Elsevier

The Lancet

Volume 366, Issue 9487, 27 August–2 September 2005, Pages 742-744
The Lancet

Research Letters
Changes in mental health of UK hospital consultants since the mid-1990s

https://doi.org/10.1016/S0140-6736(05)67178-4Get rights and content

Summary

We assessed changes in the mental health of UK hospital consultants from five specialties, on the basis of surveys done in 1994 (880 participants) and 2002 (1308 participants). The proportion of consultants with psychiatric morbidity rose from 27% (235) in 1994 to 32% (414) in 2002. The prevalence of emotional exhaustion increased from 32% (284) in 1994 to 41% (526) in 2002. Multivariate analyses showed that increased job stress without a comparable increase in job satisfaction accounted for the decline in mental health, which was especially marked in clinical and surgical oncologists. Action is needed to improve the working lives of consultants.

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    Common contributing factors to these conditions include increased administrative workload, higher patient volumes, reduced work-life balance, and loss of autonomy [1,3-5]. While many of the contributing factors are similar, it is important to recognize that job satisfaction and burnout are distinct concepts [6-8]. Physicians may experience significant stress and/or burnout but retain high levels of job satisfaction [9-11].

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