Stress and coping in accident and emergency senior house officers
Open accessAbstract
OBJECTIVES: To identify levels of psychological distress in accident and emergency (A&E) senior house officers (SHOs). METHODS: Questionnaire survey given to SHOs at training sessions. MEASURES: General Health Questionnaire (GHQ) and the Brief COPE. RESULTS: Over half of the 37 respondents (51%; 95% CI: 36% to 67%) scored over the threshold for psychological distress on the GHQ. This is considerably higher than for other groups of doctors and for other professional groups. Correlational analysis revealed that the coping style Venting was significantly related to greater anxiety (r=0.34; p<0.05) and depression (r=0.33; p<0.05), while the coping style Active was significantly related to lower anxiety (r=-0.38; p<0.05), somatic complaints (r=-0.46; p<0.001) and years since qualification (r=0.40; p<0.05). CONCLUSIONS: Replicating findings from a study of stress in A&E consultants, this study shows higher levels of overt psychological distress among A&E SHOs than among other groups of doctors. An intervention to improve coping strategies may be useful for this group of doctors.
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- Authors
- McPherson, S.
- Affiliations
- The Tavistock and Portman NHS Foundation Trust (GB)
- Corresponding author
- McPherson, S
- ORCID
- McPherson, S
- Venue
- Emergency Medicine Journal
- Publisher
- BMJ
- Published
- 2003-05-01
- Volume
- 20
- Issue
- 3
- Pages
- 230-231
- ISSN
- 1351-0622 (ISSN-L)
- 1472-0205
- 1472-0213
- PMC
- PMC1726097
- OpenAlex
- W2163892823
- Cited by
- 49
- References
- 11
- Citations by year
- 2026: 2 · 2024: 3 · 2022: 5 · 2021: 5 · 2020: 3 · 2019: 1 · 2017: 2 · 2016: 1 · 2015: 5 · 2014: 2 · 2013: 3 · 2012: 1
- FWCI
- 4.28
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Emergency Medicine Journal (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Essex
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- psychological distress, occupational stress, coping strategies, senior house officers, anxiety, depression, venting, active coping, somatic symptoms, General Health Questionnaire, Brief COPE
- MeSH terms
- Adaptation, Psychological, Adult, Emergency Service, Hospital, Female, Health Surveys, Humans, London, Male, Medical Staff, Hospital, Occupational Diseases, Psychiatric Status Rating Scales, Psychometrics, Stress, Psychological
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