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Published in: Social Psychiatry and Psychiatric Epidemiology 1/2006

01-01-2006 | Original Paper

The prevalence of nursing staff stress on adult acute psychiatric in-patient wards

A systematic review

Authors: David A. Richards, PhD, BSc(Hons), RN, Penny Bee, PhD, BSc(Hons), Michael Barkham, PhD, MA, MSc, BEd, Simon M. Gilbody, MRCPsych, DPhil, MMedSci, MDChB, BSc(Hons), Jane Cahill, MA, Julie Glanville, MSc, PGDip, BA

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 1/2006

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Abstract

Background

Concerns about recent changes in acute in-patient mental healthcare environments have led to fears about staff stress and poor morale in acute in-patient mental healthcare staff.

Aim

To review the prevalence of low staff morale, stress, burnout, job satisfaction and psychological well-being amongst staff working in in-patient psychiatric wards.

Method

Systematic review.

Results

Of 34 mental health studies identified, 13 were specific to acute in-patient settings, and 21 were specific to other non-specified ward-based samples. Most studies did not find very high levels of staff burnout and poor morale but were mostly small, of poor quality and provided incomplete or non-standardised prevalence data.

Conclusions

The prevalence of indicators of low morale on acute in-patient mental health wards has been poorly researched and remains unclear. Multi-site, prospective epidemiological studies using validated measures of stress together with personal and organizational variables influencing staff stress in acute in-patient wards are required.
Literature
1.
go back to reference Adali E, Priami M, Evagelou H, Mougia V, Ifanti M, Alevizopoulos G (2003) Burnout in psychiatric nursing personnel in Greek hospitals. Eur J Psychiatry 17(3):173–181 Adali E, Priami M, Evagelou H, Mougia V, Ifanti M, Alevizopoulos G (2003) Burnout in psychiatric nursing personnel in Greek hospitals. Eur J Psychiatry 17(3):173–181
2.
go back to reference Adkins CL (1995) Previous work experience and organizational socialization: longitudinal examination. Acad Manage J 38(3):839–862 Adkins CL (1995) Previous work experience and organizational socialization: longitudinal examination. Acad Manage J 38(3):839–862
3.
go back to reference Barton J, Folkhard S (1991) The response of day and night nurses to their work schedules. J Occup Psychol 64:207–218 Barton J, Folkhard S (1991) The response of day and night nurses to their work schedules. J Occup Psychol 64:207–218
4.
go back to reference Berg A, Hallberg IR (1999) Effects of systematic clinical supervision on psychiatric nurses' sense of coherence, creativity, work-related strain, job satisfaction and view of the effects from clinical supervision: a pre-post test design. J Psychiatr Ment Health Nurs 6(5):371–381CrossRefPubMed Berg A, Hallberg IR (1999) Effects of systematic clinical supervision on psychiatric nurses' sense of coherence, creativity, work-related strain, job satisfaction and view of the effects from clinical supervision: a pre-post test design. J Psychiatr Ment Health Nurs 6(5):371–381CrossRefPubMed
5.
go back to reference Borril CS, Wall TD, West MA, Hardy GE, Shapiro DA, Haynes CE, Stride CB, Woods D, Carter AJ (1998) Stress among staff in NHS trusts. University of Sheffield, Sheffield Borril CS, Wall TD, West MA, Hardy GE, Shapiro DA, Haynes CE, Stride CB, Woods D, Carter AJ (1998) Stress among staff in NHS trusts. University of Sheffield, Sheffield
6.
go back to reference Brown D, Carson J, Fagin L, Bartlett H, Leary J (1994) Coping with caring. Nurs Times Nov 9–15;90(45) Mental Health Nursing: 53–5 Brown D, Carson J, Fagin L, Bartlett H, Leary J (1994) Coping with caring. Nurs Times Nov 9–15;90(45) Mental Health Nursing: 53–5
7.
go back to reference Burroughs H, Chew-Graham CA, Richards D, Baldwin B, Burns A, Morley M, Roberts C (2004) “We rob off the in-patient unit”: a qualitative study of the recruitment of CPNs by Mental Health Trusts. Prim Care Psychiatry 9(2):63–66 Burroughs H, Chew-Graham CA, Richards D, Baldwin B, Burns A, Morley M, Roberts C (2004) “We rob off the in-patient unit”: a qualitative study of the recruitment of CPNs by Mental Health Trusts. Prim Care Psychiatry 9(2):63–66
8.
go back to reference Callaghan P (1991) Organisation and stress among mental nurses. Nurs Times 87(34):50PubMed Callaghan P (1991) Organisation and stress among mental nurses. Nurs Times 87(34):50PubMed
9.
go back to reference Carson J, Fagin L (1996) Stress in mental health professionals: a cause for concern or an inevitable part of the job? Int J Soc Psychiatry 42(2):79–81PubMed Carson J, Fagin L (1996) Stress in mental health professionals: a cause for concern or an inevitable part of the job? Int J Soc Psychiatry 42(2):79–81PubMed
10.
go back to reference Carson J, Fagin L, DeVilliers N, O’Malley P (1997) Stress and fitness in ward-based mental health nurses. J Clin Nurs 6(5):419–420CrossRefPubMed Carson J, Fagin L, DeVilliers N, O’Malley P (1997) Stress and fitness in ward-based mental health nurses. J Clin Nurs 6(5):419–420CrossRefPubMed
11.
go back to reference Carson J, Leary J, DeVilliers N, Fagin L, Radmall J (1995) Stress in mental health nurses: comparison of ward and community staff. Brit J Nurs 4(10):579–582 Carson J, Leary J, DeVilliers N, Fagin L, Radmall J (1995) Stress in mental health nurses: comparison of ward and community staff. Brit J Nurs 4(10):579–582
12.
go back to reference Carson J, Cavagin J, Bunclark J, Maal S, Gournay K, Kuipers E, Holloway F, West M (1999) Focus. Effective communication in mental health nurses: did social support save the psychiatric nurse? NT Res 4(1):31–42 Carson J, Cavagin J, Bunclark J, Maal S, Gournay K, Kuipers E, Holloway F, West M (1999) Focus. Effective communication in mental health nurses: did social support save the psychiatric nurse? NT Res 4(1):31–42
13.
go back to reference Carson J, Cooper C, Fagin L, West M, McElfatrick S, DeVilliers N, O’Malley P, Holloway F (1996) Research in brief. Coping skills in mental health nursing: do they make a difference? J Psychiatr Ment Health Nurs 3(3):201–202PubMed Carson J, Cooper C, Fagin L, West M, McElfatrick S, DeVilliers N, O’Malley P, Holloway F (1996) Research in brief. Coping skills in mental health nursing: do they make a difference? J Psychiatr Ment Health Nurs 3(3):201–202PubMed
14.
go back to reference Chalder G, Nolan PW (2000) A comparative study of stress among forensic and acute mental health nurses. Br J Forensic Pract 2(3):24–29 Chalder G, Nolan PW (2000) A comparative study of stress among forensic and acute mental health nurses. Br J Forensic Pract 2(3):24–29
15.
go back to reference Corrigan PW (1994) Differences between clinical and nursing inpatient staff: implications for training in behaviour therapy. J Behav Ther Exp Psychiatry 25(4):311–316CrossRefPubMed Corrigan PW (1994) Differences between clinical and nursing inpatient staff: implications for training in behaviour therapy. J Behav Ther Exp Psychiatry 25(4):311–316CrossRefPubMed
16.
go back to reference Corrigan PW, McCracken SG, Kommana S, Edwards M, Simpatico T (1996) Staff perceptions about barriers to innovative behavioral rehabilitation programs. Cogn Ther Res 20(5):541–551CrossRef Corrigan PW, McCracken SG, Kommana S, Edwards M, Simpatico T (1996) Staff perceptions about barriers to innovative behavioral rehabilitation programs. Cogn Ther Res 20(5):541–551CrossRef
17.
go back to reference Corrigan PW, McCracken SG, Edwards M, Kommana S, Simpatico T (1997) Staff training to improve implementation and impact of behavioral rehabilitation programs. Psychiatr Serv 48(10):1336–1338PubMed Corrigan PW, McCracken SG, Edwards M, Kommana S, Simpatico T (1997) Staff training to improve implementation and impact of behavioral rehabilitation programs. Psychiatr Serv 48(10):1336–1338PubMed
18.
go back to reference Corrigan PW, Williams OB, McCracken SG, Kommana S, Edwards M, Brunner J (1998) Staff attitudes that impede the implementation of behavioral treatment programs. Behav Modif 22(4):548–562PubMed Corrigan PW, Williams OB, McCracken SG, Kommana S, Edwards M, Brunner J (1998) Staff attitudes that impede the implementation of behavioral treatment programs. Behav Modif 22(4):548–562PubMed
19.
go back to reference Department of Health (2000) Mental health national service framework: workforce planning, education and training underpinning programme: interim report by the Workforce Action Team. Department of Health, London Department of Health (2000) Mental health national service framework: workforce planning, education and training underpinning programme: interim report by the Workforce Action Team. Department of Health, London
20.
go back to reference Devlin AS (1992) Psychiatric ward renovation: staff perception and patient behavior. Environ Behav 24(1):66–84 Devlin AS (1992) Psychiatric ward renovation: staff perception and patient behavior. Environ Behav 24(1):66–84
21.
go back to reference Donat DC (2001) Impact of behavioral knowledge on job stress and the perception of system impediments to behavioral care. Psychiatr Rehabil J 25(2):187–189PubMed Donat DC (2001) Impact of behavioral knowledge on job stress and the perception of system impediments to behavioral care. Psychiatr Rehabil J 25(2):187–189PubMed
22.
go back to reference Donat DC, Neal B, Addleton R (1991) Situational sources of stress for direct care staff in a public psychiatric hospital. Psychiatr Rehabil J 14(4):76–81 Donat DC, Neal B, Addleton R (1991) Situational sources of stress for direct care staff in a public psychiatric hospital. Psychiatr Rehabil J 14(4):76–81
23.
go back to reference Edwards D, Burnard P (2003) A systematic review of stress and stress management interventions for mental health nurses. J Adv Nurs 42(2):169–200CrossRefPubMed Edwards D, Burnard P (2003) A systematic review of stress and stress management interventions for mental health nurses. J Adv Nurs 42(2):169–200CrossRefPubMed
24.
go back to reference Fagin L, Brown D, Bartlett H, Leary J, Carson J (1995) The Claybury Community Psychiatric Nurse Stress Study: is it more stressful to work in hospital or the community? J Adv Nurs 22(2):347–358CrossRefPubMed Fagin L, Brown D, Bartlett H, Leary J, Carson J (1995) The Claybury Community Psychiatric Nurse Stress Study: is it more stressful to work in hospital or the community? J Adv Nurs 22(2):347–358CrossRefPubMed
25.
go back to reference Fagin L, Carson J, Leary J, De Villiers N, Bartlett H, O'Malley P, West M, McElfatrick S, Brown D (1996) Stress, coping and burnout in mental health nurses: findings from three research studies. Int J Soc Psychiatry 42(2):102–111PubMed Fagin L, Carson J, Leary J, De Villiers N, Bartlett H, O'Malley P, West M, McElfatrick S, Brown D (1996) Stress, coping and burnout in mental health nurses: findings from three research studies. Int J Soc Psychiatry 42(2):102–111PubMed
26.
go back to reference Farrell GA, Dares G (1999) Nursing staff satisfaction on mental health unit. Aust N Z J Ment Health Nurs 8(2):51–57CrossRefPubMed Farrell GA, Dares G (1999) Nursing staff satisfaction on mental health unit. Aust N Z J Ment Health Nurs 8(2):51–57CrossRefPubMed
27.
go back to reference Gigantesco A, Picardi A, Chiaia E, Balbi A, Morosini P (2003) Job satisfaction among mental health professionals in Rome, Italy. Community Ment Health J 39(4):349–355CrossRefPubMed Gigantesco A, Picardi A, Chiaia E, Balbi A, Morosini P (2003) Job satisfaction among mental health professionals in Rome, Italy. Community Ment Health J 39(4):349–355CrossRefPubMed
28.
go back to reference Goodykoontz L, Herrick CA (1990) Evaluation of an inservice education program regarding aggressive behavior on a psychiatric unit. J Contin Educ Nurs 21(3):129–133PubMed Goodykoontz L, Herrick CA (1990) Evaluation of an inservice education program regarding aggressive behavior on a psychiatric unit. J Contin Educ Nurs 21(3):129–133PubMed
29.
go back to reference Healthcare Commission (2004) The national audit of violence (2003–2005). Final report. Healthcare Commission, London Healthcare Commission (2004) The national audit of violence (2003–2005). Final report. Healthcare Commission, London
30.
go back to reference Humpel N, Caputi P (2001) Exploring the relationship between work stress, years of experience and emotional competency using a sample of Australian mental health nurses. J Psychiatr Ment Health Nurs 8(5):399–403CrossRefPubMed Humpel N, Caputi P (2001) Exploring the relationship between work stress, years of experience and emotional competency using a sample of Australian mental health nurses. J Psychiatr Ment Health Nurs 8(5):399–403CrossRefPubMed
31.
go back to reference Ito H, Eisen SV, Sederer LI, Yamada O, Tachimori H (2001) Factors affecting psychiatric nurses' intention to leave their current job. Psychiatr Serv 52(2):232–234CrossRefPubMed Ito H, Eisen SV, Sederer LI, Yamada O, Tachimori H (2001) Factors affecting psychiatric nurses' intention to leave their current job. Psychiatr Serv 52(2):232–234CrossRefPubMed
32.
go back to reference Kunkler J, Whittick J (1991) Stress-management groups for nurses: practical problems and possible solutions. J Adv Nurs 16(2):172–176PubMed Kunkler J, Whittick J (1991) Stress-management groups for nurses: practical problems and possible solutions. J Adv Nurs 16(2):172–176PubMed
33.
go back to reference Levert T, Lucas M, Ortlepp K (2000) Burnout in psychiatric nurses: contributions of the work environment and a sense of coherence. S Afr J Psychol 30(2):36–43 Levert T, Lucas M, Ortlepp K (2000) Burnout in psychiatric nurses: contributions of the work environment and a sense of coherence. S Afr J Psychol 30(2):36–43
34.
go back to reference Long CG, Blackwell CC, Midgley M (1990) An evaluation of two systems of in-patient care in a general hospital psychiatric unit. II: measures of staff and patient performance. J Adv Nurs 15(12):1436–1442PubMed Long CG, Blackwell CC, Midgley M (1990) An evaluation of two systems of in-patient care in a general hospital psychiatric unit. II: measures of staff and patient performance. J Adv Nurs 15(12):1436–1442PubMed
35.
go back to reference McElfatrick S, Carson J, Annett J, Cooper C, Holloway F, Kuipers E (2000) Assessing coping skills in mental health nurses: is an occupation specific measure better than a generic coping skills scale? Pers Individ Differ 28(5):965–976CrossRef McElfatrick S, Carson J, Annett J, Cooper C, Holloway F, Kuipers E (2000) Assessing coping skills in mental health nurses: is an occupation specific measure better than a generic coping skills scale? Pers Individ Differ 28(5):965–976CrossRef
36.
go back to reference Maslach C, Jackson SE (1986) Maslach burnout inventory manual, 2nd edn. Consulting Psychologists, Palo Alto Maslach C, Jackson SE (1986) Maslach burnout inventory manual, 2nd edn. Consulting Psychologists, Palo Alto
37.
go back to reference Mistral W, Hall A, McKee P (2002) Using therapeutic community principles to improve the functioning of a high care psychiatric ward in the UK. Int J Ment Health Nurs 11(1):10–17CrossRefPubMed Mistral W, Hall A, McKee P (2002) Using therapeutic community principles to improve the functioning of a high care psychiatric ward in the UK. Int J Ment Health Nurs 11(1):10–17CrossRefPubMed
38.
go back to reference Munro L, Rodwell J, Harding L (1998) Assessing occupational stress in psychiatric nurses using the full job strain model: the value of social support to nurses. Int J Nurs Stud 35:339–345CrossRefPubMed Munro L, Rodwell J, Harding L (1998) Assessing occupational stress in psychiatric nurses using the full job strain model: the value of social support to nurses. Int J Nurs Stud 35:339–345CrossRefPubMed
39.
go back to reference Muscroft J, Hicks C (1998) A comparison of psychiatric nurses' and general nurses' reported stress and counselling needs: a case study approach. J Adv Nurs 27(6):1317–1325CrossRefPubMed Muscroft J, Hicks C (1998) A comparison of psychiatric nurses' and general nurses' reported stress and counselling needs: a case study approach. J Adv Nurs 27(6):1317–1325CrossRefPubMed
40.
go back to reference NHS Centre for Reviews and Dissemination (2001) Undertaking systematic reviews of research on effectiveness: CRD report 4, 2nd edn. University of York, York NHS Centre for Reviews and Dissemination (2001) Undertaking systematic reviews of research on effectiveness: CRD report 4, 2nd edn. University of York, York
41.
go back to reference Prosser D, Johnson S, Kuipers E, Szmukler G, Bebbington P, Thornicroft G (1996) Mental health, ‘burnout’ and job satisfaction among hospital and community-based mental health staff. Br J Psychiatry 169(3):334–337PubMed Prosser D, Johnson S, Kuipers E, Szmukler G, Bebbington P, Thornicroft G (1996) Mental health, ‘burnout’ and job satisfaction among hospital and community-based mental health staff. Br J Psychiatry 169(3):334–337PubMed
42.
go back to reference Prosser D, Johnson S, Kuipers E, Dunn G, Szmukler G, Reid Y, Bebbington P, Thornicroft G (1999) Mental health, “burnout” and job satisfaction in a longitudinal study of mental health staff. Soc Psychiatry Psychiatr Epidemiol 34(6):295–300CrossRefPubMed Prosser D, Johnson S, Kuipers E, Dunn G, Szmukler G, Reid Y, Bebbington P, Thornicroft G (1999) Mental health, “burnout” and job satisfaction in a longitudinal study of mental health staff. Soc Psychiatry Psychiatr Epidemiol 34(6):295–300CrossRefPubMed
43.
go back to reference Robey K, Ramsland SE, Castelbaum K (1991) Alignment of agency and personal missions: an evaluation. Adm Policy Ment Health 19(1):39–45CrossRef Robey K, Ramsland SE, Castelbaum K (1991) Alignment of agency and personal missions: an evaluation. Adm Policy Ment Health 19(1):39–45CrossRef
44.
go back to reference Robinson JR, Clements K, Land C (2003) Workplace stress among psychiatric nurses: prevalence, distribution, correlates and predictors. J Psychosoc Nurs 41(4):33–41 Robinson JR, Clements K, Land C (2003) Workplace stress among psychiatric nurses: prevalence, distribution, correlates and predictors. J Psychosoc Nurs 41(4):33–41
45.
go back to reference Rossberg JI, Eiring O, Friis S (2004) Work environment and job satisfaction. A psychometric evaluation of the Working Environment Scale-10. Soc Psychiatry Psychiatr Epidemiol 39:576–580PubMed Rossberg JI, Eiring O, Friis S (2004) Work environment and job satisfaction. A psychometric evaluation of the Working Environment Scale-10. Soc Psychiatry Psychiatr Epidemiol 39:576–580PubMed
46.
go back to reference Rothwell N, McManus P, Higgon J (1997) Evaluation of moving an acute psychiatric ward from a psychiatric hospital to a general hospital setting. Psychiatr Bull R Coll Psychiatr 21(10):636–639 Rothwell N, McManus P, Higgon J (1997) Evaluation of moving an acute psychiatric ward from a psychiatric hospital to a general hospital setting. Psychiatr Bull R Coll Psychiatr 21(10):636–639
47.
go back to reference Sainsbury Centre for Mental Health (1998) Acute problems. A survey of the quality of care in acute psychiatric wards. The Sainsbury Centre for Mental Health, London Sainsbury Centre for Mental Health (1998) Acute problems. A survey of the quality of care in acute psychiatric wards. The Sainsbury Centre for Mental Health, London
48.
go back to reference Sainsbury Centre for Mental Health (2004) Acute Care 2004. The Sainsbury Centre for Mental Health, London Sainsbury Centre for Mental Health (2004) Acute Care 2004. The Sainsbury Centre for Mental Health, London
49.
go back to reference Secretaries of Health, Social Security, Wales and Scotland (1989) Caring for people: community care for the next decade and beyond. HMSO, London Secretaries of Health, Social Security, Wales and Scotland (1989) Caring for people: community care for the next decade and beyond. HMSO, London
50.
go back to reference Severinsson E, Hummelvoll JK (2001) Factors influencing job satisfaction and ethical dilemmas in acute psychiatric care. Nurs Health Sci 3(2):81–90CrossRefPubMed Severinsson E, Hummelvoll JK (2001) Factors influencing job satisfaction and ethical dilemmas in acute psychiatric care. Nurs Health Sci 3(2):81–90CrossRefPubMed
51.
go back to reference Shepherd G, Muijen M, Cooney M (1996) Residential care in hospital and in the community—quality of care and quality of life. Br J Psychiatry 168(4):448–456PubMed Shepherd G, Muijen M, Cooney M (1996) Residential care in hospital and in the community—quality of care and quality of life. Br J Psychiatry 168(4):448–456PubMed
52.
go back to reference Smoot SL, Gonzales JL (1995) Cost-effective communication skills training for state hospital employees. Psychiatr Serv 46(8):819–822PubMed Smoot SL, Gonzales JL (1995) Cost-effective communication skills training for state hospital employees. Psychiatr Serv 46(8):819–822PubMed
53.
go back to reference Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, Moher D, Becker BJ, Sipe TA, Thacker SB (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of observational studies in epidemiology (MOOSE). JAMA 283:2008–2012CrossRefPubMed Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, Moher D, Becker BJ, Sipe TA, Thacker SB (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of observational studies in epidemiology (MOOSE). JAMA 283:2008–2012CrossRefPubMed
54.
go back to reference Stuart GW, Worley N, Morris JA Jr, Bevilacqua JJ (2000) Role utilization of nurses in public psychiatry. Adm Policy Ment Health 27(6):423–441CrossRefPubMed Stuart GW, Worley N, Morris JA Jr, Bevilacqua JJ (2000) Role utilization of nurses in public psychiatry. Adm Policy Ment Health 27(6):423–441CrossRefPubMed
55.
56.
go back to reference Tummers GE, Janssen PP, Landeweerd A, Houkes I (2001) A comparative study of work characteristics and reactions between general and mental health nurses: a multi-sample analysis. J Adv Nurs 36(1):151–162. Erratum in J Adv Nurs 2002 May;38(3):319CrossRefPubMed Tummers GE, Janssen PP, Landeweerd A, Houkes I (2001) A comparative study of work characteristics and reactions between general and mental health nurses: a multi-sample analysis. J Adv Nurs 36(1):151–162. Erratum in J Adv Nurs 2002 May;38(3):319CrossRefPubMed
57.
go back to reference Tyson GA, Lambert G, Beatie L (2002) The impact of ward design on the behaviour, occupational satisfaction and well-being of psychiatric nurses. Int J Ment Health Nurs 11(2):94–102CrossRefPubMed Tyson GA, Lambert G, Beatie L (2002) The impact of ward design on the behaviour, occupational satisfaction and well-being of psychiatric nurses. Int J Ment Health Nurs 11(2):94–102CrossRefPubMed
58.
go back to reference Wall TD, Bolden R et al (1997) Minor psychiatric disorder in NHS trust staff: occupational and gender differences. Br J Psychiatry 171:519–523PubMedCrossRef Wall TD, Bolden R et al (1997) Minor psychiatric disorder in NHS trust staff: occupational and gender differences. Br J Psychiatry 171:519–523PubMedCrossRef
59.
go back to reference Williams S, Michie S, Pattani S (1998) Improving the health of the NHS workforce: report on the partnership of the NHS workforce. The Nuffield Trust, London Williams S, Michie S, Pattani S (1998) Improving the health of the NHS workforce: report on the partnership of the NHS workforce. The Nuffield Trust, London
Metadata
Title
The prevalence of nursing staff stress on adult acute psychiatric in-patient wards
A systematic review
Authors
David A. Richards, PhD, BSc(Hons), RN
Penny Bee, PhD, BSc(Hons)
Michael Barkham, PhD, MA, MSc, BEd
Simon M. Gilbody, MRCPsych, DPhil, MMedSci, MDChB, BSc(Hons)
Jane Cahill, MA
Julie Glanville, MSc, PGDip, BA
Publication date
01-01-2006
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 1/2006
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-005-0998-7

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