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Physician stress: is it inevitable?

M C Orman

    Missouri Medicine
    |January 1, 1989
    PubMed
    Summary

    Physician stress is often caused by internal factors like attitudes and beliefs, not just external demands. Modifying these personal tendencies can significantly reduce stress without changing job conditions.

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    Area of Science:

    • Psychology
    • Occupational Health
    • Behavioral Medicine

    Background:

    • Historically, physician stress research focused on external demands.
    • Recent research highlights the significant role of individual psychosocial factors.

    Purpose of the Study:

    • To explore the impact of individual cognitive and behavioral tendencies on physician stress.
    • To investigate the efficacy of modifying internal factors for stress reduction.

    Main Methods:

    • Review of psychosocial and behavioral research on stress.
    • Analysis of clinical experience with physicians experiencing stress.
    • Reference to a 1983 study on family physicians and locus of control.

    Main Results:

    • Physicians with high stress often perceive external factors as the cause (external locus of control).
    • Identifying and modifying personal cognitive/behavioral tendencies leads to stress reduction.
    • Traditional stress-reduction techniques may be counterproductive for some physicians.

    Conclusions:

    • Individual attitudes, beliefs, and coping strategies are key determinants of physician stress.
    • Internal factors contributing to stress are modifiable, offering a path to significant relief.
    • Focusing on internal locus of control can be more effective than solely addressing external stressors.

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