The association of distress and sleeping problems with physicians' intentions to change profession: the moderating effect of job control

J Occup Health Psychol. 2009 Oct;14(4):365-73. doi: 10.1037/a0015853.


The present study examined whether job control moderated the association between stress indicators (distress and sleeping problems) and intentions to change profession among 2,650 Finnish physicians. Ordinal logistic regression analysis was applied. The authors found that high levels of distress and sleeping problems were associated with higher levels of intentions to change profession, whereas high job control was associated with lower levels of intentions to change profession even after adjusting for the effects of gender, age, and employment sector. In addition, high job control was able to mitigate the positive association that distress and sleeping problems had with intentions to change profession. Our findings highlight the importance of offering more job control to physicians to prevent unnecessary physician turnover.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Career Mobility*
  • Female
  • Finland
  • Humans
  • Intention*
  • Internal-External Control*
  • Male
  • Middle Aged
  • Personnel Loyalty
  • Physicians / psychology*
  • Sleep Wake Disorders*
  • Stress, Psychological*
  • Surveys and Questionnaires