Prevalence of work-related common psychiatric disorders in primary care: The French Héraclès study. (January 2018)

• Record Type: Journal Article
• Authors: Rivière, M.; Plancke, L.; Leroyer, A.; Blanchon, T.; Prazuck, T.; Prouvost, H.; Sobczak, B.; De Pauw, C.; Ferreira Carreira, L.; Toullic, Y.; Lerouge, P.; Melchior, M.; Younès, N.
• Is Part Of: Psychiatry research. Volume 259(2018)
• Page Start: 579
• Page End: 586
• Publication Date: 2018-01
• Subjects: Mental disorders -- Prevalence; Psychiatry -- Periodicals; Psychiatry -- periodicals; Psychiatrie -- Périodiques; 616.89
• DOI: 10.1016/j.psychres.2017.09.008
• Languages: English
• ISSNs: 0165-1781

Abstract

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. Highlights: Most frequent disorders are anxiety, depression, suicidal risk and alcohol abuse. High proportion of patients attending GP with work-related psychiatric disorders. Anxiety and depression are higher in women, and alcohol abuse is higher in men.