原创力文档a three-year cohort study of the relationships between coping, job stress and burnout after a counselling intervention for help-seeking physicians一项为期三年的队列研究的处理之间的关系,工作压力和倦怠心理咨询干预后求助医生.pdfVIP
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a three-year cohort study of the relationships between coping, job stress and burnout after a counselling intervention for help-seeking physicians一项为期三年的队列研究的处理之间的关系,工作压力和倦怠心理咨询干预后求助医生
Isaksson Ro et al. BMC Public Health 2010, 10:213
/1471-2458/10/213
R E S E A R C H A R T I C L E Open Access
Research article
A three-year cohort study of the relationships
between coping, job stress and burnout after a
counselling intervention for help-seeking
physicians
1,2 2 1,3 1 4,5 1,2
Karin E Isaksson Ro* , Reidar Tyssen , Asle Hoffart , Harold Sexton , Olaf G Aasland and Tore Gude
Abstract
Background: Knowledge about important factors in reduction of burnout is needed, but there is a dearth of burnout
intervention program studies and their effects among physicians. The present three-year follow-up study aimed to
investigate the roles of coping strategies, job stress and personality traits in burnout reduction after a counselling
intervention for distressed physicians.
Methods: 227 physicians who attended a counselling intervention for burnout at the Resource Centre Villa Sana,
Norway in 2003-2005, were followed with self-report assessments at baseline, one-year, and three-year follow-up. Main
outcome measures were emotional exhaustion (one dimension of burnout), job stress, coping strategies and
neuroticism. Changes in these measures were analyzed with repeated measures ANOVA. Temporal relationships
between changes were examined using structural modelling with cross-lagged and synchronous panel models.
Results: 184 physicians (81%, 83 men, 101 women) completed the three-year follow-up assessment. Significantly
reduced levels of emotional exhaustion, job stress, and emotion-focused coping strategies from baseline to one year
after the intervention, were maintained at three-year follow-up.
Panel modelling indicated that changes in emotion-focused coping (z = 4.05, p 0.001) and job st
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