What prevents doctors from seeking help for stress and burnout? A mixed-methods investigation among metropolitan and regional-based australian doctors

被引:62
作者
Clough, Bonnie A. [1 ,2 ]
March, Sonja [1 ]
Leane, Sheena [1 ]
Ireland, Michael J. [1 ]
机构
[1] Univ Southern Queensland, Sch Psychol & Counselling, Inst Resilient Reg, Springfield Cent, Australia
[2] Griffith Univ, Menzies Hlth Inst Queensland, Sch Appl Psychol, Gold Coast, Australia
关键词
barriers; barriers to care; burnout; doctor; help-seeking; mental health; physician; regional; stress; PATIENT-CARE; BARRIERS; SATISFACTION; PHYSICIANS; DISTRESS; FEMALE; RISK;
D O I
10.1002/jclp.22707
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
ObjectiveDespite the increased risk of experiencing mental health concerns, particularly related to stress and burnout, psychological help-seeking among medical doctors is typically low. This study examined the barriers to treatment experienced by doctors for stress and burnout-related difficulties. MethodsA mixed-methods design was adopted. The quantitative sample comprised 274 Australian-based medical doctors. Qualitative interviews were conducted with a subsample of 20 (11 regional and 9 metropolitans) doctors. For triangulation, five stakeholder interviews were also conducted with representatives of the profession. ResultsTime was the greatest barrier to treatment. Qualitatively, doctors identified barriers such as stigma and fear of professional consequences, and particularly among regional doctors, access to services and professional culture. ConclusionsThere is a need for tailored strategies to address barriers to psychological treatment among doctorsforimprovingservice access and mental health.
引用
收藏
页码:418 / 432
页数:15
相关论文
共 25 条
[1]  
[Anonymous], 2010, The mental health of doctors : a systematic literature review
[2]  
[Anonymous], 2003, CMA GUID PHYS HLTH W
[3]  
Braun V., 2006, QUAL RES PSYCHOL, V3, P77, DOI [DOI 10.1191/1478088706QP063OA, 10.1191/1478088706qp063oa]
[4]   Factors affecting female or male consultant stress in an Australian teaching hospital [J].
Bruce, CT ;
Sanger, MM ;
Thomas, PS ;
Petkus, JR ;
Yates, DH .
MEDICAL JOURNAL OF AUSTRALIA, 2003, 179 (03) :174-175
[5]  
CLODE D., 2004, The conspiracy of silence: emotional health amoung medical practitioners
[6]  
Clough B. A., 2018, DOCTOR STRESS UNPUB
[7]   Development of the SOSS-D: a scale to measure stigma of occupational stress and burnout in medical doctors [J].
Clough, Bonnie A. ;
Ireland, Michael J. ;
March, Sonja .
JOURNAL OF MENTAL HEALTH, 2019, 28 (01) :26-33
[8]   Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review [J].
Clough, Bonnie A. ;
March, Sonja ;
Chan, Raymond J. ;
Casey, Leanne M. ;
Phillips, Rachel ;
Ireland, Michael J. .
SYSTEMATIC REVIEWS, 2017, 6
[9]   Understanding doctors' attitudes towards self-disclosure of mental ill health [J].
Cohen, D. ;
Winstanley, S. J. ;
Greene, G. .
OCCUPATIONAL MEDICINE-OXFORD, 2016, 66 (05) :383-389
[10]   The prevalence of burnout among oncology professionals: oncologists are at risk of developing burnout [J].
Eelen, S. ;
Bauwens, S. ;
Baillon, C. ;
Distelmans, W. ;
Jacobs, E. ;
Verzelen, A. .
PSYCHO-ONCOLOGY, 2014, 23 (12) :1415-1422