Cited by 376Healthcare professionals’ stress and burnoutStress and Burnout ResearchOccupational Health and Burnout

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The causal links between stress and burnout in a longitudinal study of UK doctors

McManus, IC, Winder, BC, Gordon, D·2002·The Lancet

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Abstract

Burnout and stress are common, linked problems in health-care workers. We aimed to clarify their causal associations. We assessed stress and the three components of burnout (emotional exhaustion, depersonalisation, and low personal accomplishment) using structural equation modelling in a 3-year longitudinal study of a representative sample of 331 UK doctors. Emotional exhaustion and stress showed reciprocal causation: high levels of emotional exhaustion caused stress (beta=0 189), and high levels of stress caused emotional exhaustion (beta=0 175). High levels of personal accomplishment increased stress levels (beta=0 080), whereas depersonalisation lowered stress levels (beta=-0 105).

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Authors: McManus, I., Winder, B., & Gordon, D.
Affiliations: University College London (GB)
The Royal Free Hospital (GB)
Corresponding author: McManus, IC
ORCID: McManus, IC
Venue: The Lancet
Publisher: Elsevier BV
Published: 2002-06
Volume: 359
Issue: 9323
Pages: 2089-2090
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(02)08915-8
OpenAlex: W2020710864
Cited by: 376
References: 6
Citations by year: 2026: 8 · 2025: 7 · 2024: 13 · 2023: 23 · 2022: 26 · 2021: 31 · 2020: 27 · 2019: 23 · 2018: 20 · 2017: 25 · 2016: 11 · 2015: 17 · 2014: 21 · 2013: 11 · 2012: 16
FWCI: 21.11
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet (publishedVersion)
PubMed (publishedVersion)
UCL Discovery (University College London) (submittedVersion)
Nottingham Trent University's Institutional Repository (Nottingham Trent Repository) (submittedVersion)
DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Funders: Canadian Institutes of Health Research
Topics: Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
Keywords: burnout, occupational stress, physicians, emotional exhaustion, depersonalization, personal accomplishment, reciprocal causation, healthcare workers, physician well-being
MeSH terms: Adult, Attitude of Health Personnel, Burnout, Professional, Family Practice, Female, United Kingdom, Humans, Longitudinal Studies, Male, Middle Aged, Surveys and Questionnaires, Incidence

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The causal links between stress and burnout in a longitudinal study of UK doctors

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