Development of the SOSS-D: a scale to measure stigma of occupational stress and burnout in medical doctors

J Ment Health. 2019 Feb;28(1):26-33. doi: 10.1080/09638237.2017.1370642. Epub 2017 Sep 4.

Abstract

Background: Occupational stress and burnout are highly prevalent among doctors, with stigma identified as a barrier to help-seeking in this population. However, there has been a lack of a standardised tool to measure stigma of occupational stress and burnout among doctors.

Aims: The aim of the current study was to develop and investigate the psychometric properties of the Stigma of Occupational Stress Scale for Doctors (SOSS-D).

Method: An online questionnaire package was completed by 200 (38 male, 162 female) doctors. Participants completed measures relating to help-seeking intentions, general stigma, and the SOSS-D.

Results: Exploratory Factor Analysis was used to refine the scale to an 11-item version. The analysis revealed a three-factor structure, which explained 63.4% of variance. Factors related to perceived structural stigma, personal stigma and perceived other stigma. The internal consistency, convergent, discriminant and criterion validity of the scale were supported.

Conclusions: The SOSS-D may assist educators and mental health professionals in measuring and assessing the efficacy of interventions designed to reduce stigma. As such, it is anticipated that the SOSS-D will be a useful instrument for understanding and addressing stigma of occupational stress and burnout among medical doctors, to improve help-seeking behaviours in this population.

Keywords: Doctor; burnout; physician; stigma; stress; treatment barriers.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Burnout, Professional / diagnosis*
  • Factor Analysis, Statistical
  • Female
  • Help-Seeking Behavior
  • Humans
  • Male
  • Middle Aged
  • Physicians / psychology*
  • Psychological Tests / standards*
  • Psychometrics
  • Social Stigma*
  • Surveys and Questionnaires / standards
  • Young Adult