Risky alcohol use in Danish physicians: Associated with alexithymia and burnout?

Drug and Alcohol Dependence

Volumn 160, Issue , 2016, Pages 119-126

  Pedersen, Anette Fischer ^a   Sørensen, Johanne Korsdal ^a   Bruun, Niels Henrik ^a   Christensen, Bo ^a   Vedsted, Peter ^a  

^a AARHUS UNIVERSITY   (Denmark)

Author keywords

Alcohol use disorder; Alexithymia; Burnout; Physicians; Survey

Indexed keywords

ACHIEVEMENT; ADULT; AGE DISTRIBUTION; ALCOHOL CONSUMPTION; ALCOHOL USE DISORDERS IDENTIFICATION TEST; ALCOHOLISM; ALEXITHYMIA; ARTICLE; BURNOUT; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; DEPERSONALIZATION; DISEASE ASSOCIATION; EMOTIONAL STRESS; FEMALE; HIGH RISK BEHAVIOR; HUMAN; MALE; MARRIAGE; MASLACH BURNOUT INVENTORY HUMAN SERVICES SURVEY; PATIENT CARE; PHYSICIAN; PRIORITY JOURNAL; QUESTIONNAIRE; RISK ASSESSMENT; SELF CONCEPT; SEX DIFFERENCE; SOCIAL PROBLEM; SOCIAL STATUS; TORONTO ALEXITHYMIA SCALE; DENMARK; DRINKING BEHAVIOR; EMOTIONAL DISORDER; MIDDLE AGED; PSYCHOLOGY;

ADULT; AFFECTIVE SYMPTOMS; ALCOHOL DRINKING; ALCOHOLISM; BURNOUT, PROFESSIONAL; CROSS-SECTIONAL STUDIES; DENMARK; FEMALE; HUMANS; MALE; MIDDLE AGED; PHYSICIANS; RISK-TAKING; SURVEYS AND QUESTIONNAIRES;

EID: 84959886102     PISSN: 03768716     EISSN: 18790046     Source Type: Journal    
DOI: 10.1016/j.drugalcdep.2015.12.038     Document Type: Article

References (38)

1. Arigoni F., Bovier P.A., Sappino A.P. Trend of burnout among Swiss doctors. Swiss Med. Wkly. 2010, 140:w13070.
2. Bagby R.M., Parker J.D., Taylor G.J. The twenty-item Toronto Alexithymia Scale-I: item selection and cross-validation of the factor structure. J. Psychosom. Res. 1994, 38:23-32.
3. Brown S.D., Goske M.J., Johnson C.M. Beyond substance abuse: stress, burnout, and depression as causes of physician impairment and disruptive behavior. J. Am. Coll. Radiol. 2009, 6:479-485.
4. Cecil J., McHale C., Hart J., Laidlaw A. Behaviour and burnout in medical students. Med. Educ. Online 2014, 19:25209.
5. Cicala R.S. Substance abuse among physicians: what you need to know. Hosp. Physician 2003, 39-46.
6. Conigrave K.M., Hall W.D., Saunders J.B. The AUDIT questionnaire: choosing a cut-off score: alcohol use disorder identification test. Addiction 1995, 90:1349-1356.
7. Coriale G., Bilotta E., Leone L., Cosimi F., Porrari R., De Rosa F., Ceccanti M. Avoidance coping strategies: alexithymia and alcohol abuse: a mediation analysis. Addict. Behav. 2012, 37:1224-1229.
8. Craparo G., Ardino V., Gori A., Caretti V. The relationships between early trauma dissociation, and alexithymia in alcohol addiction. Psychiatr. Investig. 2014, 11:330-335.
9. Del Boca F.K., Darkes J. The validity of self-reports of alcohol consumption: state of the science and challenges for research. Addiction 2003, 98(Suppl. 2):1-12.
10. Dyrbye L.N., Eacker A.M., Harper W., Power D.V., Massie F.S., Satele D., Thomas M.R., Sloan J.A., Shanafelt T.D. Distress and empathy do not drive changes in specialty preference among US medical students. Med. Teach. 2012, 34:e116-22.
11. Dyrbye L.N., Thomas M.R., Massie F.S., Power D.V., Eacker A., Harper W., Durning S., Moutier C., Szydlo D.W., Novotny P.J., Sloan J.A., Shanafelt T.D. Burnout and suicidal ideation among U.S. medical students. Ann. Intern. Med. 2008, 149:334-341.
12. Dyrbye L.N., Varkey P., Boone S.L., Satele D.V., Sloan J.A., Shanafelt T.D. Physician satisfaction and burnout at different career stages. Mayo Clin. Proc. 2013, 88:1358-1367.
13. Hamidi S., Rostam R., Farhoodi F., Abdolmanafi A. A study and comparison of Alexithymia among patients with substance use disorder and normal people. Proc. Soc. Behav. Sci. 2010, 5(1367-1368). 1369, 1370.
14. Karnieli-Miller O., Vu T.R., Holtman M.C., Clyman S.G., Inui T.S. Medical students' professionalism narratives: a window on the informal and hidden curriculum. Acad. Med. 2010, 85:124-133.
15. Maslach C., Jackson S.E., Leiter M.P. Maslach Burnout Inventory Manual (3rd) 1996, Consulting Psychologists Press, Inc., Palo Alto, CA.
16. Merlo L.J., Trejo-Lopez J., Conwell T., Rivenbark J. Patterns of substance use initiation among healthcare professionals in recovery. Am. J. Addict. 2013, 22:605-612.
17. Molsted S., Johnsen N.F., Snorgaard O. Trends in leisure time physical activity smoking, body mass index and alcohol consumption in Danish adults with and without diabetes: a repeat cross-sectional national survey covering the years 2000-2010. Diabetes Res. Clin. Pract. 2014, 105:217-222.
18. Moskowitz P.S. Re: beyond substance abuse: stress, burnout, and depression as causes of physician impairment and disruptive behavior. J. Am. Coll. Radiol. 2010, 7:313-314. author reply 314-315.
19. Nash L.M., Daly M.G., Kelly P.J., van Ekert E.H., Walter G., Walton M., Willcock S.M., Tennant C.C. Factors associated with psychiatric morbidity and hazardous alcohol use in Australian doctors. Med. J. Aust. 2010, 193:161-166.
20. Oreskovich M.R., Kaups K.L., Balch C.M., Hanks J.B., Satele D., Sloan J., Meredith C., Buhl A., Dyrbye L.N., Shanafelt T.D. Prevalence of alcohol use disorders among American surgeons. Arch. Surg. 2012, 147:168-174.
21. Oreskovich M.R., Shanafelt T., Dyrbye L.N., Tan L., Sotile W., Satele D., West C.P., Sloan J., Boone S. The prevalence of substance use disorders in American physicians. Am. J. Addict. Epub. 2014.
22. Pedersen A.F., Andersen C.M., Olesen F., Vedsted P. Risk of burnout in Danish GPs and exploration of factors associated with development of burnout: a two-wave panel study. Int. J. Fam. Med. Epub. 2013.
23. Preacher K.J., Hayes A.F. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav. Res. Methods 2008, 40:879-891.
24. Rosta J. Hazardous alcohol use among hospital doctors in Germany. Alcohol Alcohol. 2008, 43:198-203.
25. Saunders J.B., Aasland O.G., Babor T.F., de la Fuente J.R., Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction 1993, 88:791-804.
26. Schaufeli W.B., Taris T.W. The conceptualization and measurement of burnout: common ground and worlds apart. Work Stress 2005, 19:256-262.
27. Shanafelt T.D., Balch C.M., Dyrbye L., Bechamps G., Russell T., Satele D., Rummans T., Swartz K., Novotny P.J., Sloan J., Oreskovich M.R. Special report: suicidal ideation among American surgeons. Arch. Surg. 2011, 146:54-62.
28. Shanafelt T.D., Boone S., Tan L., Dyrbye L.N., Sotile W., Satele D., West C.P., Sloan J., Oreskovich M.R. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch. Intern. Med. 2012, 172:1377-1385.
29. Shapiro J. Perspective: does medical education promote professional alexithymia? A call for attending to the emotions of patients and self in medical training. Acad. Med. 2011, 86:326-332.
30. Shishido H., Gaher R.M., Simons J.S. I don't know how I feel therefore I act: alexithymia, urgency, and alcohol problems. Addict. Behav. 2013, 38:2014-2017.
31. Sifneos P.E. The prevalence of 'alexithymic' characteristics in psychosomatic patients. Psychother. Psychosom. 1973, 22:255-262.
32. Soler J.K., Yaman H., Esteva M., Dobbs F., Asenova R.S., Katic M., Ozvacic Z., Desgranges J.P., Moreau A., Lionis C., Kotanyi P., Carelli F., Nowak P.R., de Aguiar Sa Azeredo Z., Marklund E., Churchill D., Ungan M. European general practice research network burnout study group. Fam. Pract. 2008, 25:245-265.
33. Sorensen J.K., Pedersen A.F., Bruun N.H., Christensen B., Vedsted P. Alcohol and drug use among Danish physicians: a nationwide cross-sectional study in 2014. Dan. Med. J. 2015, 62:A5132.
34. The Danish Medical Association, 2001. [Lægeforeningen i Tal]. URL: (last accessed 10.12.15.). http://www.laeger.dk/portal/page/portal/LAEGERDK/Laegerdk/Om%20L%C3%A6geforeningen/ORGANISATION/LAEGEFORENINGEN_I_TAL.
35. UCLA: Statistical Consulting Group, Accessed May 29 2015. How can I Analyze Multiple Mediators in Stata. URL: (last accessed 10.12.15.). http://www.ats.ucla.edu/stat/stata/faq/mulmediation.htm.
36. Wallace J.E., Lemaire J.B., Ghali W.A. Physician wellness: a missing quality indicator. Lancet 2009, 374:1714-1721.
37. Wurst F.M., Rumpf H.J., Skipper G.E., Allen J.P., Kunz I., Beschoner P., Thon N. Estimating the prevalence of drinking problems among physicians. Gen. Hosp. Psychiatry 2013, 35:561-564.
38. Zweben A. Problem drinking and marital adjustment. J. Stud. Alcohol 1986, 47:167-172.