Abstract
AimsTo assess the degree of psychological morbidity and burnout in 138 psychiatrists in three Manchester teaching hospitals.ResultsThe results for senior house officers (SHOs), registrars, senior registrars and consultants were compared. The overall response rate was 76.8%. There was no significant difference in psychological morbidity between the three training grades, but SHOs and registrars reported significantly higher levels of burnout than either senior registrars or consultants. Dealing with violent patients was stressful for all psychiatrists, no matter what the grade.Clinical implicationsFactors related to job stress in psychiatry need to be addressed. In particular, the provision of safer working environments needs to be considered for psychiatrists at all levels of training.
Highlights
The aim of this study was to compare: the degree of psychological distress, the degree of burnout and the kind of Stressors reported by psychiatrists at different stages of training in three hospitals in the Manchester area
Maslach Burnout Inventory (Maslach & Jackson. 1981) This 22-item self-report questionnaire is a well recognised and widely used measure of burnout in relation to occupational stress. It has three sub-scales: personal accomplishment which is mea sured by eight items; depersonalisation which is measured by nine items; and emotional energy measured by fiveitems
It is clear that junior psychiatrists reported much higher levels of psychological distress and job-related stress than consultants, and more juniors appeared to experience symptoms of burnout than consultants
Summary
Two consecutive groups of relatives (n=9; n=ll) attended the programme. Comparison of knowledge and confidence ratings before and after the education sessions demonstrated significant levels of change at the final session for both groups. Clinical implications Education for relatives of people experiencing psychosis for the first time is an Important component In community management Such educa tion improves the knowledge and confidence of relatives in coping with the illness, possibly leading to a more accepting and less stressful family environment, reducing the risk of relapse and promoting the psychological health of the patient. The FPLU, a community-based initiative, became operational in late August 1995 and aims to facilitate the provision of personalised comprehensive care for young people (aged 16 to 35 years) experiencing a first episode of psycho sis. This is achieved by fostering effective links between relevant health, welfare, employment and education-related agencies. In addition the programme allows the participants to meet other families who are facing the same
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