title: A qualitative study of physicians' own wellness-promotion practices.
abstract: OBJECTIVE
  To delineate the specific practices that physicians use to promote their own well-being.
  
  
  METHODS
  304 members of a primary care practice-based research group responded by mail to a survey on physician well-being. From the original survey, 130 subjects responded to an open-ended survey item regarding their own wellness-promotion practices.
  
  
  METHODS
  Qualitative content analysis was used to identify the common themes in the physicians' responses to the open-ended question. A validated 18-item instrument, the Scales of Psychological Well-Being (SPWB), was used for measurement.
  
  
  METHODS
  Similarities and differences between the various wellness-promotion practices that respondents reported using and associations between the use of these practices and SPWB scores.
  
  
  RESULTS
  The 5 primary wellness-promotion practices that evolved from thematic analysis of the survey responses included "relationships," "religion or spirituality," "self-care," "work," and "approaches to life." The use of the last type of practice was significantly associated with increased psychological well-being (SPWB) scores compared with the use of any of the other wellness-promotion practice categories (P<0.01), and there was a trend toward increased well-being among users of any category of wellness-promotion practices. Comments by our respondents provide specific descriptions of how physicians attend to their emotional, spiritual, and psychological well-being.
  
  
  CONCLUSIONS
  Physicians use a variety of approaches to promote their own well-being, which sort themselves into 5 main categories and appear to correlate with improved levels of psychological well-being among users.
authors.affiliation: Behavioral Medicine Education, McLaren Family Practice Residency Program G-3245 Beecher Rd Flint, MI 48532, USA.
authors.forename: E L
authors.initials: EL
authors.lastname: Weiner
authors.forename: G R
authors.initials: GR
authors.lastname: Swain
authors.forename: B
authors.initials: B
authors.lastname: Wolf
authors.forename: M
authors.initials: M
authors.lastname: Gottlieb
mesh_terms: D003625:Data Collection; D007588:Job Satisfaction; D019369:Life; D010820:Physicians / Q000523:psychology*; D014481:United States