Beyond Substance Abuse: Stress, Burnout, and Depression as Causes of Physician Impairment and Disruptive Behavior

Journal of the American College of Radiology

Volumn 6, Issue 7, 2009, Pages 479-485

  Brown, Stephen D ^a   Goske, Marilyn J ^b,c   Johnson, Craig M ^a  

^a BOSTON CHILDREN S HOSPITAL   (United States)

^b CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER   (United States)

^c UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE   (United States)

Author keywords

disruptive behavior; impairment; mental health; Physicians; professionalism

Indexed keywords

BURNOUT; DEPRESSION; DISRUPTIVE BEHAVIOR; EDUCATION PROGRAM; HUMAN; JOB STRESS; MALPRACTICE; MEDICAL ERROR; MENTAL HEALTH; PATIENT SAFETY; PROFESSIONAL MISCONDUCT; PROFESSIONALISM; RADIOLOGIST; RADIOLOGY; REVIEW; RISK FACTOR; SUBSTANCE ABUSE; WORKPLACE;

EID: 67649743194     PISSN: 15461440     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jacr.2008.11.029     Document Type: Review

References (28)

1. Leape L.L., and Fromson J.A. Problem doctors: is there a system-level solution?. Ann Intern Med 144 (2006) 107-115
2. The Joint Commission. Sentinel event alert: behaviors that undermine a culture of safety. http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_40.htm Accessed May 22, 2009
3. Goldberg R.J., and Steury S. Depression in the workplace: costs and barriers to treatment. Psychiatr Serv 52 (2001) 1639-1643
4. National Institute of Mental Health. The numbers count: mental disorders in America. http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-america.shtml Accessed May 22, 2009
5. World Health Organization. Depression. http://www.who.int/mental_health/management/depression/definition/en/ Accessed May 22, 2009
6. Bender A., and Farvolden P. Depression and the workplace: a progress report. Curr Psychiatry Rep 10 (2008) 73-79
7. NSW Doctors' Mental Health Implementation Committee. Doctors' Mental Health Working Group report and recommendations. http://www.mbansw.org.au/dmh/dmhwg.htm Accessed May 22, 2009
8. Broquet K.E., and Rockey P.H. Teaching residents and program directors about physician impairment. Acad Psychiatry 28 (2004) 221-225
9. Fahrenkopf A.M., Sectish T.C., Barger L.K., et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ 336 (2008) 488-491
10. Peisah C., and Wilhelm K. The impaired ageing doctor. Intern Med J 32 (2002) 457-459
11. Kahn Jr. N.B., and Addison R.B. Comparison of support services offered by residencies in six specialties, 1979-80 and 1988-89. Acad Med 67 (1992) 197-202
12. Levey R.E. Sources of stress for residents and recommendations for programs to assist them. Acad Med 76 (2001) 142-150
13. Center C., Davis M., Detre T., et al. Confronting depression and suicide in physicians: a consensus statement. JAMA 289 (2003) 3161-3166
14. Setness P.A. Is it real or is it Memorex?. Discerning whether job-related stress or mental illness is causing physician impairment. Postgrad Med 113 (2003) 7-9
15. Van Dusen A. America's most expensive medical conditionsForbes. http://www.forbes.com/2008/02/06/health-diseases-expensive-forbeslife-cx_avd_0206health.html Accessed August 19, 2008
16. Ahola K., Honkonen T., Isometsa E., et al. The relationship between job-related burnout and depressive disorders-results from the Finnish Health 2000 Study. J Affect Disord 88 (2005) 55-62
17. Linzer M., Visser M.R., Oort F.J., Smets E.M., McMurray J.E., and de Haes H.C. Predicting and preventing physician burnout: results from the United States and the Netherlands. Am J Med 111 (2001) 170-175
18. Ramirez A.J., Graham J., Richards M.A., Cull A., and Gregory W.M. Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet 347 (1996) 724-728
19. Thomas N.K. Resident burnout. JAMA 292 (2004) 2880-2889
20. Benazzi F. Borderline personality-bipolar spectrum relationship. Prog Neuropsychopharmacol Biol Psychiatry 30 (2006) 68-74
21. Zanarini M.C., Frankenburg F.R., Reich D.B., Silk K.R., Hudson J.I., and McSweeney L.B. The subsyndromal phenomenology of borderline personality disorder: a 10-year follow-up study. Am J Psychiatry 164 (2007) 929-935
22. Graske J. Improving the mental health of doctors. BMJ 327 (2003) s188
23. Chambers R., and Belcher J. Predicting mental health problems in general practitioners. Occup Med (Lond) 44 (1994) 212-216
24. Cydulka R.K. Commentary: physician well-being: the seventh competency?. Acad Emerg Med 14 (2007) 476-478
25. Veldenz H.C., Scott K.K., Dennis J.W., Tepas III J.J., and Schinco M.S. Impaired residents: identification and intervention. Curr Surgery 60 (2003) 214-217
26. Zafar H.M., Lewis R.S., and Sunshine J.H. Satisfaction of radiologists in the United States: a comparison between 2003 and 1995. Radiology 244 (2007) 223-231
27. Landon B.E., Reschovsky J., and Blumenthal D. Changes in career satisfaction among primary care and specialist physicians, 1997-2001. JAMA 289 (2003) 442-449
28. Farber N.J., Gilibert S.G., Aboff B.M., Collier V.U., Weiner J., and Boyer E.G. Physicians' willingness to report impaired colleagues. Soc Sci Med 61 (2005) 1772-1775