The Role of Demographics and Behavior Pattern in Stress Perception and Approach-Avoidance Intention
BACKGROUND¡GWork plays an important role in everyone¡¦s health and happiness. However, facing the rapidly changing medical environment, physicians feel even more stress than ever. PURPOSE¡GThe purpose of this study was to find the current stressors among physicians who worked in hospitals in southern Taiwan, and to evaluate the correlations among demographics, type A behavior pattern(TABP) and the perception and approach-avoidance intention (AAI) of the stressors. METHOD: Structured questionnaires were mailed to physicians who worked in hospitals in Ping tong and Kaohsiung. Data were coded and analyzed with factor analyses, £q2 test, Pearson¡¦s correlation, partial correlation, Student t test, ANOVA and multiple regression when appropriate. RESULTS: The effective response rate was 7.9% and there was no true difference between the samples and population in demographic characteristics. Six factors were extracted from stressors by factor analyses with the cumulative percentage of total variance explained around 64.7%. The overall Cronbach¡¦s £\ was .917. The extent of stress perception and the AAI of the factors of stressors, namely ¡§patient management (PM)¡¨, ¡¨interpersonal relationship (IR)¡¨, ¡¨work load (WL)¡¨, ¡¨medical environment (ME)¡¨, ¡¨organizational structure (OS) and ¡§research and teaching (RT)¡¨, were used as dependent variables during comparisons between different demographic variables and TABP. The mean TABP score was 4.47, mean perceived stress was 3.13 and the mean AAI of the stressors was 3.5. The most stressful factor of stressors was PM and the least was IR. The AAI of the factor of the stressors revealed that RT was most likely to use approach as the coping strategy whereas the OS was the least. The correlation between the extent of the stress perception and AAI of the stressors varied. Significant correlation was found only in moderate stress zone. TABP significantly correlated to stress perception with Pearson¡¦s r = .227 ( P < .05 ). There was significant difference in overall stress perception on TABP and the position of the physicians. Physicians with TABP perceived more stress than Type B did. Residents were more likely to report their job as stressful than attending physicians did. However, the correlation between TABP and the AAI of the stressors (overall and all 6 factors) were not significant. The attribute of the hospital was the only factor that has the moderator effect on AAI of the stressors. Physicians who worked in public hospitals use approach as the coping strategy to the stressors more likely than physicians who worked in private hospitals did. The correlation between the stress perception and AAI to the factors of the stressors, and the moderator effect of physicians demographics and TABP on stress perception and AAI to the factors of the stressors will be discussed in detail in the text.
Advisor:none; none; none
School:National Sun Yat-Sen University
School Location:China - Taiwan
Source Type:Master's Thesis
Keywords:physician stressor type a behavior pattern approach avoidance stress
Date of Publication:07/24/2002