Evidence map›Paper›PMID 32615930›Full record

ArticleBMC family practice2020

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

M Rivière, Y Toullic, P Lerouge, T Blanchon, A Leroyer, L Plancke, T Prazuck, M Melchior, N Younès

Abstract read
In one paragraph

Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

M RivièreSorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, 75012, Paris, France. riviere.mat@hotmail.fr.ORCID 0000-0002-5709-0989
Y ToullicUniversity department of general practice, Université Lille 2, Lille, France.
P LerougeUniversity department of general practice, Université Lille 2, Lille, France.
T BlanchonSorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, 75012, Paris, France.
A LeroyerUniv. Lille, CHU Lille, Institut Pasteur de Lille, EA 4483 - IMPECS - IMPact de l'Environnement Chimique sur la Santé humaine, F-59000, Lille, France.
L PlanckeRegional Federation of Research in Psychiatry and Mental Health Hauts-de-France, Lille, France.
T PrazuckDepartment of Infectious Diseases, Réseau Sentinelles, Centre Hospitalier Régional, d'Orléans 14 avenue de l'hôpital, 45000, Orléans, France.
M MelchiorSorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, 75012, Paris, France.
N YounèsUniversité de Versailles Saint-Quentin, Université Paris Saclay, CESP, Team DevPsy, 94807, Villejuif, France.

Funding

Agence régionale de santé Hauts-de-France N°2589
6 · The paper itself

Abstract

backgroundGeneral 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.

methodWe used data from a cross-sectional study of 2027 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.

resultsAmong 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.

conclusionOur 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.

Indexed as

AlcoholismAnxietyDepressive DisorderGeneral PracticeOccupational StressPsychosocial InterventionAdultFemaleFranceHumansMaleMental HealthPractice Patterns, Physicians'Psychotropic DrugsReferral and ConsultationRisk FactorsPsychotropic DrugsCommon mental disordersGeneral practiceManagementReferralWork

Identifiers

PMID32615930
PMCPMC7331173

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.