Stress in clinical psychology trainees.

Levels and sources of stress, as well as coping strategies, were assessed in 287 clinical psychology trainees by means of a postal survey. The estimated prevalence of psychological distress, as measured by the General Health Questionnaire, was 59 per cent, which is higher than that for other reported groups. Factor analysis of self-report stress survey yielded six underlying factors; course structure and organization accounted for the greatest variance in stress ratings. A moderate and significant correlation was obtained between the stress survey and the GHQ. Three-quarters of the trainees reported that they were moderately or very stressed as a result of clinical training. There were no differences between length or type of course, although trainees in their second or third year report more stress than those in the first year. Female trainees had higher GHQ scores than men. The most frequently reported coping strategy was 'talking to trainees'. Scores on the Health and Daily Living Schedule indicated no differences in coping methods between length or type of course. Women reported more use of cognitive and behavioural coping methods, but not more avoidance coping methods. Trainees reported that more support by course organizers and supervisors would make training less stressful.