Journal
LANCET
Volume 359, Issue 9323, Pages 2089-2090Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/S0140-6736(02)08915-8
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Burnout and stress are common, linked problems in health-care workers. We aimed to clarify their causal associations. We assessed stress and the three components of burnout (emotional exhaustion, depersonalisation, and low personal accomplishment) using structural equation modelling in a 3-year longitudinal study of a representative sample of 331 UK doctors. Emotional exhaustion and stress showed reciprocal causation: high levels of emotional exhaustion caused stress (beta=0.189), and high levels of stress caused emotional exhaustion (beta=0.175). High levels of personal accomplishment increased stress levels (beta=0.080), whereas depersonalisation lowered stress levels (beta=-0.105).
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