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 stress (z = 3.16, p < 0.01) preceded changes in emotional exhaustion from baseline to three-year follow-up. A similar pattern was found from baseline to one-year follow-up. CONCLUSION:A sequential relationship indicated that reduction in emotion-focused coping and in job stress preceded reduction in emotional exhaustion. As a consequence, coping strategies and job stress could be important foci in intervention programs that aim to reduce or prevent burnout in help-seeking physicians.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Isaksson Ro KE,Tyssen R,Hoffart A,Sexton H,Aasland OG,Gude Tdoi
10.1186/1471-2458-10-213subject
Has Abstractpub_date
2010-04-27 00:00:00pages
213issn
1471-2458pii
1471-2458-10-213journal_volume
10pub_type
杂志文章abstract::Malaria remains a serious clinical and public health problem, the object of an ongoing technological and humanitarian struggle to abate the very substantial harm done. The manner by which humanity approached malaria control changed abruptly and profoundly after 1945 with the advent of the insecticide DDT. Malariologis...
journal_title:BMC public health
pub_type: 历史文章,杂志文章
doi:10.1186/s12889-017-4454-x
更新日期:2017-06-21 00:00:00
abstract:BACKGROUND:Physical activity plays a critical role in health, including for effective weight maintenance, but adherence to guidelines is often poor. Similarly, although debate continues over whether a "best" diet exists for weight control, meta-analyses suggest little difference in outcomes between diets differing mark...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-015-2205-4
更新日期:2015-09-04 00:00:00
abstract:BACKGROUND:The TB operational guideline (the deskguide) is a detailed action guide for county TB doctors aiming to improve the quality of DOTS, while the China national TB policy guide is a guide to TB control that is comprehensive but lacks operational usability for frontline TB doctors. This study reports the process...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-260
更新日期:2008-07-29 00:00:00
abstract:BACKGROUND:Early childhood educators play a prominent role in promoting healthy activity behaviours in childcare. However, they have expressed that they lack the appropriate pre-service training to confidently lead physical activity (PA), and minimize sedentary behaviour (SB), in childcare. As such, the purpose of this...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09670-w
更新日期:2020-10-23 00:00:00
abstract:BACKGROUND:Taxes on alcohol and tobacco have long been an important means of raising revenues for public spending in many countries but there is increasing interest in using taxes on these, and other unhealthy products, to achieve public health goals. We present a systematic review of the research on health taxes, and ...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-017-4497-z
更新日期:2017-06-19 00:00:00
abstract:BACKGROUND:Health is a result of influences operating at multiple levels. For example, inadequate housing, poor educational attainment, and reduced access to health care are clustered together, and are all associated with reduced health. Policies which try to change individual people's behaviour have limited effect whe...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-150
更新日期:2010-03-23 00:00:00
abstract:BACKGROUND:Telephone hotlines designed to address common concerns in the early postpartum could be a useful resource for parents. Our aim was to test the feasibility of using a telephone as an intervention in a randomized controlled trial. We also aimed to test to use of algorithms to address parental concerns through ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-10-611
更新日期:2010-10-15 00:00:00
abstract:BACKGROUND:Having been overwhelmed by the complexity of the response needed for the severe acute respiratory syndrome (SARS) epidemic, public health professionals in the small island state of Barbados put various measures in place to improve its response in the event of a pandemic METHODS:Data for this study was colle...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-S1-S10
更新日期:2010-12-03 00:00:00
abstract:BACKGROUND:Pesticide poisoning is an important health problem among Chinese farm workers, but there is a paucity of pesticide poisoning data from China. Using the WHO standard case definition of a possible acute pesticide poisoning, we investigated the prevalence and risk factors of acute work-related pesticide poisoni...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-429
更新日期:2011-06-03 00:00:00
abstract:BACKGROUND:The increase in adiposity problems among United States adolescents has been accompanied by persistently high prevalence of unhealthy dieting behaviours (UDBs) such as fasting, taking diet pills/powders/liquids, and vomiting/taking laxatives. This study aimed to examine the associations of self-perceptions of...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5348-2
更新日期:2018-04-17 00:00:00
abstract:BACKGROUND:Gestational age (GA) is a key determinant of newborn survival and long-term impairment. Accurate estimation of GA facilitates timely provision of essential interventions to improve maternal and newborn outcomes. Menstrual based dating, ultrasound based dating, and neonatal estimates are the primarily used me...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-018-6258-z
更新日期:2018-12-10 00:00:00
abstract:BACKGROUND:Despite the importance of adequate, un-crowded housing as a prerequisite for good health, few large cohort studies have explored the health effects of housing conditions. The Social Housing Outcomes Worth (SHOW) Study was established to assess the relationship between housing conditions and health, particula...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-2730-9
更新日期:2016-02-16 00:00:00
abstract:BACKGROUND:The 2003 heat wave had a high impact on mortality in Europe, which made necessary to develop heat health watch warning systems. In Spain this was carried-out by the Ministry of Health in 2004, being based on exceeding of city-specific simultaneous thresholds of minimum and maximum daily temperatures. The aim...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-133
更新日期:2012-02-17 00:00:00
abstract:BACKGROUND:Common enteric pathogens that cause gastrointestinal illness are transmitted to humans through food, water or direct contact. This poses a significant concern to public health as enteric pathogens can cause disease in a large number of people, and cost a substantial amount to treat and prevent. In order to g...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-405
更新日期:2014-04-27 00:00:00
abstract:BACKGROUND:Achieving universal coverage as an objective needs to confront the reality of multiple mechanisms, with healthcare financing and provision occurring in both public and private settings. South Africa has both large and mature public and private health systems offering useful insights into how they can be effe...
journal_title:BMC public health
pub_type:
doi:10.1186/1471-2458-12-S1-S5
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:The presence of homelessness in Malaysia is not a new issue. The existence of homeless population is growing, along with the development of this country. With the increasing number of homelessness, the range of issues, such as health services financier among them, has surfaced. However, there was limited stu...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6871-5
更新日期:2019-06-13 00:00:00
abstract:BACKGROUND:Previous studies have focused on the relationship between employment pathways and health-related outcomes based on cross-sectional or longitudinal approaches. However, little is known about the cumulative effects of employment status mobility on sickness absence (SA) over time. The aim of the present study w...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09396-9
更新日期:2020-08-27 00:00:00
abstract:BACKGROUND:Children's activity level, including physical activity (PA) and screen sedentary time (SST), is influenced by environmental factors in which parents play a critical role. Different types of parenting styles may influence children's activity level. Inconsistent results were found on the association between pa...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4784-8
更新日期:2017-09-29 00:00:00
abstract:BACKGROUND:Childhood obesity is not only associated with adult obesity but also with increased risk of adult onset of type 2 diabetes and subsequent coronary heart disease. The potential effects of school-based health intervention programmes on cardiovascular risk and surrogate markers are unclear, as only few studies ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-11-258
更新日期:2011-04-22 00:00:00
abstract:BACKGROUND:Data on outbreaks of infectious gastroenteritis in care homes have been collected using an internet-based surveillance system in North West England since 2012. We analysed the burden and characteristics of care home outbreaks to inform future public health decision-making. METHODS:We described characteristi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5413-x
更新日期:2018-04-12 00:00:00
abstract:BACKGROUND:Universal child health services (UCHS) provide an important pragmatic platform for the delivery of universal and targeted interventions to support families and optimize child health outcomes. We aimed to identify brief, evidence-based interventions for common health and developmental problems that could be p...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-020-09104-7
更新日期:2020-06-24 00:00:00
abstract:BACKGROUND:People 65 years or older are at greater risk of serious complications from the seasonal influenza compared with young. To promote elderly people's behavioral compliance toward influenza prevention, the aim of the current project is to develop, implement, and evaluate a theory-based low-administration-cost in...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-018-6146-6
更新日期:2018-11-06 00:00:00
abstract:BACKGROUND:The optimal dietary pattern for reducing the extent of metabolic syndrome (MetS) has not been well established yet. The aim of this study was to evaluate dietary patterns and adherence to WHO healthy diet in children and adolescents and their associations with MetS. METHODS:Subjects of this cohort study wer...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7779-9
更新日期:2019-11-06 00:00:00
abstract:BACKGROUND:The present study used insurance claims data to investigate infections associated with short-term water outage because of constructions or pipe breaks. METHODS:The present study used medical claims of one million insured persons for 2004-2006. We estimated incidences of gastroenteritis and eye and skin comp...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-726
更新日期:2011-09-25 00:00:00
abstract:BACKGROUND:Although physical activity (PA) integrated in schools' classrooms have shown a positive effect on children's behaviors, its effectiveness on cognitive functions, PA levels and other health variables remains unclear. This article outlines the rationale and methods of two classroom-based PA interventions (MOVI...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-019-6742-0
更新日期:2019-04-18 00:00:00
abstract:BACKGROUND:The Moti-4 intervention was developed to prevent addiction and other health problems among vulnerable adolescent cannabis users. The aims of Moti-4 are to reduce the use of cannabis among adolescents and to encourage their motivation to change their behavior. METHODS:Intervention Mapping, a systematic appro...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1826-y
更新日期:2015-05-21 00:00:00
abstract:BACKGROUND:The increased incidence of impaired glucose tolerance (IGT), are serious public health issues, and several studies link sleeping disorders with increased risk of developing type 2 diabetes, impaired glucose tolerance and insulin resistance (IR). This study explore how self-reported lack of sleep and low vita...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-700
更新日期:2013-07-31 00:00:00
abstract:BACKGROUND:Non-communicable diseases (NCDs) are now the leading causes of mortality in Mongolia, and diabetes, in particular, is a growing public health threat. Mongolia is a nation undergoing rapid and widespread epidemiological transition and urbanisation: a process that is expected to continue in coming decades and ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-236
更新日期:2013-03-18 00:00:00
abstract:BACKGROUND:Many children are reported to have insufficient physical activity (PA) placing them at greater risk of poor health outcomes. Participating in sedentary activities such as playing electronic games is widely believed to contribute to less PA. However there is no experimental evidence that playing electronic ga...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-9-212
更新日期:2009-06-29 00:00:00
abstract:BACKGROUND:In Canada, road traffic injuries are the leading cause of death among children and youth ≤19. Across the country, there is variability in road traffic injury prevention policies and legislation. Our objective was to compare pediatric road traffic related injury hospitalization and death rates across Canadian...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6269-9
更新日期:2018-12-06 00:00:00