Abstract
OBJECTIVE--To identify sources of job stress associated with high levels of job dissatisfaction and negative mental wellbeing among general practitioners in England. DESIGN--Multivariate analysis of large database of general practitioners compiled from results of confidential questionnaire survey. Data obtained on independent variables of job stress, demographic factors, and personality. Dependent variables were mental health, job satisfaction, alcohol consumption, and smoking. SETTING--National sample of general practitioners studied by university department of organisational psychology. SUBJECTS--One thousand eight hundred seventeen general practitioners selected at random by 20 family practitioner committees in England. INTERVENTIONS--None. END POINT--Determination of the combination of independent variables that were predictive of mental health and job satisfaction. MEASUREMENTS AND MAIN RESULTS--Women general practitioners both had job satisfaction and showed positive signs of mental wellbeing in contrast with other normative groups. Conversely, male doctors showed significantly higher anxiety scores than the norms, had less job satisfaction, and drank more alcohol than their women counterparts. Multivariate analysis disclosed four job stressors that were predictive of high levels of job dissatisfaction and lack of mental wellbeing; these were demands of the job and patients' expectations, interference with family life, constant interruptions at work and home, and practice administration. CONCLUSIONS--There may be substantial benefit in providing a counselling service for general practitioners and other health care workers who suffer psychological pressure from their work.
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Selected References
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- 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]
- Bortner R. W. A short rating scale as a potential measure of pattern A behavior. J Chronic Dis. 1969 Jul;22(2):87–91. doi: 10.1016/0021-9681(69)90061-7. [DOI] [PubMed] [Google Scholar]
- Cooper C. L., Watts J., Kelly M. Job satisfaction, mental health, and job stressors among general dental practitioners in the UK. Br Dent J. 1987 Jan 24;162(2):77–81. doi: 10.1038/sj.bdj.4806030. [DOI] [PubMed] [Google Scholar]
- Crown S., Crisp A. H. A short clinical diagnostic self-rating scale for psychoneurotic patients. The Middlesex Hospital Questionnaire (M.H.Q.). Br J Psychiatry. 1966 Sep;112(490):917–923. doi: 10.1192/bjp.112.490.917. [DOI] [PubMed] [Google Scholar]
- MORRIS J. N., HEADY J. A., BARLEY R. G. Coronary heart disease in medical practitioners. Br Med J. 1952 Mar 8;1(4757):503–520. doi: 10.1136/bmj.1.4757.503. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Makin P. J., Rout U., Cooper C. L. Job satisfaction and occupational stress among general practitioners--a pilot study. J R Coll Gen Pract. 1988 Jul;38(312):303–306. [PMC free article] [PubMed] [Google Scholar]
- Mechanic D. General medical practice in England and Wales. Its organization and future. N Engl J Med. 1968 Sep 26;279(13):680–689. doi: 10.1056/NEJM196809262791305. [DOI] [PubMed] [Google Scholar]
- Rankin H. J., Serieys N. M., Elliott-Binns C. P. Determinants of mood in general practitioners. Br Med J (Clin Res Ed) 1987 Mar 7;294(6572):618–620. doi: 10.1136/bmj.294.6572.618. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]