Mental health of hospital consultants: The effects of stress and satisfaction at work
Mental health of hospital consultants: The effects of stress and satisfaction at work
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DOI：
10.1016/s0140-6736(96)90077-x
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发表时间：
1996-03-16
期刊：
影响因子：
168.9
通讯作者：
Gregory, WM
中科院分区：
文献类型：
--
作者：
Ramirez, AJ;Graham, J;Gregory, WM
背景在英国，胃肠病学家、外科医生、放射科医生和肿瘤学家的职业倦怠和精神病发病率是通过一项以精神病学为基础的调查来估计的。顾问的心理健康和他们的工作压力和满意度之间的关系，以及他们的工作和人口特征，也examined.Methods精神病发病率估计使用12项一般健康问卷。倦怠的三个组成部分，情绪耗竭，人格解体，和低个人责任感，使用Maslach倦怠量表进行了评估。工作压力和满意度进行了测量，使用研究特定的questions.Findings的1133顾问，882（78%）返回问卷。精神病发病率的估计患病率为27%，四个专家组之间没有显着差异。放射科医生报告的最高水平的倦怠低的个人成就感。工作满意度对心理健康有显著的保护作用。三种压力来源与倦怠和精神病发病率有关：感觉超负荷及其对家庭生活的影响;感觉管理不善和资源不足;以及处理病人的痛苦。倦怠还与三个领域的低满意度相关：与患者，亲属和工作人员的关系;专业地位/尊重;智力刺激。此外，年龄在55岁以下和单身是倦怠的独立危险因素。职业倦怠在那些认为在沟通和管理技能方面训练不足的顾问中也更为普遍。口译顾问的心理健康可能会受到保护，不受医疗实践的高要求的影响，方法是保持或提高工作满意度，并提供沟通和管理技能方面的培训。
Background Burnout and psychiatric morbidity among gastroenterologists, surgeons, radiologists, and oncologists in the UK have been estimated by means of a questionnaire-based survey. The relationship between consultants' mental health and their job stress and satisfaction, as well as their job and demographic characteristics, were also examined.Methods Psychiatric morbidity was estimated using the 12-item General Health Questionnaire. The three components of burnout-emotional exhaustion, depersonalisation, and low personal accomplishment-were assessed using the Maslach Burnout Inventory. Job stress and satisfaction were measured using study-specific questions.Findings Of 1133 consultants, 882 (78%) returned questionnaires. The estimated prevalence of psychiatric morbidity was 27%, with no significant differences between the four specialist groups. Radiologists reported the highest level of burnout in terms of low personal accomplishment. Job satisfaction significantly protected consultants' mental health against job stress. Three sources of stress were associated with both burnout and psychiatric morbidity: feeling overloaded, and its effect on home life; feeling poorly managed and resourced; and dealing with patients' suffering. Burnout was also associated with low satisfaction in three domains: relationships with patients, relatives, and staff; professional status/esteem; intellectual stimulation. In addition, being aged 55 years or less and being single were independent risk factors for burnout. Burnout was also more prevalent among consultants who felt insufficiently trained in communication and management skills.Interpretation Consultants' mental health is likely to be protected against the high demands of medical practice by maintaining or enhancing job satisfaction, and by providing training in communication and management skills.