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

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

10.21203/rs.2.13223/v2 ◽

2019 ◽

Author(s):

Mathieu Rivière ◽

Youenn Toullic ◽

Patrick Lerouge ◽

Thierry Blanchon ◽

Ariane Leroyer ◽

...

Keyword(s):

Mental Disorders ◽

Depressive Disorders ◽

Psychosocial Support ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

Environmental Data ◽

Sectional Study ◽

Cross Sectional ◽

Work Related ◽

Starting Point

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

10.21203/rs.2.13223/v1 ◽

2019 ◽

Author(s):

Mathieu Rivière ◽

Youenn Toullic ◽

Patrick Lerouge ◽

Thierry Blanchon ◽

Ariane Leroyer ◽

...

Keyword(s):

Mental Disorders ◽

Depressive Disorders ◽

Psychosocial Support ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

Environmental Data ◽

Sectional Study ◽

Cross Sectional ◽

Work Related ◽

Starting Point

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 know the way GP manage those patient could help GP in their practice, improve patients care and be a starting point to implement a more collaborative care approach.

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

BMC Family Practice ◽

10.1186/s12875-020-01203-z ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

M. Rivière ◽

Y. Toullic ◽

P. Lerouge ◽

T. Blanchon ◽

A. Leroyer ◽

...

Keyword(s):

General Practice ◽

Mental Disorders ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Work Related

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Symptoms of common mental disorders and adherence to antiretroviral therapy among adults living with HIV in rural Zimbabwe: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2021-049824 ◽

2021 ◽

Vol 11 (7) ◽

pp. e049824

Author(s):

Andreas D Haas ◽

Cordelia Kunzekwenyika ◽

Stefanie Hossmann ◽

Josphat Manzero ◽

Janneke van Dijk ◽

...

Keyword(s):

Antiretroviral Therapy ◽

Suicidal Ideation ◽

Mental Disorders ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

People Living With Hiv ◽

Art Adherence ◽

Sectional Study ◽

Cross Sectional ◽

Living With Hiv

ObjectivesTo examine the proportion of people living with HIV who screen positive for common mental disorders (CMD) and the associations between CMD and self-reported adherence to antiretroviral therapy (ART).SettingSixteen government-funded health facilities in the rural Bikita district of Zimbabwe.DesignCross-sectional study.ParticipantsHIV-positive non-pregnant adults, aged 18 years or older, who lived in Bikita district and had received ART for at least 6 months.Outcome measuresThe primary outcome was the proportion of participants screening positive for CMD defined as a Shona Symptoms Questionnaire score of 9 or greater. Secondary outcomes were the proportion of participants reporting suicidal ideation, perceptual symptoms and suboptimal ART adherence and adjusted prevalence ratios (aPR) for factors associated with CMD, suicidal ideation, perceptual symptoms and suboptimal ART adherence.ResultsOut of 3480 adults, 18.8% (95% CI 14.8% to 23.7%) screened positive for CMD, 2.7% (95% CI 1.5% to 4.7%) reported suicidal ideations, and 1.5% (95% CI 0.9% to 2.6%) reported perceptual symptoms. Positive CMD screens were more common in women (aPR 1.67, 95% CI 1.19 to 2.35) than in men and were more common in adults aged 40–49 years (aPR 1.47, 95% CI 1.16 to 1.85) or aged 50–59 years (aPR 1.51, 95% CI 1.05 to 2.17) than in those 60 years or older. Positive CMD screen was associated with suboptimal adherence (aPR 1.53; 95% CI 1.37 to 1.70).ConclusionsA substantial proportion of people living with HIV in rural Zimbabwe are affected by CMD. There is a need to integrate mental health services and HIV programmes in rural Zimbabwe.Trial registration numberNCT03704805.

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Tobacco and alcohol use, sexual behavior and common mental disorders among military students at the Police Academy, São Paulo, Brazil. A cross-sectional study

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2014.9102711 ◽

2015 ◽

Vol 133 (3) ◽

pp. 235-244

Author(s):

Arlene de Maria Perez ◽

Isabela Martins Benseñor

Keyword(s):

Sexual Behavior ◽

Alcohol Consumption ◽

Alcohol Use ◽

Mental Disorders ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

Police Academy ◽

First Year ◽

Sectional Study ◽

Cross Sectional

CONTEXT AND OBJECTIVE: The lifestyle of military personnel has been little studied in Brazil. This study evaluated the frequencies of tobacco and alcohol use, sexual behavior and mental health among military students.DESIGN AND SETTING: Cross-sectional study at the Police Academy, in São Paulo.METHODS: Students answered a questionnaire about tobacco use, alcohol consumption, sexual behavior and common mental disorders (CMDs). To analyze associations among the frequencies of smoking and alcohol use, sexually transmitted diseases (STDs) and CMDs during the undergraduate years, we built a multinomial logistic regression model adjusted for age and sex.RESULTS: All 473 students were invited to participate and 430 (90.9%) agreed (10.5% were women). Most were white (76.6%), aged < 30 years, from the upper middle class (78.1%). The frequency of smoking was 6.5%, alcohol consumption 69.3%, STDs 14% and CMDs 15.6%. The use of condoms was low. Fourth-year students presented a lower odds ratio (OR) for STDs than the first-year students: 0.44 (95% confidence interval: 0.22-0.90). Third-year students presented a lower OR for CMDs than the first-year students.CONCLUSION: The frequencies of smoking and CMDs were low, while the frequency of alcohol consumption was similar to that of the Brazilian population. The use of condoms was low, in comparison with previous studies with similar samples. The results suggest that there was a certain degree of protection against CMDs and STDs during the undergraduate years.

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Food Consumption Patterns, Breakfast, Meals with Family and Associations with Common Mental Disorders in Adolescents: A School-Based Cross-Sectional Study

10.21203/rs.3.rs-1108492/v1 ◽

2021 ◽

Author(s):

Lucia Helena Almeida Gratão ◽

Milene Cristine Pessoa ◽

Thales Philipe Rodrigues da Silva ◽

Luana Lara Rocha ◽

Monique Louise Cassimiro Inácio ◽

...

Keyword(s):

Mental Disorders ◽

Food Consumption ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

Consumption Patterns ◽

Consumption Pattern ◽

Sectional Study ◽

Cross Sectional ◽

Eating Practices ◽

Food Consumption Pattern

Abstract BackgroundAdolescence is a period of transition and vulnerabilities, in which mental illnesses can develop more easily. The objective of this work is to verify the association between food consumption patterns and the presence of Common Mental Disorders in Brazilian adolescents. MethodsThis is a cross-sectional study which analyzed data from 71,553 Brazilian adolescents aged 12-17 years, from the ERICA Study. Principal Component Analysis was performed to identify Food Consumption Patterns, and Logistic Regression Models were performed to identify the associations between Common Mental Disorders, Food Consumption Patterns, and eating practices that are breakfast consumption and practice of having meals accompanied by family. ResultsTwo patterns were found, a Healthy Food Consumption Pattern and a Unhealthy Food Consumption Pattern. Adolescents classified in the second (OR: 0.77; 95% CI 0.68 - 0.88) or third (OR: 0.87; 95% CI 0.74 - 0.95) tercile of the Healthy Food Consumption Pattern had a lower chance of having Common Mental Disorders, while those who belonged to the third tercile of the Unhealthy Food Consumption Pattern (OR: 1.22; 95% CI 1.02 - 1.42), had an increased chance of having Common Mental Disorders. Eating breakfast sometimes (OR: 0.69; 95% CI 0.59 - 0.80) or almost every day/every day (OR: 0.52; 95% CI 0.46 - 0.59), and the practice of having the main meals with the family sometimes (OR: 0.64; 95% CI 0.54 - 0.75) or almost every day/every day (OR: 0.48; 95% CI 0.40-0.55), decreased the chance for Common Mental Disorders.ConclusionStrategies to promote the mental health of adolescents as the adoption of healthy eating practices must be strengthened and promoted.

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