GP consultations for common mental disorders and subsequent sickness certification: register-based study of the employed population in Norway

Gjesdal, Sturla; Holmaas, Tor Helge; Monstad, Karin; Hetlevik, Øystein

doi:10.1093/fampra/cmw072

Cited by 15 publications

(28 citation statements)

References 32 publications

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“…Rate of sick leaves in case of work-related CMD is consistent with a Norwegian study where 45% of patients with CMD have a sick leave prescribed by the GP (39). The average length of sick leaves is compatible with data of the French national health insurance, that shows that there is a high rate of long term sick leaves for individuals with CMD (40).…”

Section: Discussion A) Summarysupporting

confidence: 87%

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

Rivière

Toullic

Lerouge

et al. 2019

Preprint

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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.

show abstract

Section: Discussion A) Summarysupporting

confidence: 87%

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

Rivière

Toullic

Lerouge

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…Rate of sick leaves in case of work-related CMD is consistent with a Norwegian study where 45% of patients with CMD have a sick leave prescribed by the GP (46). The average length of sick leaves is compatible with data of the French national health insurance, that shows that there is a high rate of long term sick leaves for individuals with CMD (47).…”

Section: B Comparison With Existing Literature Gp's Management Of Pasupporting

confidence: 87%

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

Rivière

Toullic

Lerouge

et al. 2019

Preprint

View full text Add to dashboard Cite

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.

show abstract

“…Second, rates of sick leave in case of work-related CMD are consistent with a Norwegian study where 45% of patients with CMD have a sick leave prescribed by the GP [39]. The average length of sick leave is compatible with data from the French national health insurance, showing that there is a high rate of long term sick leave for individuals with CMD [40].…”

Section: Comparison With Existing Literature Gp's Management Of Patiesupporting

confidence: 82%

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

et al. 2020

View full text Add to dashboard Cite

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 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. 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.

show abstract

GP consultations for common mental disorders and subsequent sickness certification: register-based study of the employed population in Norway

Cited by 15 publications

References 32 publications

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

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

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

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

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