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Psychiatry Res. 2018 Jan;259:579-586. doi: 10.1016/j.psychres.2017.09.008. Epub 2017 Sep 8.

Prevalence of work-related common psychiatric disorders in primary care: The French Héraclès study.

Author information

1
Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), F75013 Paris, France; Department of Infectious Diseases, Centre Hospitalier Régional, Orléans, France. Electronic address: mathieu.riviere@iplesp.upmc.fr.
2
Fédération régionale de recherche en santé mentale (F2RSM), Nord - Pas-de-Calais, Lille, France.
3
Université Lille Nord de France, Lille, France.
4
Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), F75013 Paris, France.
5
Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), F75013 Paris, France; Department of Infectious Diseases, Centre Hospitalier Régional, Orléans, France.
6
French Institute for Public Health Surveillance (InVS), Saint-Maurice, France.
7
Direccte Nord - Pas-de-Calais, Lille, France.
8
URPS médecins libéraux, Lille, France.
9
University Department of General Practice, Université Lille 2, Lille, France.
10
Sorbonne University, UPMC Univ Paris 06, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Social Epidemiology Research Team, F75013 Paris, France.
11
EA 40-47 University of Versailles Saint-Quentin, Versailles, France; Academic Unit of psychiatry for adults, Versailles Hospital, Versailles, France.

Abstract

General practitioners (GP), on the frontline for individuals with mental health problems, often deal with work-related common psychiatric disorders. We aimed to determine the prevalence of work-related common psychiatric disorders in general practice and associated patients' and GPs' characteristics. HERACLES, a cross-sectional study among 2019 working patients of 121 GPs in the Nord - Pas-de-Calais region in France. Common psychiatric disorders were assessed using the MINI International Neuropsychiatric Interview, patient-perceived psychological distress and GP-diagnosed psychiatric disorders. The work-relatedness of common psychiatric disorders was ascertained by the GP and/or the patient. Prevalence rates adjusted on age were calculated by sex and associated characteristics were ascertained using multilevel Poisson regression models. The prevalence of work-related common psychiatric disorders ascertained using the MINI was estimated at 25.6% [23.7-27.5], 24.5% [22.6-26.4] for self-reported psychological distress and 25.8% [23.9-27.7] for GP-diagnosed psychiatric disorders. Age, history of psychiatric disorders, consultation for psychological purpose and GP's characteristics were associated with MINI-identified psychiatric disorders. The prevalence of work-related common psychiatric disorders among working adults seen in general practice is high but further studies are needed to support this results.

KEYWORDS:

Mental disorders; Prevalence

PMID:
28918860
DOI:
10.1016/j.psychres.2017.09.008
[Indexed for MEDLINE]

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