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J R Soc Med. 1992 October; 85(10): 605–608.
PMCID: PMC1293686

Emotional distress in doctors: sources, effects and help sought.


All doctors in a London Teaching Hospital were sent a self-administered, anonymous questionnaire, to study past episodes of emotional distress. We inquired about frequency of past and current emotional distress, sources of distress, effects on work and home life, type of help sought and perceived outcome of that help. Of 320 doctors, 210 (66%) responded. One hundred and forty-one (68%) reported previous episodes of moderate or severe emotional distress. Logistic regression revealed that distress was significantly more common in younger doctors and in women. Many respondents reported work problems as causing their distress and work was frequently adversely affected by episodes of distress. Professional help was rarely sought; non-professional help was from family and friends. Current emotional distress was related to a history of past distress, especially among the most junior doctors. We conclude that past emotional distress is reported by most doctors, with work pressures an important contributing factor. Doctors do not appear to use available sources of professional help. Our findings confirm that doctors have difficulty disclosing psychological problems. Specific programmes aimed at prevention and management of distress in doctors need to be initiated and evaluated.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Rawnsley K. Sick doctors. J R Soc Med. 1986 Aug;79(8):440–441. [PMC free article] [PubMed]
  • Mayou R. Burnout. Br Med J (Clin Res Ed) 1987 Aug 1;295(6593):284–285. [PMC free article] [PubMed]
  • Lask B. Forget the stiff upper lip. Br Med J (Clin Res Ed) 1987 Dec 19;295(6613):1584–1585. [PMC free article] [PubMed]
  • Pilowski L, O'Sullivan G. Mental illness in doctors. BMJ. 1989 Feb 4;298(6669):269–270. [PMC free article] [PubMed]
  • Rose KD, Rosow I. Physicians who kill themselves. Arch Gen Psychiatry. 1973 Dec;29(6):800–805. [PubMed]
  • Rucinski J, Cybulska E. Mentally ill doctors. Br J Hosp Med. 1985 Feb;33(2):90–94. [PubMed]
  • Firth-Cozens J. Emotional distress in junior house officers. Br Med J (Clin Res Ed) 1987 Aug 29;295(6597):533–536. [PMC free article] [PubMed]
  • Firth-Cozens J. Source of stress in women junior house officers. BMJ. 1990 Jul 14;301(6743):89–91. [PMC free article] [PubMed]
  • Orton DI, Gruzelier JH. Adverse changes in mood and cognitive performance of house officers after night duty. BMJ. 1989 Jan 7;298(6665):21–23. [PMC free article] [PubMed]
  • Bromet EJ, Parkinson DK, Curtis EC, Schulberg HC, Blane H, Dunn LO, Phelan J, Dew MA, Schwartz JE. Epidemiology of depression and alcohol abuse/dependence in a managerial and professional work force. J Occup Med. 1990 Oct;32(10):989–995. [PubMed]
  • Corney RH. A survey of professional help sought by patients for psychosocial problems. Br J Gen Pract. 1990 Sep;40(338):365–368. [PMC free article] [PubMed]

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