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. 2008 Nov 11:337:a2004.
doi: 10.1136/bmj.a2004.

Counselling for burnout in Norwegian doctors: one year cohort study

Karin E Isaksson Rø  1 , Tore Gude, Reidar Tyssen, Olaf G Aasland
Affiliations

Counselling for burnout in Norwegian doctors: one year cohort study

Karin E Isaksson Rø et al. BMJ. .

Abstract

Objective: To investigate levels and predictors of change in dimensions of burnout after an intervention for stressed doctors.

Design: Cohort study followed by self reported assessment at one year.

Setting: Norwegian resource centre.

Participants: 227 doctors participating in counselling intervention, 2003-5.

Interventions: Counselling (lasting one day (individual) or one week (group based)) aimed at motivating reflection on and acknowledgement of the doctors' situation and personal needs.

Main outcome measures: Levels of burnout (Maslach burnout inventory) and predictors of reduction in emotional exhaustion investigated by linear regression.

Results: 185 doctors (81%, 88 men, 97 women) completed one year follow-up. The mean level of emotional exhaustion (scale 1-5) was significantly reduced from 3.00 (SD 0.94) to 2.53 (SD 0.76) (t=6.76, P<0.001), similar to the level found in a representative sample of 390 Norwegian doctors. Participants had reduced their working hours by 1.6 hours/week (SD 11.4). There was a considerable reduction in the proportion of doctors on full time sick leave, from 35% (63/182) at baseline to 6% (10/182) at follow-up and a parallel increase in the proportion who had undergone psychotherapy, from 20% (36/182) to 53% (97/182). In the whole cohort, reduction in emotional exhaustion was independently associated with reduced number of work hours/week (beta=0.17, P=0.03), adjusted for sex, age, and personality dimensions. Among men "satisfaction with the intervention" (beta=0.25, P=0.04) independently predicted reduction in emotional exhaustion.

Conclusions: A short term counselling intervention could contribute to reduction in emotional exhaustion in doctors. This was associated with reduced working hours for the whole cohort and, in men, was predicted by satisfaction with the intervention.

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Conflict of interest statement

Competing interests: KEIR has been employed at the resource centre, Villa Sana, and was reimbursed for a presentation of preliminary results at an internal meeting at the Norwegian Medical Association.

Figures

None
Participation in study at baseline and at follow-up
See this image and copyright information in PMC

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