A three-year cohort study of the relationships between coping, job stress and burnout after a counselling intervention for help-seeking physicians

Ro, Karin E. Isaksson; Tyssen, Reidar; Hoffart, Asle; Sexton, Harold; Aasland, Olaf G.; Gude, Tore
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p213
Academic Journal
Background: Knowledge about important factors in reduction of burnout is needed, but there is a dearth of burnout intervention program studies and their effects among physicians. The present three-year follow-up study aimed to investigate the roles of coping strategies, job stress and personality traits in burnout reduction after a counselling intervention for distressed physicians. Methods: 227 physicians who attended a counselling intervention for burnout at the Resource Centre Villa Sana, Norway in 2003-2005, were followed with self-report assessments at baseline, one-year, and three-year follow-up. Main outcome measures were emotional exhaustion (one dimension of burnout), job stress, coping strategies and neuroticism. Changes in these measures were analyzed with repeated measures ANOVA. Temporal relationships between changes were examined using structural modelling with cross-lagged and synchronous panel models. Results: 184 physicians (81%, 83 men, 101 women) completed the three-year follow-up assessment. Significantly reduced levels of emotional exhaustion, job stress, and emotion-focused coping strategies from baseline to one year after the intervention, were maintained at three-year follow-up. Panel modelling indicated that changes in emotion-focused coping (z = 4.05, p < 0.001) and job stress (z = 3.16, p < 0.01) preceded changes in emotional exhaustion from baseline to three-year follow-up. A similar pattern was found from baseline to one-year follow-up. Conclusion: A sequential relationship indicated that reduction in emotion-focused coping and in job stress preceded reduction in emotional exhaustion. As a consequence, coping strategies and job stress could be important foci in intervention programs that aim to reduce or prevent burnout in help-seeking physicians.


Related Articles

  • Physician, heal thyself. Hope, John G. // Modern Physician;Apr2000, Vol. 4 Issue 4, p88 

    Looks at the transition of physicians who suffered from burnout or job stress, from medical practice to counseling their peers. Background information on the Center for Professional and Personal Renewal; Results of a study on physician burnout; Details on the burnout experiences of some physicians.

  • A Case of Physician Burnout. Zaslove, Marshall // American Family Physician;8/1/2001, Vol. 64 Issue 3, p517 

    Presents suggestions on how medical practitioners can avoid burnout. How to organize one'schedules; How to minimize interruptions into emergencies; How to handle a patient with many complaints.

  • Controlled Burn! Broffman, Gregg // Physician Executive;Jul/Aug2001, Vol. 27 Issue 4, p42 

    Discusses the factors that contribute to job burnout and career stress among physician executives in the United States. Symptoms of burnout; Perfectionism in physician leader; Characteristics that comprise physician compulsiveness; Tips to handle transition.

  • Physicians sometinmes can't just heal themselves. Kranz, Jonathan // Ophthalmology Times;10/01/98, Vol. 23 Issue 19, p22 

    Examines physician experiences with stress and burnout in the United States. Effects to medical group and practice; Characteristics of burnout; Causes of burnout; Obstacles to overcoming burnout.

  • Burnout burden high among US physicians. Costa, Samantha // Cardiology Today;Oct2012, Vol. 15 Issue 10, p43 

    The article focuses on a survey which revealed that burnout appears to be more common among physicians than among other adults working in the U.S., with nearly half of those who participated in a national survey reporting at least one symptom of burnout.

  • Introduction. Smoller, Bruce M. // Maryland Medicine;2016, Vol. 17 Issue 3, p11 

    An introduction is presented in which the editor discusses various reports within the issue on topics including physician burnout, the problems in medical practice, and the academic approach to stress.

  • Physician Coping Styles and Emotional Exhaustion. Wallace, Jean E.; Lemaire, Jane // Relations Industrielles / Industrial Relations;Spring2013, Vol. 68 Issue 2, p187 

    This paper examines how different coping styles that physicians use relate to emotional exhaustion, the key defining dimension of burnout. Specifically, we examine the extent to which they use active problem solving techniques, seek support, disengage from the situation or use denial as a coping...

  • Tests May Predict MD Burnout.  // Review of Ophthalmology;Sep2004, Vol. 11 Issue 9, p10 

    Details the findings of a British study that approaches to work of doctors are predicted by earlier measures of study habits and learning styles. Assessment that doctors' perceptions of their work environment and their feelings of stress and burnout are predicted mainly by personality;...

  • PHYSICIAN WELLNESS: CHANGING THE CULTURE. Kirk, Katy; Brown, Steven R. // Annals of Family Medicine;Nov/Dec2016, Vol. 14 Issue 6, p586 

    The article discusses the views of the medical organization Association of Family Medicine Residency Directors on physician suicide risk in the U.S. Topics mentioned include the endemic case of depression and burnout in physicians, the impact of such burnout on the quality of care and patient...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics