Psychiatrists' transition from training to career: stress and mastery

Jg, Looney; Rk, Harding; Mj, Blotcky; Fd, Barnhart

doi:10.1176/ajp.137.1.32

Cited by 41 publications

(4 citation statements)

References 11 publications

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“…Our findings support the value of emotional support seeking and receiving social support to reduce burnout. This is consistent with a study by Looney et al in 1980, which found that getting support from others was an effective coping mechanism for stress management [31]. Dallender et al noted that the most commonly used coping mechanism among psychiatrists in the United Kingdom was seeking support from loved ones and colleagues [32].…”

Section: Plos Onesupporting

confidence: 87%

Thai psychiatrists and burnout: A national survey

2020

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Objectives To explore the prevalence and factors that contribute to burnout among Thai psychiatrists. Background The practice of psychiatry can lead to emotional fatigue. As rates of emotional illness in Thailand continue to climb, increasing demands are placed on a limited number of psychiatrists. This can lead to burnout, and multiple negative physical and mental health outcomes. Materials and methods Electronic questionnaires were sent to all 882 Thai psychiatrists and residents via a private social media group managed by the Psychiatric Association of Thailand. The questionnaire included demographic data, the Maslach Burnout Inventory (MBI), the Proactive Coping Inventory, and questions about strategies that Thai psychiatrists believed reduce/prevent burnout. Results Questionnaires were sent and 227 (25.7%) responded. According to MBI, 112 (49.3%) of respondents reported high level of emotional exhaustion, and 60 (26.4%) had a high level of depersonalization. Nearly all respondents (99.6%) maintained a high level of personal accomplishment. Working more than 50 hours per week (p = 0.003) and more patients per day (p = 0.20) were associated with higher levels of burnout. Feeling satisfied with work (p<0.001) and having a good support system from family (p = 0.027) and colleagues (p = 0.033) were associated with lower levels of burnout. The coping mechanisms related to lower levels of burnout included more emotional support seeking (p = 0.005), more proactive coping (p = 0.047), and less avoidance (p = 0.005). Conclusions Compared to a previous study on burnout among Thai psychiatrists in 2011, in this study, the prevalence of high levels of burnout had increased dramatically from 17.1% to 49.3%.

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Section: Plos Onesupporting

confidence: 87%

Thai psychiatrists and burnout: A national survey

2020

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“…Moreover, our results showed a significant interaction between work-recreation balance conditions and health status, assessed with respect to three symptomatic dimensions and their factors (physiological, including factors related to physical symptoms, organ function, body movement function, and energy; psychological, including factors related to positive emotion, mental symptoms, and cognitive function; social, including social adaptation, social resources, and social support). Consistent with previous studies, several studies have shown that a poor work−life balance (recreation is considered part of life) is related to low energy [ 44 ], emotional exhaustion [ 11 ], and lack of social support (including receiving support from one’s partner, participating in recreational activities, and maintaining good relationships with colleagues) [ 45 ].…”

Section: Discussionsupporting

confidence: 60%

Work-Recreation Balance, Health-Promoting Lifestyles and Suboptimal Health Status in Southern China: A Cross-Sectional Study

Xuan

et al. 2016

IJERPH

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Suboptimal health status (SHS)—an intermediate state between health and illness—refers to functional somatic symptoms that are medically undiagnosed. Although SHS has become a great challenge for global public health, very little about its etiology and mechanisms are known. Work-recreation balance is a part of work−life balance, and is related to stress which greatly influences health status. We therefore carried out a cross-sectional investigation between 2012 and 2013 within a clustered sample of 24,475 individuals aged 15−60 years from a population in southern China. In so doing, we hoped to illuminate the associations between work-recreation balance conditions, healthy lifestyles, and SHS. Work-recreation balance conditions were categorically defined by frequency (“rarely, sometimes, or always”). Health-Promoting Lifestyle Profile (HPLP-II) was used to evaluate the level of healthy lifestyles, and the medical examination report and Sub-Health Measurement Scale V1.0 (SHMS V1.0) were both used to evaluate health status. The ratio of SHS (46.3%) is higher than health status (18.4%) or disease status (35.3%). Overall, 4.9% of respondents reported the lowest level of work-recreation balance, and they scored lower on both the HPLP-II and SHMS V1.0 compared with those who frequently maintained a work-recreation balance. Significant association was found between work-recreation balance behaviors and healthy lifestyles (p < 0.001) after demographic adjustment. In comparison with those reporting a frequent work-recreation balance, individuals whose work-recreation balance was categorically “rare” were 1.69 times as likely to develop SHS (odds ratio (OR): 1.69, 95% confidence interval (CI): 1.49–1.92), and those with infrequent work-recreation balance (“sometimes”) were 1.71 times more likely to develop SHS (OR: 1.71, 95% CI: 1.62–1.81). These findings suggest that work-recreation balance conditions are significantly associated with, and seem to be accurate behavioral indicia of a healthy lifestyle. Poor work-recreation balance is associated with increased risk for SHS; thus, a healthier lifestyle that maintains a work-recreation balance should be promoted in order to reduce the development of SHS or disease in southern China.

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“…Coping mechanisms that have been adopted to effectively deal with this stress include receiving support from one's partner, participating in recreational activities and maintaining good relationships with colleagues [47]. Dallender et al [48] reported that the most important coping mechanisms for psychiatrists are the support of a loved one and one's colleagues.…”

Section: Discussionmentioning

confidence: 99%

Nationwide Survey of Work Environment, Work-Life Balance and Burnout among Psychiatrists in Japan

et al. 2013

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BackgroundPsychiatry has been consistently shown to be a profession characterised by ‘high-burnout’; however, no nationwide surveys on this topic have been conducted in Japan.AimsThe objective of this study was to estimate the prevalence of burnout and to ascertain the relationship between work environment satisfaction, work-life balance satisfaction and burnout among psychiatrists working in medical schools in Japan.MethodWe mailed anonymous questionnaires to all 80 psychiatry departments in medical schools throughout Japan. Work-life satisfaction, work-environment satisfaction and social support assessments, as well as the Maslach Burnout Inventory (MBI), were used.ResultsSixty psychiatric departments (75.0%) responded, and 704 psychiatrists provided answers to the assessments and MBI. Half of the respondents (n = 311, 46.0%) experienced difficulty with their work-life balance. Based on the responses to the MBI, 21.0% of the respondents had a high level of emotional exhaustion, 12.0% had a high level of depersonalisation, and 72.0% had a low level of personal accomplishment. Receiving little support, experiencing difficulty with work-life balance, and having less work-environment satisfaction were significantly associated with higher emotional exhaustion. A higher number of nights worked per month was significantly associated with higher depersonalisation.ConclusionsA low level of personal accomplishment was quite prevalent among Japanese psychiatrists compared with the results of previous studies. Poor work-life balance was related to burnout, and social support was noted to mitigate the impact of burnout.

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Psychiatrists' transition from training to career: stress and mastery

Cited by 41 publications

References 11 publications

Thai psychiatrists and burnout: A national survey

Thai psychiatrists and burnout: A national survey

Work-Recreation Balance, Health-Promoting Lifestyles and Suboptimal Health Status in Southern China: A Cross-Sectional Study

Nationwide Survey of Work Environment, Work-Life Balance and Burnout among Psychiatrists in Japan

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