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Psychoses and professional activity: Impact on medical fitness for work
- A. Belkahla, D. Brahim, H. Ben Said, A. Ghenim, W. Ayed, S. Ernez, I. Youssef, N. Ladhari
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, pp. S472-S473
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Introduction
Psychoses constitute an extremely heterogeneous clinical entity, with variable medical and socio-professional prognosis depending on several associated factors.
Objectives- To describe the socio-professional and medical characteristics of patients with psychotic disorders.
- To study the repercussions of these psychotic disorders on the patients’ medical fitness for work.
MethodsCross-sectional descriptive study of workers with psychotic disorders referred to the consultation of occupational pathology of Charles Nicolle Hospital in Tunis for a medical opinion of fitness during the period from January 2013 to July 2022.
ResultsA total of 34 patients were included. The average age was 41.67 ± 10 years. A male predominance was noted with a sex ratio (M/F) of 1.12. Patients with bipolar disorders represented 77% (n=26) of the psychotics versus 23% with schizophrenia (n=8). Two cases had a family history of psychosis. The most represented sector was the health sector in 41% of cases, followed by the tertiary sector in 11.8% of cases. The most prevalent job position was administrative assistant (14.7%). The average professional seniority was 17.07 ± 11.18 years. At the end of the medical aptitude consultation, 17% of the patients (n=6) were considered fit to continue their usual professional activity and 70% of the patients (n=24) had certain restrictions, mainly an exemption from night work in 46% of the cases (n=11) and from security and responsibility functions in 17% of cases (n=4). Temporary unfitness for work was indicated for 18% of patients (n=6) with a median duration of 8 ± 3.46 months. Twenty-three percent (23%) of the patients were judged permanently unfit for their jobs. Early retirement was proposed for five patients. The main diagnosis for permanent unfitness was bipolar disorder (7/8 patients).
ConclusionsThe evaluation of the social and professional impact of psychotic disorders is an area of research that requires continuous and periodic re-evaluation.
Disclosure of InterestNone Declared
Psychiatric disorders in teleoperators : A series of 27 cases
- A. Ghenim, D. Brahim, N. Mechergui, A. Belkahla, S. Ernez, G. Bahri, W. Ayed, I. Youssef, N. Ladhari
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S473
-
- Article
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- You have access Access
- Open access
- Export citation
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Introduction
By its nature, the activity of teleoperators seems to be a propitious environment for the development of psychosocial disorders, sometimes severe
ObjectivesTo study the frequency of psychiatric disorders among teleoperators and their impact on medical fitness for work
MethodsThis is a retrospective descriptive epidemiological study. We examined the files of teleoperators who were referred to the occupational medicine department of Charles Nicolle between 2014 and 2022 for a medical opinion of aptitude
ResultsA total of 82 cases were identified, 27 of which had psychological complaints. A clear female predominance was noted (21). The average age was 38.22+-6.536 years. All the patients were telephonists at the call-taking station with an average professional seniority of 9.3+-3.395 years. The symptoms noted were: sad mood (19), irritability (15), anxiety (10), sleep disorders (8), loss of vital impetus (8), neurovegetative signs (6), psychomotor slowing (5), concentration and memory disorders (3). Only one patient had suicidal thoughts. Symptoms had been evolving for an average of 34.32+-34.527 months. Psychiatric follow-up was noted in 16 patients. The diagnoses retained were: anxiety and depressive disorder (19), adjustment disorder (4), panic disorder (2), obsessive-compulsive disorder (1), and a satisfactory state of health (1). In some cases, the evolution was marked by complications: addiction(1), tonic stuttering with phobic disorder(1) and speech disorder(1). The prescribed treatments were: an antidepressant(2), an antidepressant-anxiety combination(8) and psychotropic drugs(2). Concerning the ability to work, 21 patients required an eviction from call taking (definitive (9) or temporary for 3 months (7) or 6 months (5) with re-evaluation of the medical ability to work at the end of this period), 1patient had an eviction from night work and an other had a reduction of the working hours.
ConclusionsTeleoperators are exposed to several risks which can affect both their mental and physical health and put their medical fitness for work at risk.
Disclosure of InterestNone Declared