title: [Pathogenetic and salutogenetic aspects of physicians' health].
abstract: OBJECTIVE
  To analyse pathogenetic and salutogenetic processes of physicians suffering from depression, burnout and drug addiction.
  
  
  METHODS
  Qualitative follow-up interviews with 32 former physician patients from the Oberbergkliniken hospital group.
  
  
  RESULTS
  Long working hours, bureaucratic restrictions and double burdens of combining family life and professional demands are major pathogenetic strains. They interact with biographic performance scripts. Major salutogenetic factors are the expansion of self care with regard to physical, spiritual and social needs and the reconstruction of resources outside the job.
  
  
  CONCLUSIONS
  Prevention programmes for health care professionals should focus on the reflection of biographic performance scripts, on maintaining multifaceted sources of gratification and the buildup of extra-professional resources.
authors.affiliation: Sektion Medizinische Organisationspsychologie, Institut für Medizinische Psychologie, Universitätsklinikum Heidelberg, Bergheimer Straße 20, Heidelberg. Julika.Zwack@med.uniheidelberg.de
authors.forename: Julika
authors.initials: J
authors.lastname: Zwack
authors.forename: Uta
authors.initials: U
authors.lastname: Bodenstein
authors.forename: Götz
authors.initials: G
authors.lastname: Mundle
authors.forename: Jochen
authors.initials: J
authors.lastname: Schweitzer
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D002055:Burnout, Professional / Q000453:epidemiology* / Q000523:psychology* / Q000534:rehabilitation; D003866:Depressive Disorder / Q000453:epidemiology* / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data; D010815:Physician Impairment / Q000523:psychology* / Q000706:statistics & numerical data*; D055500:Resilience, Psychological; D012932:Social Facilitation; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology* / Q000534:rehabilitation