Stress, achievement, marriage and social support: Effects on the psychological well-being of physicians entering midlife/mid-career

The major aim of this study was to examine the relative contribution of stress, professional achievement, personality, quality of marriage and family life, social support satisfaction, work satisfaction, average hours worked and family responsibilities to the psychological well-being (life satisfaction and psychological symptoms) of medical practitioners entering mid-life/mid-career. Fifty-nine female and 57 male physicians completed interviews, questionnaires, and daily stress records. The results confirm the central role that stress plays in the well-being of physicians. Pearson correlations and hierarchical multiple regressions showed other major variables examined did not explain additional variance in psychological symptoms, but did in some instances (professional achievement, quality of marriage, social support satisfaction for work issues) contribute to life satisfaction. A path model indicating a direct and independent effect of professional achievement on life satisfaction and a specific causal sequence of stress, quality of marriage and social support satisfaction for work issues is suggested.