Management of work-related common mental ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Management of work-related common mental disorders in general practice: a cross-sectional study
Author(s) :
Riviere, Mathieu [Auteur]
Institut Pierre Louis d'Epidémiologie et de Santé Publique [iPLESP]
Institut National de la Santé et de la Recherche Médicale [INSERM]
Toullic, Youenn [Auteur]
Université Lille Nord (France)
Lerouge, P. [Auteur]
Université Lille Nord (France)
Blanchon, Thierry [Auteur]
Institut Pierre Louis d'Epidémiologie et de Santé Publique [iPLESP]
Leroyer, Ariane [Auteur]
IMPact de l'Environnement Chimique sur la Santé humaine (IMPECS) - EA 4483
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Plancke, Laurent [Auteur]
Prazuck, Thierry [Auteur]
Centre Hospitalier Régional d'Orléans [CHRO]
Melchior, Maria [Auteur]
Institut Pierre Louis d'Epidémiologie et de Santé Publique [iPLESP]
Younes, Nadia [Auteur]
Centre de recherche en épidémiologie et santé des populations [CESP]
plancke [Auteur]
Institut Pierre Louis d'Epidémiologie et de Santé Publique [iPLESP]
Institut National de la Santé et de la Recherche Médicale [INSERM]
Toullic, Youenn [Auteur]
Université Lille Nord (France)
Lerouge, P. [Auteur]
Université Lille Nord (France)
Blanchon, Thierry [Auteur]
Institut Pierre Louis d'Epidémiologie et de Santé Publique [iPLESP]
Leroyer, Ariane [Auteur]
IMPact de l'Environnement Chimique sur la Santé humaine (IMPECS) - EA 4483
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Plancke, Laurent [Auteur]
Prazuck, Thierry [Auteur]
Centre Hospitalier Régional d'Orléans [CHRO]
Melchior, Maria [Auteur]
Institut Pierre Louis d'Epidémiologie et de Santé Publique [iPLESP]
Younes, Nadia [Auteur]
Centre de recherche en épidémiologie et santé des populations [CESP]
plancke [Auteur]
Journal title :
BMC Family Practice
Abbreviated title :
BMC Fam Pract
Volume number :
21
Pages :
132
Publication date :
2020-07-02
ISSN :
1471-2296
Keyword(s) :
Common mental disorders
Work
Management
General practice
Referral
Work
Management
General practice
Referral
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
General practitioners (GPs) often manage individuals with work-related common mental disorders (CMD: depressive disorders, anxiety and alcohol abuse). However, little is known about the ways in which they proceed. The aim ...
Show more >General practitioners (GPs) often manage individuals with work-related common mental disorders (CMD: depressive disorders, anxiety and alcohol abuse). However, little is known about the ways in which they proceed. The aim of this study is to analyze GPs' management and patterns of referral to other health professionals of patients with work-related CMD and associated factors. We used data from a cross-sectional study of 2027 working patients of 121 GPs in the Nord - Pas-de-Calais region in France (April - August 2014). Statistical analyses focused on patients with work-related CMD detected by the GP and examined the ways in which GPs managed these patients' symptoms. Associations between patient, work, GP and contextual characteristics and GPs' management were explored using modified Poisson regression models with robust variance. Among the 533 patients with work-related CMD in the study, GPs provided psychosocial support to 88.0%, prescribed psychotropic treatment to 82.4% and put 50.7% on sick leave. Referral rates to mental health specialists and occupational physicians were respectively 39.8 and 26.1%. Several factors including patients' characteristics (occupational and sociodemographic), GPs' characteristics and environmental data were associated with the type of management used by the GP. Our study emphasizes the major and often lonesome role of the GP in the management of patients with work-related CMDs. Better knowledge of the way GPs manage those patients could help GPs in their practice, improve patients care and be a starting point to implement a more collaborative care approach.Show less >
Show more >General practitioners (GPs) often manage individuals with work-related common mental disorders (CMD: depressive disorders, anxiety and alcohol abuse). However, little is known about the ways in which they proceed. The aim of this study is to analyze GPs' management and patterns of referral to other health professionals of patients with work-related CMD and associated factors. We used data from a cross-sectional study of 2027 working patients of 121 GPs in the Nord - Pas-de-Calais region in France (April - August 2014). Statistical analyses focused on patients with work-related CMD detected by the GP and examined the ways in which GPs managed these patients' symptoms. Associations between patient, work, GP and contextual characteristics and GPs' management were explored using modified Poisson regression models with robust variance. Among the 533 patients with work-related CMD in the study, GPs provided psychosocial support to 88.0%, prescribed psychotropic treatment to 82.4% and put 50.7% on sick leave. Referral rates to mental health specialists and occupational physicians were respectively 39.8 and 26.1%. Several factors including patients' characteristics (occupational and sociodemographic), GPs' characteristics and environmental data were associated with the type of management used by the GP. Our study emphasizes the major and often lonesome role of the GP in the management of patients with work-related CMDs. Better knowledge of the way GPs manage those patients could help GPs in their practice, improve patients care and be a starting point to implement a more collaborative care approach.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
CHU Lille
Inserm
Université de Lille
Inserm
Université de Lille
Collections :
Submission date :
2021-07-06T12:47:32Z
2024-01-22T10:44:35Z
2024-01-22T10:47:27Z
2024-01-22T10:44:35Z
2024-01-22T10:47:27Z
Files
- s12875-020-01203-z.pdf
- Non spécifié
- Open access
- Access the document