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Occupational exposure factors for mental and behavioral disorders at work: The FOREC thesaurus.
Chamoux, Alain; Lambert, Céline; Vilmant, Audrey; Lanhers, Charlotte; Agius, Raymond; Boutaleb, Mounir; Bonneterre, Vincent; Naughton, Geraldine; Pereira, Bruno; Djeriri, Khalid; Ben-Brik, Eric; Breton, Christine; De Clavière, Caroline; Letheux, Corinne; Paolillo, Anne-Gaëlle; Valenty, Madeleine; Vandenberghe, Odile; Aeschlimann, Marie-Pierre; Lasfargues, Gérard; Lesage, Francois-Xavier; Dutheil, Frédéric.
Afiliação
  • Chamoux A; CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France.
  • Lambert C; CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France.
  • Vilmant A; CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Clinical Research and Innovation Direction, Clermont-Ferrand, France.
  • Lanhers C; CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France.
  • Agius R; CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France.
  • Boutaleb M; University of Manchester, Institute of Population Health, Centre for Occupational and Environmental Health, Centre for Epidemiology, Manchester, United Kingdom.
  • Bonneterre V; CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France.
  • Naughton G; CHU Grenoble, University Hospital of Grenoble, Occupational Medicine, Grenoble, France.
  • Pereira B; Australian Catholic University, Faculty of Health, Melbourne, Victoria, Australia.
  • Djeriri K; CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Clinical Research and Innovation Direction, Clermont-Ferrand, France.
  • Ben-Brik E; CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France.
  • Breton C; CHU Poitiers, University Hospital of Poitiers, Occupational Medicine, Poitiers, France.
  • De Clavière C; Regional Health Insurance Fund of Ile de France (CRAMIF), Prevention of Occupational Risks, Paris, France.
  • Letheux C; CHU Créteil, University Hospital of Créteil, Occupational Medicine, Créteil, France.
  • Paolillo AG; Interdepartmental Center of Health and Occupational Medicine in Factories (Cisme), Paris, France.
  • Valenty M; CHU Garches, University Hospital of Garches, Occupational Medicine, Garches, France.
  • Vandenberghe O; The French Institute for Public Health Surveillance (InVS), Paris, France.
  • Aeschlimann MP; The French National Health Insurance System (CNAM), Paris, France.
  • Lasfargues G; CHU Toulouse, University Hospital of Toulouse, Occupational Medicine, Toulouse, France.
  • Dutheil F; University of Montpellier, CHU, Montpellier, France.
PLoS One ; 13(6): e0198719, 2018.
Article em En | MEDLINE | ID: mdl-29927960
ABSTRACT

BACKGROUND:

Mental disorders in the workplace are a major public health problem. Knowledge of the impact of the psychosocial work environment on mental and behavioral disorders can assist occupational physicians in the identification and description of occupational risk situations, and help to define priority actions. However, no classification for occupational exposure factors is currently available. We aimed to build a thesaurus of "Organizational, Relational, Ethical and other Contributing Factors" (FOREC) linked with the onset of mental and behavioral disorders.

METHODS:

The French Agency for Food, Environmental and Occupational Health and Safety (ANSES) initiated and supervised a multidisciplinary working group consisting of the representatives of the main French occupational and public health actors. All decisions were accepted on a consensus basis. This collaborative work led to the classification of occupational exposure factors for mental and behavioral disorders in the workplace. To test this thesaurus in clinical practice, a French multicenter study was implemented. Patients were workers referred to the Occupational Disease Centers for mental health issues at work. Factors contributing to mental and behavioral disorders among workers were identified and coded retrospectively from the worker's point of view using the FOREC thesaurus.

RESULTS:

We recruited 323 workers, aged 44.9±9.2 years, of which 31.3% were men. The most commonly encountered disorders were generalized anxiety disorders (106 workers, 32.8%) and moderate depressive episodes (86 workers, 26.7%). We identified 1357 factors, i.e. an average of 4.2 factors per worker. Among them, 575 (42.4%) were relational and 515 (37.9%) were organizational. All factors identified during consultations were described in the thesaurus.

CONCLUSIONS:

We built the first thesaurus of "Organizational, Relational, Ethical and other Contributing Factors" (FOREC) that may help to generate profiles of mental and behavioral disorders at work. Encoding and describing these exposure factors, as well as using a worldwide standardized and shared terminology, will help to identify specific workplace prevention programs.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Exposição Ocupacional / Local de Trabalho / Transtornos Mentais Tipo de estudo: Clinical_trials / Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Exposição Ocupacional / Local de Trabalho / Transtornos Mentais Tipo de estudo: Clinical_trials / Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Ano de publicação: 2018 Tipo de documento: Article