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editorial
. 1979 Aug 4;121(3):283–288.

Psychiatric illness in physicians.

S E Shortt
PMCID: PMC1704352  PMID: 380794

Abstract

Psychiatric illness and behavioural problems among physicians are reviewed in this paper. Some studies suggest that the medical profession has a high rate of alcoholism, drug abuse and marital discord. As well, physicians appear to commit suicide and to seek admission to psychiatric institutions more frequently than comparable populations. Considered as etiologic factors in psychiatric illness among physicians are the role strain inherent in the profession and the personality development of individual practitioners prior to their entering medical school. The review concludes with suggestions for an improved approach to treatment and prevention.

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Selected References

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

  1. A'Brook M. F., Hailstone J. D., McLaughlan I. E. Psychiatric illness in the medical profession. Br J Psychiatry. 1967 Sep;113(502):1013–1023. doi: 10.1192/bjp.113.502.1013. [DOI] [PubMed] [Google Scholar]
  2. BLACHLY P. H., OSTERUD H. T., JOSSLIN R. Suicide in professional groups. N Engl J Med. 1963 Jun 6;268:1278–1282. doi: 10.1056/NEJM196306062682307. [DOI] [PubMed] [Google Scholar]
  3. Baird L. L. The characteristics of medical students and their views of the first year. J Med Educ. 1975 Dec;50(12 PT1):1092–1099. doi: 10.1097/00001888-197512000-00031. [DOI] [PubMed] [Google Scholar]
  4. Bissell L., Jones R. W. The alcoholic physician: a survey. Am J Psychiatry. 1976 Oct;133(10):1142–1146. doi: 10.1176/ajp.133.10.1142. [DOI] [PubMed] [Google Scholar]
  5. Bittker T. E. Reaching out to the depressed physician. JAMA. 1976 Oct 11;236(15):1713–1716. [PubMed] [Google Scholar]
  6. Boyle B. P., Coombs R. H. Personality profiles related to emotional stress in the initial year of medical training. J Med Educ. 1971 Oct;46(10):882–888. doi: 10.1097/00001888-197110000-00011. [DOI] [PubMed] [Google Scholar]
  7. Coburn D., Jovaisas A. V. Perceived sources of stress among first-year medical students. J Med Educ. 1975 Jun;50(6):589–595. doi: 10.1097/00001888-197506000-00004. [DOI] [PubMed] [Google Scholar]
  8. Craig A. G., Pitts F. N., Jr Suicide by physicians. Dis Nerv Syst. 1968 Nov;29(11):763–772. [PubMed] [Google Scholar]
  9. DUFFY J. C., LITIN E. M. PSYCHIATRIC MORBIDITY OF PHYSICIANS. JAMA. 1964 Sep 28;189:989–992. doi: 10.1001/jama.1964.03070130009002. [DOI] [PubMed] [Google Scholar]
  10. DeSole D. E., Singer P., Aronson S. Suicide and role strain among physicians. Int J Soc Psychiatry. 1969 Autumn;15(4):294–301. doi: 10.1177/002076406901500407. [DOI] [PubMed] [Google Scholar]
  11. EVANS J. L. PSYCHIATRIC ILLNESS IN THE PHYSICIAN'S WIFE. Am J Psychiatry. 1965 Aug;122:159–163. doi: 10.1176/ajp.122.2.159. [DOI] [PubMed] [Google Scholar]
  12. Eagle J. R., Smith B. M. Stresses of the medical student wife. J Med Educ. 1968 Jul;43(7):840–845. doi: 10.1097/00001888-196807000-00008. [DOI] [PubMed] [Google Scholar]
  13. Edwards G. The alcoholic doctor. A case of neglect. Lancet. 1975 Dec 27;2(7948):1297–1298. [PubMed] [Google Scholar]
  14. Ellard J. The disease of being a doctor. Med J Aust. 1974 Aug 31;2(9):318–323. doi: 10.5694/j.1326-5377.1974.tb70807.x. [DOI] [PubMed] [Google Scholar]
  15. Everson R. B., Fraumeni J. F., Jr Mortality among medical students and young physicians. J Med Educ. 1975 Aug;50(8):809–811. doi: 10.1097/00001888-197508000-00009. [DOI] [PubMed] [Google Scholar]
  16. Franklin R. A. One hundred doctors at The Retreat. A contribution to the subject of mental disorder in the medical profession. Br J Psychiatry. 1977 Jul;131:11–14. doi: 10.1192/bjp.131.1.11. [DOI] [PubMed] [Google Scholar]
  17. Glatt M. M. Letter: Alcoholism among doctors. Lancet. 1974 Aug 10;2(7876):342–343. doi: 10.1016/s0140-6736(74)91711-5. [DOI] [PubMed] [Google Scholar]
  18. Gold N. The doctor, his illness and the patient. Aust N Z J Psychiatry. 1972 Dec;6(4):209–213. doi: 10.3109/00048677209159712. [DOI] [PubMed] [Google Scholar]
  19. Green R. C., Jr, Carroll G. J., Buxton W. D. Drug addiction among physicians. The Virginia experience. JAMA. 1976 Sep 20;236(12):1372–1375. [PubMed] [Google Scholar]
  20. Jones R. E. A study of 100 physician psychiatric inpatients. Am J Psychiatry. 1977 Oct;134(10):1119–1123. doi: 10.1176/ajp.134.10.1119. [DOI] [PubMed] [Google Scholar]
  21. Kausch K. F. Medical students' attitudes toward the mental health field: a longitudinal study. J Med Educ. 1969 Nov;44(11):1051–1055. [PubMed] [Google Scholar]
  22. Light D., Jr The impact of medical school on future psychiatrists. Am J Psychiatry. 1975 Jun;132(6):607–610. doi: 10.1176/ajp.132.6.607. [DOI] [PubMed] [Google Scholar]
  23. MODLIN H. C., MONTES A. NARCOTICS ADDICTION IN PHYSICIANS. Am J Psychiatry. 1964 Oct;121:358–365. doi: 10.1176/ajp.121.4.358. [DOI] [PubMed] [Google Scholar]
  24. Maddison D. Stress on the doctor and his family. Med J Aust. 1974 Aug 31;2(9):315–318. doi: 10.5694/j.1326-5377.1974.tb70806.x. [DOI] [PubMed] [Google Scholar]
  25. Miles J. E., Krell R., Lin T. Y. The doctor's wife: mental illness and marital pattern. Int J Psychiatry Med. 1975;6(4):481–487. doi: 10.2190/DDYQ-66T3-AUX4-QBEE. [DOI] [PubMed] [Google Scholar]
  26. Murray R. M. Alcoholism amongst male doctors in Scotland. Lancet. 1976 Oct 2;2(7988):729–731. doi: 10.1016/s0140-6736(76)90021-0. [DOI] [PubMed] [Google Scholar]
  27. Murray R. M. Psychiatric illness in doctors. Lancet. 1974 Jun 15;1(7868):1211–1213. doi: 10.1016/s0140-6736(74)91017-4. [DOI] [PubMed] [Google Scholar]
  28. Murray R. M. Psychiatric illness in male doctors and controls: an analysis of Scottish hospitals in-patient data. Br J Psychiatry. 1977 Jul;131:1–10. doi: 10.1192/bjp.131.1.1. [DOI] [PubMed] [Google Scholar]
  29. Myckatyn M. M., Miles J. E. A profile of today's medical student. Can Med Assoc J. 1973 Dec 1;109(11):1118–passim. [PMC free article] [PubMed] [Google Scholar]
  30. Osmond H., Siegler M. Doctors as patients. Practitioner. 1977 Jun;218(1308):834–839. [PubMed] [Google Scholar]
  31. PEARSON M. M., STRECKER E. A. Physicians as psychiatric patients: private practice experience. Am J Psychiatry. 1960 Apr;116:915–919. doi: 10.1176/ajp.116.10.915. [DOI] [PubMed] [Google Scholar]
  32. Parlow J., Rothman A. I. Personality traits of first year medical students: trends over six-year period 1967-1972. Br J Med Educ. 1974 Mar;8(1):8–12. doi: 10.1111/j.1365-2923.1974.tb02028.x. [DOI] [PubMed] [Google Scholar]
  33. Putnam P. L., Ellinwood E. H., Jr Narcotic addiction among physicians: a ten-year follow-up. Am J Psychiatry. 1966 Jan;122(7):745–748. doi: 10.1176/ajp.122.7.745. [DOI] [PubMed] [Google Scholar]
  34. Raskin M. Psychiatric crises of medical students and the implications for subsequent adjustment. J Med Educ. 1972 Mar;47(3):210–215. doi: 10.1097/00001888-197203000-00008. [DOI] [PubMed] [Google Scholar]
  35. Rose K. D., Rosow I. Physicians who kill themselves. Arch Gen Psychiatry. 1973 Dec;29(6):800–805. doi: 10.1001/archpsyc.1973.04200060072011. [DOI] [PubMed] [Google Scholar]
  36. SCHLAGETER C. W. ROSENTHAL V: What are "normal" medical students like? J Med Educ. 1962 Jan;37:19–27. [PubMed] [Google Scholar]
  37. Sargent D. A., Jensen V. W., Petty T. A., Raskin H. Preventing physician suicide. The role of family, colleagues, and organized medicine. JAMA. 1977 Jan 10;237(2):143–145. doi: 10.1001/jama.237.2.143. [DOI] [PubMed] [Google Scholar]
  38. Small I. F., Small J. G., Assue C. M., Moore D. F. The fate of the mentally ill physician. Am J Psychiatry. 1969 Apr;125(10):1333–1342. doi: 10.1176/ajp.125.10.1333. [DOI] [PubMed] [Google Scholar]
  39. Steppacher R. C., Mausner J. S. Suicide in male and female physicians. JAMA. 1974 Apr 15;228(3):323–328. [PubMed] [Google Scholar]
  40. Thomas C. B. What becomes of medical students: the dark side. Johns Hopkins Med J. 1976 May;138(5):185–195. [PubMed] [Google Scholar]
  41. Vaillant G. E., Brighton J. R., McArthur C. Physicians' use of mood-altering drugs. A 20-year follow-up report. N Engl J Med. 1970 Feb 12;282(7):365–370. doi: 10.1056/NEJM197002122820705. [DOI] [PubMed] [Google Scholar]
  42. Vaillant G. E., Sobowale N. C., McArthur C. Some psychologic vulnerabilities of physicians. N Engl J Med. 1972 Aug 24;287(8):372–375. doi: 10.1056/NEJM197208242870802. [DOI] [PubMed] [Google Scholar]
  43. Vincent M. O., Robinson E. A., Latt L. Physicians as patients: private psychiatric hospital experience. Can Med Assoc J. 1969 Mar 1;100(9):403–412. [PMC free article] [PubMed] [Google Scholar]
  44. Waring E. M. Psychiatric illness in physicians: a review. Compr Psychiatry. 1974 Nov-Dec;15(6):519–530. doi: 10.1016/0010-440x(74)90007-8. [DOI] [PubMed] [Google Scholar]
  45. Watterson D. J. Psychiatric illness in the medical profession: incidence in relation to sex and field of practice. Can Med Assoc J. 1976 Aug 21;115(4):311–317. [PMC free article] [PubMed] [Google Scholar]

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