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    Does occupational distress raise the risk of alcohol use, binge-eating, ill health and sleep problems among medical doctors? A UK cross-sectional study

    Medisauskaite, Asta and Kamau, Caroline (2019) Does occupational distress raise the risk of alcohol use, binge-eating, ill health and sleep problems among medical doctors? A UK cross-sectional study. BMJ Open 9 (5), e027362. ISSN 2044-6055.

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    Abstract

    Objectives This study aims to assess the prevalence of health problems (eg, insomnia, binge-eating, substance use and ill health) among UK doctors and to investigate whether occupational distress increases the risk of health problems. Design This study reports the analysis of data collected at the baseline stage of a randomised controlled trial (protocol #NCT02838290). Setting Doctors were invited through medical Royal Colleges, the British Medical Association’s research panel and a random selection of NHS trusts across various UK regions. Participants 417 UK doctors with an equivalent split of gender (48% males) and seniority (49% consultants). Main outcomes and measures Outcomes were sleep problems (eg, insomnia), alcohol/drug use (eg, bingedrinking), ill health (eg, backache) and binge-eating (eg, uncontrollable eating). Predictor variables were occupational distress (psychiatric morbidity, burnout, job effort, work-life imbalance, coping with stress through self-blame or substances) and work factors (workplace and years practising medicine). Results 44% of doctors binge-drank and 5% met the criteria for alcohol dependence; 24%–29% experienced negative emotions after overeating and 8% had a bingeeating disorder; 20%–61% had some type of sleep problem and 12% had severe/moderate insomnia; 69% had fatigue and 19%–29% experienced other types of ill health problems. The results show that occupational distress and job factors increase the odds of doctors using substances, having sleep problems, presenting with frequent symptoms of ill health and binge-eating. For example, burnout increased the risk of all types of sleep problems, eg, difficulty falling/staying asleep, insomnia (OR ≥1.344; p≤0.036). Even taking into consideration whether or not a doctor works in a hospital, the risk of health problems still rises when doctors have signs of occupational distress. Conclusion Early recognition of occupational distress can prevent health problems among UK doctors that can reduce the quality of patient care because of sicknessrelated absence.

    Metadata

    Item Type: Article
    Keyword(s) / Subject(s): Alcohol, Alcohol dependence, Binge-eating, Burnout, Coping, Distress, Doctors, Doctors' health, Emotional exhaustion, Health, Hospital doctors, Ill health, Insomnia, Medical doctors, Medicine, NHS, Occupational distress, Occupational medicine, Substance abuse, Sleep, Stress
    School: Birkbeck Schools and Departments > School of Business, Economics & Informatics > Organizational Psychology
    Research Centre: Medical Humanities, Centre for
    Depositing User: Caroline Kamau
    Date Deposited: 16 May 2019 15:53
    Last Modified: 16 May 2019 15:53
    URI: http://eprints.bbk.ac.uk/id/eprint/27560

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