Evidence map›Paper›PMID 36745461›Full record

ArticleOccupational medicine (Oxford, England)2023

Cognitive mechanisms and resilience in UK-based general practitioners: cross-sectional findings.

F O Kaleta, C B Kristensen, M Duncan, P Crutchley, P Kerr, C R Hirsch

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Article in Occupational medicine (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Modifiable Psychological Mechanisms of Resilience Among UK Trainee and Newly Qualified Teachers.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
  3. Article
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

6 authors.

F O KaletaKing's College London, Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, London SE5 4AF, UK.ORCID 0000-0003-3213-2721
C B KristensenKing's College London, Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, London SE5 4AF, UK.
M DuncanKing's College London, Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, London SE5 4AF, UK.
P CrutchleyHarrow Community Mental Health Team, Central and North West London NHS Foundation Trust (CNWL), Bentley House, Harrow HA3 5QX, UK.
P KerrCornerways Surgery, Bromley BR3 5LG, UK.
C R HirschKing's College London, Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, London SE5 4AF, UK.ORCID 0000-0003-3579-2418

Funding

King's College LondonNational Institute for Health ResearchSouth London and Maudsley NHS Foundation Trust
6 · The paper itself

Abstract

backgroundBeing a general practitioner (GP) is a stressful occupation, and the strain GPs are under can have negative effects on their psychological well-being, as well as on the patients' experience of healthcare. Resilience can help buffer against this and is a dynamic process by which one can cope with adversity and stress.

aimsThis study aimed to identify modifiable cognitive mechanisms related to resilience in GPs, specifically interpretation bias and cognitive reappraisal.

methodsOne hundred and fourteen GPs completed an online cross-sectional correlational study. This comprised questionnaires assessing resilience, emotional distress, work environment and cognitive mechanisms (emotion regulation), as well as a task assessing interpretation bias.

resultsResilience of GPs was negatively correlated with measures of emotional distress. Furthermore, resilience was positively correlated with positive interpretation bias (r = 0.60, ρ = 0.60, P < 0.01) and cognitive reappraisal (r = 0.39, ρ = 0.40, P < 0.01). In a hierarchical regression, positive interpretation bias (B = 0.25, SE B = 0.06, β = 0.39, P < 0.01) was a significant independent predictor of resilience when controlling for depression, anxiety and stress.

conclusionsThis is the first study to establish an association between resilience and positive interpretation bias and cognitive reappraisal in GPs. Future research should use longitudinal designs to determine if they have a causal role in promoting resilience, and importantly whether interventions focusing on these processes may foster resilience in less resilient GPs.

Indexed as

General PractitionersResilience, PsychologicalCognitionCross-Sectional StudiesHumansUnited Kingdom

Identifiers

PMID36745461
PMCPMC10016029

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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.