Systematic review of interventions to improve the psychological well-being of general practitioners

摘要: The health of doctors who work in primary care is threatened by workforce and workload issues. There a need to find appraise ways which protect their mental health, including how achieve the broader, positive outcome well-being. Our was evaluate systematically research evidence regarding effectiveness interventions designed improve General Practitioner (GP) well-being across two continua; psychopathology (mental ill-health focus) ‘languishing flourishing’ (positive focus). In addition we explored extent developments may be integrated within existing approaches design an intervention that will promote prevent illness among these doctors. Medline, Embase, Cinahl, PsychINFO, Cochrane Register Trials Web Science were searched from inception January 2015 for studies where Practitioners synonyms participants. Eligible included prevention strategies (e.g. promotion early help-seeking) programmes targeting development protective factors at individual organizational levels). A control group minimum requirement study inclusion outcomes had assessed validated measures or ill-health. Titles abstracts independently reviewers with 99 % agreement full papers appraised critically using tools. Only four (with total 997 GPs) 5392 titles met criteria. reported statistically significant improvement self-reported Two used cognitive-behavioural techniques, one mindfulness-based fed-back GHQ scores self-help information. urgent high quality, controlled GP Research on improving limited focusing mainly stressors not giving systematic attention health.