Stress in psychiatrists: coping with a decade of rapid change

Rathod, Shanaya; Mistry, Minal; Ibbotson, B.; Kingdon, David

doi:10.1192/pb.bp.110.030858

Cited by 11 publications

(27 citation statements)

References 11 publications

(7 reference statements)

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“…Of the included studies, 28 were quantitative, [24][25][26][27][28][29][30][33][34][35][36][37][38][39][40][44][45][46][47][48][49][50][51][52][53][54][55][56] two were qualitative, 31,32 one was interventional 41 and two had mixed methodology. 42,43 Countries of origin Studies originated from Australia, 29,40,48,55 New Zealand, 28,31,38,39 the UK, 30,34,43,47 the USA, 24,26,52 Canada, 35,50 Italy, 25,…”

Section: Methodsmentioning

confidence: 99%

Personal resilience in psychiatrists: systematic review

Howard

Kirkley

2019

BJPsych Bull

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Aims and methodThe concept of personal resilience is relevant to physician well-being, recruitment and retention, and to delivering compassionate patient care. This systematic review aims to explore factors affecting personal resilience among psychiatrists, in particular, those that may impair well-being and those that facilitate resilience practice. A literature search was performed of the Ovid®, Embase®, CINAHL and PsycINFO databases, using keywords to identify empirical studies involving psychiatrists that examined resilience, stress and burnout from the past 15 years.ResultsThirty-three international English language studies were included, showing that a combination of workplace, personal and non-workplace factors negatively and positively influenced well-being and resilience.Clinical implicationsGiven that workplace factors were the most commonly cited, it would appear that any resilience package that predominantly targets interventions at the workplace level would be particularly fruitful. Future research, however, needs to address the absence of a universal measurement of well-being and its moderators so that any potential interventions are better evaluated.

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Section: Methodsmentioning

confidence: 99%

Personal resilience in psychiatrists: systematic review

Howard

Kirkley

2019

BJPsych Bull

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“…With these factors in mind it may also be prudent to consider carefully what is communicated to F1 doctors while they are already managing new experiences and different potential sources of stress. Modernisations such as changes to mental health service delivery have been found to reduce consultant stress, but some studies have identified that there are predominantly negative attitudes within the profession to New Ways of Working (Malik 2008;Dale 2009;St John-Smith 2009;Rathod 2011). It needs to be considered how junior trainees might perceive such attitudes if they are present (e.g.…”

Section: Consultants' Stressmentioning

confidence: 94%

Development of foundation year 1 psychiatry posts: implications for practice

Steele¹,

Beattie²

2013

Adv. psychiatr. treat

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SummaryMost literature discussing the introduction of foundation year 1 (F1) psychiatry posts has focused on recruitment. However, for F1 posts to offer a valuable learning experience and a potential recruitment boost, psychiatrists and employing organisations should be aware of general issues arising in the first postgraduate year. These include the inherently stressful student-to-doctor transition, the need for bespoke induction programmes for new graduates, F1 doctors' specific needs for support, supervision and peer support, and the centrality of the relationship with the consultant supervisor to the new doctor. Understanding these themes will enable psychiatrists and mental health organisations to offer better F1 psychiatry experiences, which may boost recruitment and could maximise the opportunities for F1 doctors to develop skills and qualities that will be of value in their future careers, whatever specialty they end up working in.

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“…In the UK psychiatrists who had retired early reported significant dissatisfaction with how psychiatry was conducted in the country while trainees identified inadequate sourcing, understaffing, and excess bureaucracy as the three major difficulties in the quality and safety of psychiatric practice 13 . However, a latest study evaluating changes introduced in UK psychiatry in the past decade found that training demands, rapid changes in the NHS, working across interfaces, and work-life balance are currently psychiatrists' major difficulties 14 .…”

Section: Introductionmentioning

confidence: 99%

Burnout, occupational stressors, and social support in psychiatric and medical trainees

Sochos

Bowers²

2012

Eur. J. Psychiat.

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-Background and Objectives: Although previous research reports that psychiatrists experience greater work-related distress than other specialties, very little is known about how psychiatric trainees compare to their medical colleagues. The aim of this study was to compare psychiatric and general medical trainees in burnout, work stressors, and social support and investigate potential buffering effects of social support.Methods: This cross-sectional study included 112 psychiatric and 72 general medical trainees, based in the UK. Participants completed three questionnaires on-line: Maslach Burnout Inventory, Specialist Doctors' Stress Inventory, and Social Support Scale.Results: According to the findings, psychiatric trainees reported less burnout, fewer time demands, more consultant and emotional support but less family support than general medical trainees. In addition, social support moderated the effects of specialty on burnout, as it substantially reduced depersonalisation in medical but not in psychiatric trainees.Conclusions: Findings may reflect recent changes in psychiatric training in the UK. Factors contributing specifically to medical trainees' burnout and factors potentially preventing psychiatric trainees from utilising social support need to be explored in future research. The cross-sectional design and the low response rate were the main limitations of the study.

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Stress in psychiatrists: coping with a decade of rapid change

Cited by 11 publications

References 11 publications

Personal resilience in psychiatrists: systematic review

Personal resilience in psychiatrists: systematic review

Development of foundation year 1 psychiatry posts: implications for practice

Burnout, occupational stressors, and social support in psychiatric and medical trainees

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