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. 2002 Jun 15;359(9323):2089-90.
doi: 10.1016/s0140-6736(02)08915-8.

The causal links between stress and burnout in a longitudinal study of UK doctors

I C McManus  1 , B C Winder, D Gordon
Affiliations

The causal links between stress and burnout in a longitudinal study of UK doctors

I C McManus et al. Lancet. .

Abstract

Burnout and stress are common, linked problems in health-care workers. We aimed to clarify their causal associations. We assessed stress and the three components of burnout (emotional exhaustion, depersonalisation, and low personal accomplishment) using structural equation modelling in a 3-year longitudinal study of a representative sample of 331 UK doctors. Emotional exhaustion and stress showed reciprocal causation: high levels of emotional exhaustion caused stress (beta=0 189), and high levels of stress caused emotional exhaustion (beta=0 175). High levels of personal accomplishment increased stress levels (beta=0 080), whereas depersonalisation lowered stress levels (beta=-0 105).

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  • Stress and burnout in doctors.
    Graham J, Potts HW, Ramirez AJ. Graham J, et al. Lancet. 2002 Dec 14;360(9349):1975-6; author reply 1976. doi: 10.1016/s0140-6736(02)11871-x. Lancet. 2002. PMID: 12493290 No abstract available.

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