1. Occupational exposure factors for mental and behavioral disorders at work: The FOREC thesaurus
- Author
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Chamoux, Alain, Lambert, Celine, 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, members, RNV3P, Lesage, François-Xavier, Dutheil, Frédéric, van Bogaert, Peter, Institut de Médecine du Travail, CHU Clermont-Ferrand-Université d'Auvergne - Clermont-Ferrand I (UdA), Unité Biostatistique, CHU Clermont-Ferrand, Médecine Physique et Réadaptation, Hôpital Henry Gabrielle [CHU - HCL], Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL), Environnement et Prédiction de la Santé des Populations (TIMC-IMAG-EPSP), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 (TIMC-IMAG), Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019])-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019]), Centre Hospitalier Universitaire [Grenoble] (CHU), Australian National University (ANU), Unité de Biostatistiques [CHU Clermont-Ferrand], Direction de la recherche clinique et de l’innovation [CHU Clermont-Ferrand] (DRCI), CHU Clermont-Ferrand-CHU Clermont-Ferrand, Service de pneumologie et de pathologie professionnelle, CHI Créteil, Agence Française de Sécurité Sanitaire de l'Environnement et du Travail (AFSSET), AFSSET, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Laboratoire de Psychologie Sociale et Cognitive (LAPSCO), Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne (UCA), Service Santé Travail Environnement [CHU Clermont-Ferrand], CHU Gabriel Montpied [Clermont-Ferrand], University of Manchester [Manchester], Australian Catholic University (ACU), Centre hospitalier universitaire de Poitiers (CHU Poitiers), CRAMIF, Centre Hospitalier Intercommunal de Créteil (CHIC), CISME (Centre Interservices Santé et Médecine Travail Entreprise), Hôpital Raymond Poincaré (APHP), 104 boulevard Raymond Poincaré, 92380, Garches, Institut de Veille Sanitaire (INVS), Caisse nationale d'assurance maladie des travailleurs salariés [CNAMTS], Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), CHU Montpellier, Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS), EA4278 Laboratoire de Pharm-Ecologie Cardiovasculaire (LaPEC), Avignon Université (AU), and CHU Toulouse [Toulouse]
- Subjects
Male ,Thesauri ,Medical Doctors ,Health Care Providers ,[SDV]Life Sciences [q-bio] ,lcsh:Medicine ,Occupational safety and health ,Terminology ,0302 clinical medicine ,Risk Factors ,Agency (sociology) ,Medicine and Health Sciences ,Public and Occupational Health ,Medical Personnel ,030212 general & internal medicine ,Workplace ,lcsh:Science ,ComputingMilieux_MISCELLANEOUS ,Data Management ,Thesaurus (information retrieval) ,Multidisciplinary ,Depression ,Mental Disorders ,Middle Aged ,030210 environmental & occupational health ,3. Good health ,Aggression ,Suicide ,Professions ,[SCCO.PSYC]Cognitive science/Psychology ,Female ,France ,Psychology ,Psychosocial ,Research Article ,Clinical psychology ,Adult ,Computer and Information Sciences ,medicine.medical_specialty ,Occupational disease ,03 medical and health sciences ,Occupational Exposure ,Physicians ,Mental Health and Psychiatry ,medicine ,Humans ,Behavior ,Behavioral Disorders ,Mood Disorders ,Public health ,lcsh:R ,Biology and Life Sciences ,medicine.disease ,Mental health ,Health Care ,People and Places ,Population Groupings ,lcsh:Q - Abstract
BackgroundMental 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.MethodsThe 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.ResultsWe 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.ConclusionsWe 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.
- Published
- 2018