The casenotes of 144 doctors who had received treatment for substance misuse were analysed.
There were no differences between general practitioners (n = 61) and hospital doctors (n = 58) in terms of their substance misuse histories or the problems they incurred.
Differences emerged between the consultant (n = 24) and the non-consultant (n = 34) grades of hospital doctor.
The consultants were older at onset of problematic use (42.6 +8.6 vs. 29.9 +- 9.8 years); they suffered fewer career problems and misused fewer substances.
The most frequent pathways into substance use were personality difficulties (76 subjects, 52.8%) and anxiety or depression (46 subjects, 31.9%). A history of depression (n = 36) was associated with perceived stress at work (p = 0.014), and at home (p = 0.06).
Mots-clés Pascal : Toxicomanie, Alcoolisme, Antécédent, Personnalité, Angoisse anxiété, Etat dépressif, Trouble humeur, Personnel sanitaire, Médecin généraliste, Consultation privée, Consultation hospitalière, Carrière professionnelle, Homme
Mots-clés Pascal anglais : Drug addiction, Alcoholism, Antecedent, Personality, Anxiety, Depression, Mood disorder, Health staff, General practitioner, Private consultation, Hospital consultation, Career, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0444873
Code Inist : 002B18C05. Création : 199406.