Search results

1

Promoting voluntary help-seeking among doctors with mental disorders

100%

Braquehais M., Valero S., Matalí J., Bel M., Montejo J., Nasillo V., Arteman A., Padrós J., Bruguera E., Casas M.

International Journal of Occupational Medicine and Environmental Health

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2014

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vol. 27

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issue 3

435-443

EN

Objectives: To explore if the Barcelona Integral Care Program for Doctors with mental disorders (PAIMM, in Catalan) has achieved its goal of enhancing earlier and voluntary help-seeking amongst sick doctors. Material and Methods: We conducted a retrospective chart review of 1363 medical records of physicians admitted to the inpatient and outpatient units of the PAIMM from February 1st, 1998 until December 31st, 2011. The sample was divided into 3 time periods: 1998-2004, 2005-2007 and 2008-2011 (477, 497, and 389 cases, respectively). Results: The mean age at admission decreased (F = 77.57, p < 0.001) from the first period (x = 54.18; SD = 10.28 years) to the last period (x = 44.81; SD = 10.65 years), while voluntary referrals increased from 81.3% to 91.5% (Chi² = 17.85, p < 0.001). Mental disorders other than substance use disorders grew from 71% during the 1998-2003 period, to 87.4% (2004-2007), and 83.9% in the last period (Chi2 = 29.01, p < 0.001). Adjustment disorders increased their prevalence, while inpatient treatment progressively represented less of the overall clinical activity. Conclusions: Sick doctors may feel encouraged to seek help in non-punitive programs specially designed for them and where treatment becomes mandatory only when there is risk or evidence of malpractice.

2

Mental condition and specificity of mental disorders in a group of workers from southern Poland: A research report

75%

Izydorczyk B.

Medycyna Pracy

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2018

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vol. 69

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issue 1

13-28

EN

Background The aim of this work is to provide empirical evidence regarding types and increasing prevalence of mental disorders affecting Polish working population in the years 2014–2016. The research questions concerned the specific characteristics of the types of mental disorders and their prevalence as well as the differences between males and females. Material and Methods Types of mental disorders were investigated using a clinical method, a structured interview, as well as medical record data gathered in the years 2014–2016 in one mental health treatment center. The study was conducted in the population of 1578 working individuals aged 18–64 years old, in various forms of employment, including flexible employment (self-employment, task assignment agreement) and contract employment. The research population consisted of 998 females and 580 males, aged 18–64 years old. The study aimed at investigating types and the prevalence rate of mental disorders developed in the examined working Poles, also with reference to the sex of the study participants as well as the age at which they started seeking treatment. Results The prevailing disorders include neurotic disorders; diagnosed according to the 10th Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) classification as a range of anxiety disorders, mixed anxiety-depressive disorders, stress-related and somatoform disorders; as well as personality disorders. The prevalence rate of the aforementioned disorders was found to be higher among working females than in the group of working males. Conclusions The overall study conclusions based on the research data analysis point to the fact that the prevalence rate of various types of mental disorders displayed by the examined working males and females increased significantly in the years 2014–2016. Med Pr 2018;69(1):13–28

3

Protecting and promoting mental health of nurses in the hospital setting: Is it cost-effective from an employer’s perspective?

75%

Noben C., Evers S., Nieuwenhuijsen K., Ketelaar S., Gärtner F., Sluiter J., Smit F.

International Journal of Occupational Medicine and Environmental Health

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2015

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vol. 28

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issue 5

891-900

EN

Objectives Nurses are at elevated risk of burnout, anxiety and depressive disorders, and may then become less productive. This begs the question if a preventive intervention in the work setting might be cost-saving from a business perspective. Material and Methods A cost-benefit analysis was conducted to evaluate the balance between the costs of a preventive intervention among nurses at elevated risk of mental health complaints and the cost offsets stemming from improved productivity. This evaluation was conducted alongside a cluster-randomized trial in a Dutch academic hospital. The control condition consisted of screening without feedback and unrestricted access to usual care (N = 206). In the experimental condition screen-positive nurses received personalized feedback and referral to the occupational physician (N = 207). Results Subtracting intervention costs from the cost offsets due to reduced absenteeism and presenteeism resulted in net-savings of 244 euros per nurse when only absenteeism is regarded, and 651 euros when presenteeism is also taken into account. This corresponds to a return-on-investment of 5 euros up to 11 euros for every euro invested. Conclusions Within half a year, the cost of offering the preventive intervention was more than recouped. Offering the preventive intervention represents a favorable business case as seen from the employer’s perspective.

4

Effort–reward imbalance, overcommitment and their associations with all-cause and mental disorder long-term sick leave – A case-control study of the Swedish working population

75%

Lidwall U.

International Journal of Occupational Medicine and Environmental Health

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2016

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vol. 29

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issue 6

973-989

EN

Objectives To investigate if effort–reward imbalance (ERI) and overcommitment (OC) are associated with all-cause and mental disorder long-term sick leave (LS), and to identify differences in associations between genders, private versus public sector employees and socioeconomic status groups. Material and Methods The study uses a cross-sectional case-control design with a sample of 3477 persons on long-term sick leave of more than 59 days and a control group of 2078 in employment. Data on sick leave originate from social insurance registers, while data on health, working and living conditions were gathered through a survey. The binary logistic regression was used to test the multivariate associations. Results Effort–reward imbalance was associated with all-cause LS among the women (odds ratio (OR) = 1.58, 95% CI: 1.2–2.08), but not among the men. Associations for mental disorder LS were evident for both ERI and OC among both genders (ERI/OC: women OR = 2.76/2.82; men OR = 2.18/2.92). For the men these associations were driven by high effort, while for the women it was low job esteem in public sector and low job security in private sector. Among the highly educated women, ERI was strongly related to mental disorder LS (OR = 6.94, 95% CI: 3.2–15.04), while the highly educated men seemed to be strongly affected by OC for the same outcome (OR = 5.79, 95% CI: 1.48–22.57). Conclusions The study confirmed the independent roles of ERI and OC for LS, with stronger associations among the women and for mental disorders. The ERI model is a promising tool that can contribute to understanding the prevailing gender gap in sick leave and increasing sick leave due to mental disorders. Int J Occup Med Environ Health 2016;29(6):973–989

5

Wstęp do zagadnienia wykorzystania sztuki filmowej w terapii

63%

Mytnik J.

Annales Universitatis Paedagogicae Cracoviensis. Studia Psychologica

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2018

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vol. 11

98-114

EN

Film art is increasingly used in art therapy and psychotherapeutic activities. The therapeutic value of films was discovered long ago, beginning with the researchers from the field of psychoanalysis and cognitive psychology. Only currently, however, a surge of interest among researchers and theoreticians from the field of film therapy can be noted. The emergence of a relatively young trend in psychology, namely positive psychology, has further deepened the ability to use films in therapy. The art of film has many means of influencing the viewer. One of these are reception mechanisms, based on the emotional and intellectual reception of the film and its specific components. It should be emphasized, that not every film has therapeutic potential. Nevertheless, the addressed life issues in the plots make it possible to use selected films as possible tools to influence the viewer. One of the therapeutic issues concerns mental and emotional illnesses and therapy. There are many works objectively showing certain problems, but many films depict distorted images of psychotherapy and the people involved. Both ways of presenting the problem constitute an indispensable source of knowledge and reflection on therapy, for people using therapeutic elements in their work, as well as for the loved ones and families of patients struggling with various disorders and diseases.

PL

Od początku swojego istnienia, sztuka filmowa dzięki wykorzystaniu techniki wprowadzającej obraz w ruch stała się atrakcyjnym sposobem spędzania wolnego czasu. Dzięki rozwojowi języka wypowiedzi filmowej oraz powstaniu nowych konwencji i gatunków filmowych nieustająco dostarcza widzom rozrywki, a także wzbudza różnorodne emocje. Film jako narzędzie oddziaływania na widza stał się obiektem zainteresowania nie tylko filmoznawców, ale też psychologów, a sztuka filmowa znalazła zastosowanie w arteterapii dzięki oddziaływaniu jej poszczególnych elementów oraz poprzez uruchamiane w widzu mechanizmy bazujące na emocjonalnym i intelektualnym odbiorze prezentowanych obrazów. Niniejszy artykuł ma na celu ukazanie zastosowań sztuki filmowej w ramach działań terapeutycznych, a także wskazanie poruszanych w sztuce filmowej problemów i zagadnień, stanowiących podstawy dla zastosowania wybranych filmów jako ewentualnych narzędzi oddziaływania na widza. Zagadnienia te zostaną opisane na przykładzie ukazywanego w sztuce filmowej obrazu chorób i zaburzeń psychicznych, który może stanowić materiał dla prowadzenia działań terapeutycznych oraz edukacyjnych.

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Pracownik z chorobą psychiczną – możliwości i bariery w pracy zawodowej

51%

Cybula-Fujiwara A., Merecz-Kot D., Walusiak-Skorupa J., Marcinkiewicz A., Wiszniewska M.

Medycyna Pracy

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2015

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vol. 66

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issue 1

57-69

EN

In Poland patients with psychiatric problems form a large group; in 2010 there were almost 1.5 million people for whom outpatient psychiatric care was provided, whereas approximately 200 thousand ill individuals were treated in 24-h psychiatric wards. Only 17% of the mentally disabled are professionally active. The results of many researches show that despite the detrimental influence of mental disorders on the employment (e.g., lower productivity, absenteeism, presenteism, increased risk of accidents at the workplace), professional activity can play a key role in the stabilization of the mental state, it can also help in disease recovery. People with mental disorders are a social group that is at the higher risk of exclusion from the job market. The opinion prevailing among employers is that mentally ill individuals have decreased ability to conduct professional activity, and social attitudes towards them tend to be based on marking and stigmatizing. This review tackles the advantages of working during the illness, barriers which people with mental disorders face on the job market when they want to either start or continue work, and professional functioning of people with diagnosed depression (e.g., affective disorders) and schizophrenia (representing psychotic disorders). The analysis of existing data show that to improve the situation of mentally ill people present on the job market close cooperation between the representatives of various medical specializations is necessary, as well as their active participation in the process of social and professional rehabilitation of people affected by mental disorders. Med Pr 2015;66(1):57–69

PL

Osoby z zaburzeniami psychicznymi stanowią w Polsce liczną grupę. W 2010 r. psychiatryczną opieką ambulatoryjną objętych było prawie 1,5 mln osób, natomiast w całodobowych oddziałach psychiatrycznych leczono około 200 tys. chorych. Jedynie 17% osób niepełnosprawnych psychicznie jest aktywnych zawodowo. Badania dowodzą, że mimo niekorzystnego wpływu zaburzeń psychicznych na zatrudnienie (np. obniżona produktywność, absentyzm, prezentyzm, zwiększone ryzyko wypadków w pracy), praca może mieć kluczowe znaczenie dla stabilizacji stanu psychicznego, a także może pomóc w powrocie do zdrowia. Osoby z zaburzeniami psychicznymi są grupą społeczną najbardziej narażoną na wykluczenie z rynku pracy. Wśród pracodawców przeważa opinia, że osoby chorujące psychicznie mają ograniczoną zdolność do pracy zawodowej, a społeczne postawy wobec nich cechuje tendencja do naznaczania i piętnowania. W artykule omówiono korzyści dla zdrowia wynikające z podjęcia pracy w przebiegu choroby psychicznej, bariery napotykane przez chorych w podejmowaniu i kontynuowaniu pracy oraz zawodowe funkcjonowanie osób z rozpoznaną depresją (będącą przykładem zaburzeń afektywnych) i schizofrenią (będącą przykładem zaburzeń psychotycznych). Analiza dostępnych danych wskazuje, że w celu polepszenia sytuacji osób chorujących psychicznie na rynku pracy konieczna jest ścisła współpraca przedstawicieli różnych specjalności medycznych i ich aktywne zaangażowanie w proces rehabilitacji społeczno-zawodowej osób dotkniętych zaburzeniami psychicznymi. Med. Pr. 2015;66(1):57–69

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Analiza orzeczeń lekarskich i psychologicznych dotyczących kierowców, którzy prowadzili pojazdy po spożyciu alkoholu

51%

Latała-Łoś E., Makara-Studzińska M.

Medycyna Pracy

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2014

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vol. 65

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issue 4

497-506

EN

Background: The aim of the study is to present the health predispositions to drive, assessed during certifying people referred to the Regional Centre for Occupational Medicine in Kielce due to drunk driving or driving after using alcohol. The article mainly presents the results regarding the prevalence of alcohol dependence and other psychiatric disorders in this group. We analyzed health condition at 3 year intervals in the years 2004, 2007 and 2010, adding the population of those who were examined in 2011. Material and Methods: A total of 5701 people were involved, both men and women. Drivers test cards along with the results of biochemical tests and specialist consultations were analyzed. The analysis of the results was performed using the statistical package PQStat 1.4.2.324 Results: Certificates with health contraindications to drive were issued to 6.7% of investigated individuals. Very significant correlation between alcohol dependence syndrome and the level of γ-glutamyl transferase (GGT), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) were confirmed. Alcohol dependence was diagnosed in 3.8% of the group. Conclusions: The health state of the drivers met the required certification criteria necessary for obtaining a driving license in more than 93% of the group. The study revealed many diseases in the group of investigated drivers, including 3.8% of alcohol dependence and 5% of mental disorders. The threat of losing driving license has become an important factor motivating drivers to undertake therapy. However, it seems advisable to develop principles for treatment monitoring and exchange of information between the certifying physician and the treating psychiatrist or psychologist. Med Pr 2014;65(4):497–506

PL

Wstęp: W pracy przedstawiono wyniki badań osób skierowanych na badania do Wojewódzkiego Ośrodka Medycyny Pracy w Kielcach z uwagi na prowadzenie przez nie pojazdów w stanie nietrzeźwości lub po użyciu alkoholu. W artykule przede wszystkim zaprezentowano wyniki dotyczące występowania w badanej grupie uzależnienia od alkoholu oraz innych zaburzeń psychicznych. Obserwację prowadzono w odstępach 3-letnich (w roku 2004, 2007, 2010), a następnie populację poszerzono o badanych w 2011 r. Materiał i metody: Do udziału w badaniach zakwalifikowano 5701 osób. Przeprowadzono analizy kart badania kierowców wraz z wynikami badań biochemicznych i konsultacji specjalistycznych. Analizę uzyskanych wyników przeprowadzono za pomocą pakietu statystycznego PQStat 1.4.2.324. Wyniki: Orzeczenia o istnieniu przeciwwskazań zdrowotnych do prowadzenia pojazdów otrzymało 6,7% badanych. Stwierdzono wysoce istotną zależność między występowaniem zespołu uzależnienia od alkoholu a poziomem γ-glutamylo-transferazy (GGT), aminotransferazy alaninowej (ALT) i aminotransferazy asparaginianowej (AST). Uzależnienie od alkoholu stwierdzono u 3,8% badanych. Wnioski: Stan zdrowia ponad 93% badanych spełniał wymagane kryteria orzecznicze konieczne do uzyskania prawa jazdy. Badania przyczyniły się do wykrycia w badanej grupie kierowców wielu schorzeń, w tym uzależnienia od alkoholu (3,8%) i innych zaburzeń psychicznych (5,0%). Utrata prawa jazdy staje się istotnym czynnikiem motywującym kierowców do podjęcia terapii, natomiast celowe jest opracowanie zasad monitorowania leczenia i wymiany informacji między lekarzem orzekającym a leczącym psychiatrą bądź psychologiem. Med. Pr. 2014;65(4):497–506

Refine search results

Promoting voluntary help-seeking among doctors with mental disorders

Mental condition and specificity of mental disorders in a group of workers from southern Poland: A research report

Protecting and promoting mental health of nurses in the hospital setting: Is it cost-effective from an employer’s perspective?

Effort–reward imbalance, overcommitment and their associations with all-cause and mental disorder long-term sick leave – A case-control study of the Swedish working population

Wstęp do zagadnienia wykorzystania sztuki filmowej w terapii

Pracownik z chorobą psychiczną – możliwości i bariery w pracy zawodowej

Analiza orzeczeń lekarskich i psychologicznych dotyczących kierowców, którzy prowadzili pojazdy po spożyciu alkoholu