Wolfgang Lederer, Anesthesia and Critical Care Innsbruck Medical Univeristy, Johann F. Kinzl
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Re: Stress and sickness
wolfgang.lederer{at}i-med.ac.at Wolfgang Lederer, et al.
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Coomber and colleagues (2002) investigated stress in UK intensive
care unit physicians and found that dissatisfaction with career correlated
highly with distress and depression. (1) Mental health problems were
predicted by five stressors: “lack of recognition of one’s own
contribution by others”, “too much responsibility at times”, “effect of
stress on personal/family life”, “keeping up to date with knowledge” and
“making the right decision alone”. Sources of chronic stress include
competence factors, long working hours, demands of night call, workload,
and economic uncertainty. (2) Somatic symptoms correlate significantly
with satisfaction with amount of time spent working, mental health, work
satisfaction, workload, healthy lifestyle, coping abilities and support-in-stress. (3) Poor teamwork seems to contribute to the sickness
absenteeism of hospital physicians even more than traditional
psychosocial risks such as overload and low job control. (4)
References
1. Coomber S, Todd C, Park G, Baxter P, Firth-Cozens J, Shore S: Stress in
UK intensive care doctors. Br. J Anaesth. 2002;89(6):873-81.
2. Kluger MT, Townend K, Laidlaw T: Job satisfaction, stress and burnout
in Australian specialist anaesthetists. Anaesthesia. 2003;58:339-45.
3. Bergman B, Ahmad F, Stewart DE: Physician health, stress and gender at
a university hospital. J. Psychosom Res. 2003;54(2):171-8.
4. Kivimäki M, Sutinen R, Elovainio M, Vahtera J, Räsänen K, Töyry S,
Ferrie JE, Firth-Cozens J. Sickness absence in hospital physicians: 2 year
follow up study on determinants. Occup Environ Med. 2001;58(6):361-6. |