Burnout in psychiatrists: An etiological model

International Journal of Psychiatry in Medicine

Volumn 35, Issue 4, 2005, Pages 405-416

  Kumar, Shailesh ^a,b   Hatcher, Simon ^a   Huggard, Peter ^a  

^a UNIVERSITY OF AUCKLAND   (New Zealand)

^b NONE   (New Zealand)

Author keywords

Burnout; Job satisfaction; Occupational stress; Psychiatric workforce

Indexed keywords

BURNOUT; DEPRESSION; DISEASE PREDISPOSITION; EMOTIONAL STRESS; JOB STRESS; LONG TERM EXPOSURE; MEDICAL RESEARCH; PATHOGENESIS; PREVALENCE; PROTECTION; PSYCHIATRIST; REVIEW; THEORETICAL MODEL; WORKLOAD;

EID: 33644526940     PISSN: 00912174     EISSN: 15413527     Source Type: Journal    
DOI: 10.2190/8XWB-AJF4-KPRR-LWMF     Document Type: Review

References (56)

1. Fothergill A, Edwards D, Burnard P. Stress, burnout, coping and stress management in psychiatrists: Findings from a systematic review. International Journal of Social Psychiatry 2004;50:54-65.
2. Edwards D, Burnard P, Owen M, Hannigan B, Fothergill A, Coyle D. A systematic review of the effectiveness of stress-management interventions for mental health professionals. Journal of Psychiatric & Mental Health Nursing 2003;10:370-371.
3. Carson J, Kuipers E. Stress management interventions. In: Hardy S, Carson J, Thomas B, editors. Occupational stress: Personal and professional approaches. Cheltenham: Stanley Thornes, 1998.
4. Snibbe JR, Radcliffe T, Weisberger C, Richards M, Kelly J. Burnout among primary care physicians and mental health professionals in a managed health care setting. Psychology Reports 1989;65:775-780.
5. Deary IJ, Agius RM, Sadler A. Personality and stress in consultant psychiatrists. International Journal of Social Psychiatry 1996;42:112-123.
6. Pines AP. On burnout and buffering effects of social support. In: Farber BA, editor. Stress and burnout in the human service professions. Pergamon, Oxford, 1988.
7. Lee RT, Ashforth BE. A meta analytic examination of the correlates of the three dimensions of job burnout. Journal of Applied Psychology 1996;81:123-133.
8. Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual (2nd ed.). Palo Alto: Consulting Psychologist Press, 1996.
9. Meier ST. The construct validity of burnout. Journal of Occupational Psychology 1984;57:211-219.
10. Firth H, McKeown P, McIntee J, Britton P. Professional depression, "burnout" and personality in longstay nursing. International Journal of Nursing Studies 1987;24:227-237.
11. Benbow SM. Burnout: current knowledge and relevance to old age psychiatry. International Journal of Geriatric Psychiatry 1998;13:520-526.
12. Leieter MP, Durup J. The discriminant validity of burnout and depression: A confirmatory factor analytic study. Anxiety, Stress and Coping 1994;7:357-373.
13. Thommasen HV, Lavanchy M, Connelly I, Berkowitz J, Grzybowski S. Mental health, job satisfaction, and intention to relocate. Opinions of physicians in rural British Columbia. Canadian Family Physician 2001;47:737-744.
14. Farber BA. Introduction: A critical perspective on burnout. In: Farber BA. editor. Stress and burnout: The human service professions. Pergamon, New York. 1983:1-20.
15. Wykes T, Stevens W, Everitt B. Stress in community care teams: will it affect the sustainability of community care? Social Psychiatry and Psychiatric Epidemiology 1997;32:398-407.
16. Golliher EM. The relationship of job satisfaction to level of experience of clinical psychologists and psychiatrists. Dissertation Abstracts International: Section B: The Sciences & Engineering. 1995;55(8-B):3587, US: University Microfilms International.
17. Guthrie E, Tattan T, Williams E, Black D, Bacliocotti H. Sources of stress, psychological distress and burnout in psychiatrists: Comparison of junior doctors, senior registrars and consultants. Psychiatric Bulletin 1999;23:207-212.
18. Freudenberger HJ. Burnout: Contemporary issues, trends and concerns. In:Farber BA, editor. Stress and burnout in the human service professions. Anchor Press/Doubleday, New York, 1993.
19. Halpern J. From detached concern to empathy: Humanizing medical practice. Oxford: Oxford University Press, 2001.
20. Huggard P. Secondary traumatic stress: Doctors at risk. New Ethicals Journal 2003;6:9-14.
21. Thomsen S, Soares J, Nolan P, Dallender J, Arnetz B. Feelings of professional fulfilment and exhaustion in mental health personnel: The importance of organisational and individual factors. Psychotherapy and Psychosomatics 1999;68(3):157-164.
22. Hafner H. Psychiatry as a profession [Psychiatrie als Beruf]. Nervenarzt 2002;73:33-40.
23. Hoop JG. Hidden ethical dilemmas in psychiatric residency training: the psychiatry resident as dual agent. Academic Psychiatry 2004;28:183-189.
24. Brockington I, Mumford D. Recruitment into psychiatry. British Journal of Psychiatry 2002;180:307-312.
25. Goldman W. Is there a shortage of psychiatrists? Psychiatric Services 2001;52:1587-1589.
26. Scully JH, Wilk JE. Selected characteristics and data of psychiatrists in the United States, 2001-2002. Academic Psychiatry 2003;27:247-251.
27. Kennedy P, Griffiths H. General psychiatrists discovering new roles for a new era . . . and removing work stress. British Journal of Psychiatry 2001;179:283-285.
28. Goldman CR, Faulkner LR, Breeding KA. A method for estimating psychiatrist staffing needs in community mental health programs. Hospital and Community Psychiatry 1994;45:333-337.
29. Haller RM, Deluty RH. Assaults on staff by psychiatric inpatients. A critical review. British Journal of Psychiatry 1988;152:174- 179.
30. Hubschmidt T. The prosecution of violent psychiatric inpatients; one respectable intervention. Psychiatrische Praxis 1996;23:26-28.
31. Drinkwater J. Violence in psychiatric hospitals. In: Feldman P, editor. Developments in the study of clinical behaviour Volume 2: Violence. Chichester, Wiley, 1982.
32. Hodgkinson PE, McIvor L, Phillips M. Patient assaults on staff in a psychiatric hospital: A two year retrospective study. Medicine Science and Law 1985;25:288-294.
33. Rice ME, Harris GT, Varney GW, Quinsey VL. Violence in institutions. Toronto, Hogrefe and Huber, 1989.
34. Poster EC. A multinational study of psychiatric nursing staffs' beliefs and concerns about work safety and patient assault. Archives of Psychiatric Nursing 1996;10:365-373.
35. Chemtob CM, Hamada RS, Bauer G, Kinney B, et al. Patients' suicides: Frequency and impact on psychiatrists. American Journal of Psychiatry 1988;145:224-228.
36. Alexander DA, Klein ST, Gray NM, Dewar IG, Eagles JM. Suicide by patients: questionnaire study of its effect on consultant psychiatrists. British Medical Journal 2000;320:1571-1574.
37. Cryan EMJ, Kelly P, McCaffrey B. The experience of patient suicide among Irish psychiatrists. Psychiatric Bulletin 1995;19:4-7.
38. Rathod S, Roy L, Ramsay M, Das M, Birtwistle J, Kingdon D. A survey of stress in psychiatrists working in the Wessex Region. Psychiatric Bulletin 2000;24:133-136.
39. Ramirez AJ, Graham J, Richards MA, Cull A, Gregory WM. Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet 1996;347:724-728.
40. Cartwright LK. Role montage: Life patterns of professional women. Journal of American Medical Women's Association 1987;42:142-143, 147-148.
41. Naisberg-Fennig S, Fennig S, Keinan G, Elizur A. Personality characteristics and proneness to burnout: A study among psychiatrists. Stress Medicine 1991;7:201-205.
42. Yiu-kee C, Tang CS. Existential correlates of burnout among mental health professionals in Hong Kong. Journal of Mental Health Counseling 1995;17:220-229.
43. Snyder TG, Kumar S. Who do I serve? An experiential perspective of problems in retaining psychiatrists in New Zealand. Australasian Psychiatry 2004;12:401-403.
44. Eagles JM. Gender differences in attitudes and recruitment into psychiatry. Psychology Reports 1996;78:653-654.
45. Garfinkel PE, Bagby RM, Schuller DR, Williams CC, Dickens SE, Dorian B. Predictors of success and satisfaction in the practice of psychiatry: A preliminary follow-up study. Canadian Journal of Psychiatry 2001;46:835-840.
46. Clark GH, Vaccaro JV. Burnout among CMHC psychiatrists and the struggle to survive. Hospital and Community Psychiatry 1987;38:843-847.
47. Rutter H, Herzberg J, Paice E. Stress in doctors and dentists who teach. Medical Education 2002;36:543-549.
48. Agius RM, Blenkin H, Deary IJ, Zeally HE, Wood R. (1996). Survey of perceived stress and work demands of consultant doctors. Occupational and Environmental Medicine 1996;53:217-224.
49. Prosser D, Johnson S, Kuipers E, Dunn G, Szmukler G, Reid Y, Bebbington P, Thornicroft G. Mental health, "burnout" and job satisfaction in a longitudinal study of mental health staff. Social Psychiatry and Psychiatric Epidemiology 1999;34:295-300.
50. Hannigan B, Edwards D, Coyle D, Fothergill A, Burnard P. Burnout in community mental health nurses: findings from the all-Wales stress study. Journal of Psychiatric Mental Health Nursing 2000;7:127-134.
51. Fendrich M, Weissman MM, Warner V, Mufson L. Two-year recall of lifetime diagnoses in offspring at high and low risk for major depression. The stability of offspring reports. Archives of General Psychiatry 1990;47:1121-1127.
52. Kruijshaar ME, Barendregt J, Vos T, de Graaf R, Spijker J. Lifetime prevalence estimates of major depression: An indirect estimation method and a quantification of recall bias. European Journal of Epidemiology 2005;20:103-111.
53. Warshaw MG, Klerman GL, Lavori PW. Are secular trends in major depression an artifact of recall? Journal of Psychiatric Research 1991;25:141-151.
54. Wittchen HU, Burke JD, Semler G, Pfister H, Von Cranach M, Zaudig M. Recall and dating of psychiatric symptoms. Test-retest reliability of time-related symptom questions in a standardized psychiatric interview. Archives of General Psychiatry 1989;46:437-443.
55. Erber R, Erber MW. Beyond mood and social judgment: Mood incongruent recall and mood regulation. European Journal of Social Psychology 1994;24:79-88.
56. Maybery D, Maybery M, Bresnan R, Croft B, Graham R, Macaulay J, et al. Responding to daily event questionnaires: The influence of the order of hassle and uplift scales. Stress & Health 2002;18:19-26.