title: Relations among stressors, strains, and substance use among resident physicians.
abstract: This study examined the relationship between work-related stress and substance use among resident physicians in the United States. Unlike previous studies of physician stress, this study distinguished between "stressors" (stressful job conditions) and "strains" (reactions to the work environment) and correlated each of these with substance use. Results indicated that relations among stressors, strains, and substance use were not strong. Strains, however, were more strongly related to substance use than stressors. Additionally, benzodiazepines were more strongly related to strains than other substances, suggesting that they may be used for self-treatment. Other implications of these findings and future research needs are discussed.
authors.affiliation: Department of Psychology, Central Michigan University, Mt. Pleasant 48859.
authors.forename: S M
authors.initials: SM
authors.lastname: Jex
authors.forename: P
authors.initials: P
authors.lastname: Hughes
authors.forename: C
authors.initials: C
authors.lastname: Storr
authors.forename: S
authors.initials: S
authors.lastname: Conard
authors.forename: D C
authors.initials: DC
authors.lastname: Baldwin
authors.forename: D V
authors.initials: DV
authors.lastname: Sheehan
mesh_terms: D000328:Adult; D001569:Benzodiazepines / Q000009:adverse effects; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D010815:Physician Impairment / Q000523:psychology*; D012651:Self Medication; D013315:Stress, Psychological / Q000150:complications*; D019966:Substance-Related Disorders / Q000209:etiology / Q000523:psychology*; D016526:Workload / Q000523:psychology
chemical_list: D001569:Benzodiazepines