & Squire, B. (2000). Feelings and counterfeelings in doctors an medical students. In Maxwell, H. (Ed.). Clinical psychotherapy for health professionals (pp. 191–9). London: Whurr.
McManus, I. C. (2002). Stress and burnout in doctors. Lancet, 360, 1976.Google Scholar
McManus, I. C., Keeling, A. & Paice, E. (2004). Stress, burnout and doctors' attitudes to work are determined by personality and learning style: a twelve year longitudinal study of UK medical graduates. BMC Medicine, 2, 29.Google Scholar
McManus, I. C., Smithers, E., Partridge, P., Keeling, A. & Fleming, P. R. (2003). A levels and intelligence as predictors of medical careers in UK doctors: 20 year prospective study. British Medical Journal, 327, 139–42.Google Scholar
McManus, I. C. & Vincent, C. A. (1993). Selecting and educating safer doctors. In Vincent, C. A., Ennis, M. & Audley, R. J. (Eds.). Medical accidents (pp. 80–105). Oxford: Oxford University Press.
McManus, I. C., Winder, B. C. & Gordon, D. (1999). Are UK doctors particularly stressed?Lancet, 354, 1358–9.Google Scholar
McManus, I. C., Winder, B. C. & Gordon, D. (2002a). The causal links between stress and burnout in a longitudinal study of UK doctors. Lancet, 359, 2089–90.Google Scholar
McManus, I. C., Winder, B. C. & Paice, E. (2002b). How consultants, hospitals, trusts and deaneries affect pre-registration house officer posts: a multilevel model. Medical Education, 36, 35–44.Google Scholar
Pines, A. M. (2000). Nurses' burnout: an existential psychodynamic perspective. Journal of Psychosocial Nursing, 38, 1–9.Google Scholar
Pines, A. M. & Keinan, G. (2005). Stress and burnout: the significant difference. Personality and Individual Differences, 39, 625–35.Google Scholar
Schmitz, N., Kruse, J., Heckrath, C., Alberti, L. & Tress, W. (1999). Diagnosing mental disorders in primary care: the general health questionnaire (GHQ) and the symptom check list (SCL-90-R) as screening instruments. Social Psychiatry and Psychiatric Epidemiology, 34, 360–6.Google Scholar
Töyry, S., Kalimo, R., Äärimaa, M.et al. (2004). Children and work-related stress among physicians. Stress and Health, 20, 213–21.Google Scholar
Tsutsumi, A. & Kawakami, N. (2004). A review of empirical studies on the model of effort–reward imbalance at work: reducing occupational stress by implementing a new theory. Social Science and Medicine, 59, 2335–539.Google Scholar
Tyssen, R. & Vaglum, P. (2002). Mental health problems among young doctors: an updated review of prospective studies. Harvard Review of Psychiatry, 10, 154–65.Google Scholar
Klink, J. J. L., Blonk, R. W. B., Schene, A. H. & Dijk, F. J. H. (2001). The benefits of interventions for work-related stress. American Journal of Public Health, 91, 270–6.Google Scholar
Weinberg, A. & Creed, F. (1999). Stress and psychiatric disorder in healthcare professionals and hospital staff. Lancet, 355, 533–7.Google Scholar

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