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Stress Awareness and Management in Medical Settings

  • Jelena P. KingEmail author
  • Elena Ballantyne
  • Heather E. McNeely
Chapter
  • 35 Downloads

Abstract

This chapter reviews common types of stress that are often encountered during residency training in medical settings. The authors highlight the detrimental effects of unmanaged psychological stress to both physical and mental health and how it can contribute to physician burn out, decrease work-satisfaction and performance, and reduce overall resilience to successfully manage work-life demands. Strategies that can be implemented to help residents both recognize and manage the occupational stress encountered in medical training settings are reviewed.

Keywords

Stress Types of stress Psychological stress Self-awareness Stress awareness Stress management 

References

  1. 1.
    McEwen B, Sapolsky R. Stress and your health. JCEM. 2006;91(2):E2.Google Scholar
  2. 2.
    Cannon WB. Bodily changes in pain, hunger, fear, and rage. 2nd ed. New York: Appleton; 1929.Google Scholar
  3. 3.
    Lovallo WR. Stress and health: biological and psychological interactions. 3rd ed. Thousand Oaks: Sage Publications; 2016.CrossRefGoogle Scholar
  4. 4.
    Ishak WW, Lederer S, Mandili C, et al. Burnout During Residency Training: A Literature Review. JGME. 2009:236–42.Google Scholar
  5. 5.
    Lazarus R. From psychological stress to the emotions: a history of changing outlooks. Annu Rev Psychol. 1993;44:1–21.CrossRefGoogle Scholar
  6. 6.
    Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 4th ed. Menlo Park: Mind Garden, Inc; 1996-2016.Google Scholar
  7. 7.
    Maslach C, Jackson SE. The measurement of experienced burnout. J Occup Behav. 1981;2(2):99–113.CrossRefGoogle Scholar
  8. 8.
    Dyrbe LN, Thomas MR, Huntington JL, et al. Personal life events and medical student burnout: a multicenter study. Acad Med. 2006;81:374–84.CrossRefGoogle Scholar
  9. 9.
    Wilcock SM, Daly MG, Tennant CC, Allard BJ. Burnout and psychiatric morbidity in new medical graduates. Med J Aust. 2004;181:357–60.CrossRefGoogle Scholar
  10. 10.
    Thomas NK. Resident burnout. JAMA. 2004;292(23):2880–8.CrossRefGoogle Scholar
  11. 11.
    Khun CM, Flanagan EM. Self-care as a professional imperative: physician burnout, Depression, and suicide. Can J Anesth. 2017;64:158–68.CrossRefGoogle Scholar
  12. 12.
    Dyrbye LN, Thomas MR, Massie FS, et al. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med. 2008;149:334–41.CrossRefGoogle Scholar
  13. 13.
    Dyrbye LN, Shanafelt T. A narrative review on burnout experienced by students and residents. Med Educ. 2016;50:132–49.CrossRefGoogle Scholar
  14. 14.
    Seyle H. The stress of life. New York: McGraw-Hill; 1956.Google Scholar
  15. 15.
    Weisinger H, Pawliw-Fry JP. Performing under pressure: the science of doing your best when it matters most. New York: Crown Business; 2015.Google Scholar
  16. 16.
    Albrecht K. Stress and the manager: making it work for you. Simon & Schuster, Inc: New York; 1979.Google Scholar
  17. 17.
    Saltman DC, O’Dea NA, Kidd MR. Conflict management: a primer for doctors in training. Postgrad Med J. 2006;82:9–12.CrossRefGoogle Scholar
  18. 18.
    Sinai J, Tiberius RG, de Groot J, et al. Developing a training program to improve supervisor-resident relationships, step 1: defining the types of issues. Teach Learn Med. 2001;13:80–5.CrossRefGoogle Scholar
  19. 19.
    Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995:335–43.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Jelena P. King
    • 1
    Email author
  • Elena Ballantyne
    • 2
  • Heather E. McNeely
    • 1
  1. 1.Department of Psychiatry and Behavioural Neurosciences, McMaster UniversitySt. Joseph’s Healthcare HamiltonHamiltonCanada
  2. 2.Department of PsychologySt. Joseph’s Healthcare HamiltonHamiltonCanada

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