Psychological distress among GPs--who is at risk and how best to reach them?

To identify key characteristics of psychologically distressed general practitioners and whether these GPs volunteered for a "GP health" educational program.

Eight Australian divisions of general practice responding to an invitation to participate in the research in 1999, representing 1356 GPs.

The General Health Questionnaire (GHQ-12), together with demographic and practice questions.

Observational study of GPs invited to participate in a voluntary education program on GP health offered through each division of general practice.

819/1356 GPs responded to the baseline questionnaire (60%). Of these, 233/819 (28%) scored above the GHQ-12 threshold indicating psychological distress. Ninety GPs enrolled in the program, data were available for 69 GPs.

General practitioners who were identified as being psychologically distressed were over-represented in the 35-49 years age group (p=0.02) and were more likely to be the practice principal (p=0.04). Over 62% of enrolled GPs had scores that indicated none to mild distress. Of those GPs who were distressed, 42% were from the identified at risk age group, and 44% were practice principals.

Alternative targeted interventions may be needed to reach GPs with high levels of psychological distress.