Title :

Management of work-related common mental disorders in general practice: a cross-sectional study

Author(s) :

Riviere, Mathieu [Auteur]
Institut National de la Santé et de la Recherche Médicale [INSERM]
Institut Pierre Louis d'Epidémiologie et de Santé Publique [iPLESP]
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]
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

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 >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Inserm
Université de Lille

Collections :

• Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286

Submission date :

2021-07-06T12:47:32Z
2024-01-22T10:44:35Z