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

Rivière, M; Plancke, Laurent; Leroyer, Ariane; Blanchon, Thierry; Prazuck, Thiérry; Prouvost, Hélène; Sobczak, B.; Pauw, Caroline de; Carreira, L. Ferreira; Toullic, Youenn; Lerouge, Patrick; Melchior, Maria; Younès, Nadia

doi:10.1016/j.psychres.2017.09.008

Cited by 13 publications

(22 citation statements)

References 38 publications

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“…The Heracles cross-sectional study was conducted from April to August 2014 among working individuals consulting a GP in the Nord -Pas-de-Calais region (10). Participating GPs were asked to include working patients (at least 6 months of full-time employment during the preceding 12 months) aged from 18 to 65 years they saw during the study period, whatever the reason of appointment.…”

Section: Methods A) Design and Study Populationmentioning

confidence: 99%

“…As described in previous articles on the Héraclès study, some limitation have to be acknowledged (10,50,51). First, there is possible selection bias for GPs.…”

Section: C) Strengths and Limitationsmentioning

confidence: 99%

“…Among work-related diseases, musculoskeletal disorders represent the more frequent group and mental health disorders, composed of common mental disorders (CMD): depressive disorders, anxious disorders or substance use disorders represent the second group but they are the first cause of work-related sickness absence (1)(2)(3). work-related Common mental disorders have been described in occupational medicine literature (2)(3)(4)(5)(6) and although in primary care (7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

“…GPs gave each patient an information form and asked them if they wanted to participate or not, if yes the patient signed an inform consent and was included in the study. More details about the recruitment process have been described in the first article of the Heracles study(10).This study was conducted by the Sentinelles network, part of the INSERM-Paris Sorbonne University research unit UMR-S 1136 (30). b) Data source After their regular appointment, GPs interviewed participating patients for the purposes of the study.…”

mentioning

confidence: 99%

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

Rivière

Toullic

Lerouge

et al. 2019

Preprint

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Abstract Background: 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 management characteristics. The aim of this study is to analyze GPs’ management and patterns of referral to other health professionals of patient with work-related CMD and associated factors. Method: We used data from a cross-sectional study of 2 027 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. Descriptive analyses were used to characterize GPs’ management of the patients’ symptoms. Associations between patient, work, GP and contextual characteristics and GPs’ management were explored using modified Poisson regression models with robust variance. Results: Among the 533 patients with work-related CMD in the study, the GPs provided psychosocial support to 88.0%, 82.4% were prescribed psychotropic treatment and 50.7% were 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 different type of management used by the GP. Conclusion: 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.

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Section: Methods A) Design and Study Populationmentioning

confidence: 99%

“…As described in previous articles on the Héraclès study, some limitation have to be acknowledged (10,50,51). First, there is possible selection bias for GPs.…”

Section: C) Strengths and Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

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

Rivière

Toullic

Lerouge

et al. 2019

Preprint

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“…Mental health disorders, including common mental disorders (CMD), ie depression, anxiety and substance use disorders represent the second leading cause of workrelated diseases and the rst cause of work-related sickness absence (1)(2)(3). Work-related common mental disorders have been described in occupational medicine literature (2)(3)(4)(5)(6) and primary care (7)(8)(9)(10), but patterns of health-care access for patients with work-related mental health disorders use in primary care is not well-known. In many cases the GP is not only the rst but also the only health professional contacted (7,(11)(12)(13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

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

Rivière

Toullic

Lerouge

et al. 2020

Preprint

View full text Add to dashboard Cite

Abstract Background: 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. Method: We used data from a cross-sectional study of 2 027 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.Results: 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.Conclusion: 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.

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Parcours médicaux et professionnels des patients consultant une unité spécialisée dans les atteintes de la santé psychique au travail

Duret,

Grippon,

Fadel

2024

Archives des Maladies Professionnelles et de l'Environnement

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

Cited by 13 publications

References 38 publications

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

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

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

Parcours médicaux et professionnels des patients consultant une unité spécialisée dans les atteintes de la santé psychique au travail

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