Journal of Behavioral Medicine

, Volume 14, Issue 1, pp 27–42 | Cite as

Sources and magnitude of job stress among physicians

  • Layne A. Simpson
  • Linda Grant


Research has suggested that physicians' jobs are more stressful than many other types of work, but sources of job stress for physicians have rarely been measured systematically. Interview data from 204 young physicians (57 women, 147 men) were used to construct four scales of sources of job stress: patient relationships, business/financial issues, time pressures, and competence concerns. The latter is a stronger source of stress for doctors in early practice. Sources and intensity of job stressors do not vary significantly by gender, but medical practice problems are more stressful in nonprofit than in for-profit practices. Early-career doctors appeared to experience only moderate levels of stress, and stressors were not related to impaired mental health.

Key words

job stress physician gender 


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  1. Angell, M. (1981). Women in medicine: Beyond prejudice.N. Engl. J. Med. 304: 1161–1162.Google Scholar
  2. Antonovsky, A. (1979).Health, Stress, and Coping, Jossey-Bass, San Francisco.Google Scholar
  3. Barnett, R. C., and Baruch, G. K. (1987). Social roles, gender, and psychological distress. In Barnett, R. C., Biener, L., and Baruch, G. K. (eds.),Gender and Stress, Free Press, New York.Google Scholar
  4. Berry, W. D. (1984).Nonrecursive Causal Models, Sage, Beverly Hills.Google Scholar
  5. Bosk, C. L. (1979).Forgive and Remember: Managing Medical Failure, University of Chicago Press, Chicago.Google Scholar
  6. Bowman, M. A., and Allen, D. I. (1985).Stress and Women Physicians, Springer-Verlag, New York.Google Scholar
  7. Broadhead, R. S. (1983).The Private Lives and Professional Identities of Medical Students, Transactions, New Brunswick, N.J.Google Scholar
  8. Bucher, R., and Stelling, J. (1977).Becoming Professional, Sage, Beverly Hills.Google Scholar
  9. Charles, S. C. (1987). Malpractice suits: Their effect on doctors, patients, and families.J. Med. Assoc. Ga. 76: 171–172.Google Scholar
  10. Coombs, R. H. (1978).Mastering Medicine: Professional Socialization in Medical School, Free Press, New York.Google Scholar
  11. Coombs, R. H., and Hovanessian, H. C. (1988). Stress in the role constellation of female resident physicians.J. Am. Med. Women's Assoc. 43: 21–26.Google Scholar
  12. Danzon, P. M. (1985).Medical Malpractice: Theory, Evidence, and Public Policy, Harvard University Press, Cambridge, Mass.Google Scholar
  13. Delvecchio-Good, M. J. (1985). Discourses on physician competence. In Hahn, R. A., and Gaines, A. D. (eds.),Physicians of Western Medicine, D. Reidel, Boston.Google Scholar
  14. Derber, C. A. (1983). Sponsorship and the control of physicians.Theory Soc. 12: 561–601.Google Scholar
  15. Derogatis, L. R. (1977).SCL-90 Administration, Scoring, and Procedures Manual, Harvard University Press, Cambridge, Mass.Google Scholar
  16. Ducker, D. G. (1986). Role conflict for women physicians. In Scott, C. D., and Hawk, J. (eds.),Heal Thyself: Health Care of Health Professionals, Bruner/Mazel, New York.Google Scholar
  17. Evashwick, C. J. (1976). The role of group practice in the distribution of physicians in non-metropolitan areas.Med. Care 14: 808–823.Google Scholar
  18. Firth, J., and Morrison, L. (1986). What stresses health professionals: A coding scheme for their answers.Br. J. Clin. Psych. 25: 309–310.Google Scholar
  19. Flaherty, J. A., and Richman, J. (1986). Physician malaise: The discovery and social etiology of psychiatric impairment among doctors.Int. J. Soc. Psych. 32: 31–37.Google Scholar
  20. Freiman, M., and Marder, W. D. (1984). Changes in the hours worked by physicians, 1970–1980.Am. J. Public Health 24: 1348–1352.Google Scholar
  21. Gerber, L. A. (1983).Married to Their Careers and Family Dilemmas in Doctors' Lives, Tavistock, New York.Google Scholar
  22. Grant, L., and DuRoss, D. J. (1984). Expected rewards of practice and personal-life priorities of women and men medical students.Sociol. Focus 17: 87–104.Google Scholar
  23. Grant, L., Simpson, L. A., Rong, X. L., and Peters-Golden, H. (1990). Gender, parenthood, and work hours of physicians.J. Marriage Family 52: 39–49.Google Scholar
  24. Haug, M., and Lavin, B. (1983).Consumerism in Medicine: Challenging Physician Authority, Sage, Beverly Hills.Google Scholar
  25. Hawk, J., and Scott, C. D. (1986). A case of family medicine: Sources of stress in residents and physicians in practice. In Scott, C. D., and Hawk, J. (eds.),Heal Thyself: The Health of Health Professionals, Bruner/Mazel, New York.Google Scholar
  26. Jaffe, D. T., Goldstein, M. S., and Wilson, J. (1986). Physicians in transition: Crisis and change in life and work. In Scott, C. D., and Hawk, J. (Eds.),Heal Thyself: The Health of Health Professionals, Bruner/Mazel, New York.Google Scholar
  27. Kanter, R. M. (1977). Some effects of proportions in group life: Skewed sex ratios and responses of token women.Am. J. Sociol. 82: 965–990.Google Scholar
  28. Karasek, R. A., Theorell, T., Schwartz, J. E., Schnall, P. L., Pieper, C. F., and Michela, J. L. (1988). Job characteristics in relation to the prevalence of myocardial infaction in US health examination survey (HES) and the Health and Nutrition Examination Survey (HANES).Am. J. Public Health 78(8): 910–916.Google Scholar
  29. Kessler, R. L., Wortman, C. B., and Price, R. H. (1985). Social factors in psychopathology: Stress, social support, and coping processes.Ann. Rev. Psychol. 36: 531–572.Google Scholar
  30. Kosch, S. G. (1986). Physicians, stress, and family life: A systematic approach. In Scott, C. D., and Hawk, J. (eds.),Heal Thyself: The Health Care of Health Professionals, Bruner/Mazel, New York.Google Scholar
  31. Leserman, J. (1981).Women and Men in Medical School, Praeger, New York.Google Scholar
  32. Lorber, J. (1984).Women Physicians, Tavistock, London.Google Scholar
  33. Mandelbaum, D. E. (1981).Work, Marriage, and Motherhood: The Career Persistence of Women Physicians, Praeger, New York.Google Scholar
  34. Mawardi, B. L. (1979). Satisfaction, dissatisfaction, and causes of stress in medical practice.JAMA 241: 1483–1486.Google Scholar
  35. May, H. J., Revicki, D. A., and Jones, J. G. (1983). Professional stress and the practicing physician.South. Med. J. 76: 1273–1276.Google Scholar
  36. McCue, J. D. (1986). Doctors and stress: Is there really a problem?Hosp. Pract. 21(7): 11, 15-16.Google Scholar
  37. McCue, J. D. (1982). The effects of stress on physicians and their medical careers.N. Engl. J. Med. 306: 458–463.Google Scholar
  38. Revicki, D. A., and May, H. J. (1985). Occupational stress, social support, and depression.Health Psychol. 4: 61–77.Google Scholar
  39. Roeske, N. C. A. (1986). Risk factors: Predictable hazards of a health care career. In Scott, C. D., and Hawk, J. (eds.),Heal Thyself: The Health Care of Health Professionals, Bruner/Mazel, New York.Google Scholar
  40. Schwartz, J. E., Pieper, C. F., and Karasek, R. A. (1988). A procedure for linking psychosocial job characteristics data to health surveys.Am. J. Public Health 78(8): 904–909.Google Scholar
  41. Starr, P. D. (1982).The Social Transformation of American Medicine, Basic Books, New York.Google Scholar
  42. Stoline, A., and Weiner, J. P. (1988).The New Medical Marketplace, Johns Hopkins University Press, Baltimore.Google Scholar
  43. Walsh, M. R. (1977).Doctors Wanted: No Women Need Apply, Yale University Press, New Haven, Conn.Google Scholar
  44. Wolfgang, A. P. (1988a). The health professions stress inventory.Psychol. Rep. 62: 220–222.Google Scholar
  45. Wolfgang, A. P. (1988b). Job stress in the health professions: A study of physicians, nurses, and pharmacists.Behav. Med. 14 (Spring): 43–47.Google Scholar

Copyright information

© Plenum Publishing Corporation 1991

Authors and Affiliations

  • Layne A. Simpson
    • 1
  • Linda Grant
    • 1
  1. 1.Department of SociologyThe University of GeorgiaAthens

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