Evidence map›Paper›PMID 28893766›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2017

Barriers, facilitators, and survival strategies for GPs seeking treatment for distress: a qualitative study.

Johanna Spiers, Marta Buszewicz, Carolyn A Chew-Graham, Clare Gerada, David Kessler, Nick Leggett, Chris Manning, Anna Kathryn Taylor, Gail Thornton, Ruth Riley

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
15.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 84 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Johanna SpiersCentre for Academic Primary Care.
Marta BuszewiczResearch Department of Primary Care and Population Health, UCL, London.
Carolyn A Chew-GrahamResearch Institute, Primary Care and Health Sciences, Keele University, Keele, Staffordshire.
Clare GeradaPractitioner Health Programme, Riverside Medical Centre, London.
David KesslerCentre for Academic Primary Care.
Nick LeggettCentre for Academic Primary Care.
Chris ManningUpstream Health Convener, Action for NHS Wellbeing Chair Mental Health Group, College of Medicine, London.
Anna Kathryn TaylorFaculty of Health Sciences.
Gail ThorntonCentre for Academic Primary Care, University of Bristol, Bristol.
Ruth RileyInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham.
Faculty of Public Health · GBUniversity of Birmingham · GBUniversity of Bristol · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGPs are under increasing pressure due to a lack of resources, a diminishing workforce, and rising patient demand. As a result, they may feel stressed, burnt out, anxious, or depressed.

aimTo establish what might help or hinder GPs experiencing mental distress as they consider seeking help for their symptoms, and to explore potential survival strategies. DESIGN AND

settingThe authors recruited 47 GP participants via e-mails to doctors attending a specialist service, adverts to local medical committees (LMCs) nationally and in GP publications, social media, and snowballing. Participants self-identified as either currently living with mental distress, returning to work following treatment, off sick or retired early as a result of mental distress, or without experience of mental distress. Interviews were conducted face to face or over the telephone.

methodTranscripts were uploaded to NVivo 11 and analysed using thematic analysis.

resultsBarriers and facilitators were related to work, stigma, and symptoms. Specifically, GPs discussed feeling a need to attend work, the stigma surrounding mental ill health, and issues around time, confidentiality, and privacy. Participants also reported difficulties accessing good-quality treatment. GPs also talked about cutting down or varying work content, or asserting boundaries to protect themselves.

conclusionSystemic changes, such as further information about specialist services designed to help GPs, are needed to support individual GPs and protect the profession from further damage.

Indexed as

Occupational HealthAdultBurnout, ProfessionalFemaleGeneral PractitionersHumansMaleMental DisordersMental Health ServicesPatient Acceptance of Health CareQualitative ResearchResilience, PsychologicalSocial StigmaStress, PsychologicalUnited KingdomWorkloadanxietyburnout, professionaldepressiongeneral practicemental health servicesself-care

Identifiers

PMID28893766
PMCPMC5604834
OpenAlexW2754823261

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.