Skip to main content
The BMJ logoLink to The BMJ
. 1990 Jul 14;301(6743):89–91. doi: 10.1136/bmj.301.6743.89

Source of stress in women junior house officers.

J Firth-Cozens 1
PMCID: PMC1663442  PMID: 2390589

Abstract

OBJECTIVE--To determine the causes of stress in women doctors and relate these to levels of depression. DESIGN--Questionnaire study. SUBJECTS--Of 92 women doctors who had graduated from the universities of Leeds, Manchester, and Sheffield in 1986 and had been working as junior house officers for eight months 70 (76%) returned completed questionnaires. MAIN RESULTS--Mean score on the general health questionnaire was 13.79 (SD 5.20) and on the symptom checklist for depression was 1.43 (0.83). The scores of 32 subjects (46%) were above the criterion for clinical depression. Overwork was perceived as creating the most strain, followed by effects on personal life, serious failures of treatment, and talking to distressed relatives. Both stress and depression were related to effects on personal life, overwork, relations with consultants, and making decisions. Sex related sources of stress were conflicts between career and personal life, sexual harassment at work, a lack of female role models, and prejudice from patients. In addition to these, discrimination by senior doctors was related to depression. CONCLUSION--Changes are needed in the career paths of women doctors, and could be implemented.

Full text

PDF
89

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alpert J. S., Coles R. The indigestible curriculum. Arch Intern Med. 1988 Feb;148(2):277–278. [PubMed] [Google Scholar]
  2. Arnetz B. B., Hörte L. G., Hedberg A., Theorell T., Allander E., Malker H. Suicide patterns among physicians related to other academics as well as to the general population. Results from a national long-term prospective study and a retrospective study. Acta Psychiatr Scand. 1987 Feb;75(2):139–143. doi: 10.1111/j.1600-0447.1987.tb02765.x. [DOI] [PubMed] [Google Scholar]
  3. Banks M. H., Jackson P. R. Unemployment and risk of minor psychiatric disorder in young people: cross-sectional and longitudinal evidence. Psychol Med. 1982 Nov;12(4):789–798. doi: 10.1017/s0033291700049096. [DOI] [PubMed] [Google Scholar]
  4. Bergquist S. R., Duchac B. W., Schalin V. A., Zastrow J. F., Barr V. L., Borowiecki T. Perceptions of freshman medical students of gender differences in medical specialty choice. J Med Educ. 1985 May;60(5):379–383. doi: 10.1097/00001888-198505000-00004. [DOI] [PubMed] [Google Scholar]
  5. Bonar J. W., Watson J. A., Koester L. S. Sex differences in career and family plans of medical students. J Am Med Womens Assoc. 1982 Nov;37(11):300-3, 308. [PubMed] [Google Scholar]
  6. Derogatis L. R., Lipman R. S., Covi L. SCL-90: an outpatient psychiatric rating scale--preliminary report. Psychopharmacol Bull. 1973 Jan;9(1):13–28. [PubMed] [Google Scholar]
  7. Elliot D. L., Girard D. E. Gender and the emotional impact of internship. J Am Med Womens Assoc. 1986 Mar-Apr;41(2):54–56. [PubMed] [Google Scholar]
  8. Engleman E. G. Attitudes toward women physicians. A study of 500 clinic patients. West J Med. 1974 Feb;120(2):95–100. [PMC free article] [PubMed] [Google Scholar]
  9. Firth-Cozens J. Emotional distress in junior house officers. Br Med J (Clin Res Ed) 1987 Aug 29;295(6597):533–536. doi: 10.1136/bmj.295.6597.533. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Franco K., Evans C. L., Best A. P., Zrull J. P., Pizza G. A. Conflicts associated with physicians' pregnancies. Am J Psychiatry. 1983 Jul;140(7):902–904. doi: 10.1176/ajp.140.7.902. [DOI] [PubMed] [Google Scholar]
  11. Hsu K., Marshall V. Prevalence of depression and distress in a large sample of Canadian residents, interns, and fellows. Am J Psychiatry. 1987 Dec;144(12):1561–1566. doi: 10.1176/ajp.144.12.1561. [DOI] [PubMed] [Google Scholar]
  12. Hurwitz T. A., Beiser M., Nichol H., Patrick L., Kozak J. Impaired interns and residents. Can J Psychiatry. 1987 Apr;32(3):165–169. doi: 10.1177/070674378703200301. [DOI] [PubMed] [Google Scholar]
  13. Hutt R., Parsons D., Pearson R. The timing of and reasons for doctor's career decisions. Health Trends. 1981 Feb;13(1):17–20. [PubMed] [Google Scholar]
  14. Lorber J., Ecker M. Career development of female and male physicians. J Med Educ. 1983 Jun;58(6):447–456. doi: 10.1097/00001888-198306000-00001. [DOI] [PubMed] [Google Scholar]
  15. Martocchio J. J., O'Leary A. M. Sex differences in occupational stress: a meta-analytic review. J Appl Psychol. 1989 Jun;74(3):495–501. doi: 10.1037/0021-9010.74.3.495. [DOI] [PubMed] [Google Scholar]
  16. Notman M. T., Nadelson C. C. Medicine: a career conflict for women. Am J Psychiatry. 1973 Oct;130(10):1123–1127. doi: 10.1176/ajp.130.10.1123. [DOI] [PubMed] [Google Scholar]
  17. Notman M. T., Salt P., Nadelson C. C. Stress and adaptation in medical students: who is most vulnerable? Compr Psychiatry. 1984 May-Jun;25(3):355–366. doi: 10.1016/0010-440x(84)90068-3. [DOI] [PubMed] [Google Scholar]
  18. PITTS F. N., Jr, WINOKUR G., STEWART M. A. Psychiatric syndromes, anxiety symptoms and responses to stress in medical students. Am J Psychiatry. 1961 Oct;118:333–340. doi: 10.1176/ajp.118.4.333. [DOI] [PubMed] [Google Scholar]
  19. Reuben D. B. Depressive symptoms in medical house officers. Effects of level of training and work rotation. Arch Intern Med. 1985 Feb;145(2):286–288. [PubMed] [Google Scholar]
  20. Shapiro D. A., Firth J. Prescriptive v. exploratory psychotherapy. Outcomes of the Sheffield Psychotherapy Project. Br J Psychiatry. 1987 Dec;151:790–799. doi: 10.1192/bjp.151.6.790. [DOI] [PubMed] [Google Scholar]
  21. Tyrer S. P. Learned pain behaviour. Br Med J (Clin Res Ed) 1986 Jan 4;292(6512):1–2. doi: 10.1136/bmj.292.6512.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Welner A., Marten S., Wochnick E., Davis M. A., Fishman R., Clayton P. J. Psychiatric disorders among professional women. Arch Gen Psychiatry. 1979 Feb;36(2):169–173. doi: 10.1001/archpsyc.1979.01780020059005. [DOI] [PubMed] [Google Scholar]
  23. West M. A., Jones A., Savage Y. Stress in health visiting: a quantitative assessment. Health Visit. 1988 Sep;61(9):269–271. [PubMed] [Google Scholar]

Articles from BMJ : British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES