See the published version of this preprint at BMC Family Practice.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Mathieu Rivière
Institut Pierre Louis d'Epidemiologie et de Sante Publique
Corresponding Author
ORCiD: https://orcid.org/0000-0002-5709-0989
License:
This work is licensed under a CC BY 4.0 License. Read Full License
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 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 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.
Keywords
common mental disorders; work; management; referral; general practice
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CURRENT STATUS: Published
View the published article at BMC Family Practice.
Version 3
Posted 19 Jun, 2020
No community comments so far
Submission checks complete
On 18 Jun, 2020
Editorial decision: Accept
On 18 Jun, 2020
No comments provided
Editorial decision: Minor revision
On 21 May, 2020
Review #2 received
Received 18 May, 2020
Review #1 received
Received 02 Feb, 2020
Reviewer #2 agreed
On 29 Jan, 2020
Reviewer #1 agreed
On 27 Jan, 2020
Reviewers invited
Invitations sent on 22 Jan, 2020
Editor assigned
On 10 Dec, 2019
Editor invited
On 09 Dec, 2019
Submission checks complete
On 08 Dec, 2019
No comments provided
Editorial decision: Major revision
On 03 Oct, 2019
Review #1 received
Received 01 Oct, 2019
Review #2 received
Received 09 Sep, 2019
Reviewer #2 agreed
On 05 Sep, 2019
Reviewers invited
Invitations sent on 04 Sep, 2019
Reviewer #1 agreed
On 04 Sep, 2019
Editor assigned
On 20 Aug, 2019
Submission checks complete
On 19 Aug, 2019
Editor invited
On 16 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Practice
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See the published version of this preprint at BMC Family Practice.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Mathieu Rivière
Institut Pierre Louis d'Epidemiologie et de Sante Publique
Corresponding Author
ORCiD: https://orcid.org/0000-0002-5709-0989
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Family Practice.
Version 3
Posted 19 Jun, 2020
No community comments so far
Submission checks complete
On 18 Jun, 2020
Editorial decision: Accept
On 18 Jun, 2020
No comments provided
Editorial decision: Minor revision
On 21 May, 2020
Review #2 received
Received 18 May, 2020
Review #1 received
Received 02 Feb, 2020
Reviewer #2 agreed
On 29 Jan, 2020
Reviewer #1 agreed
On 27 Jan, 2020
Reviewers invited
Invitations sent on 22 Jan, 2020
Editor assigned
On 10 Dec, 2019
Editor invited
On 09 Dec, 2019
Submission checks complete
On 08 Dec, 2019
No comments provided
Editorial decision: Major revision
On 03 Oct, 2019
Review #1 received
Received 01 Oct, 2019
Review #2 received
Received 09 Sep, 2019
Reviewer #2 agreed
On 05 Sep, 2019
Reviewers invited
Invitations sent on 04 Sep, 2019
Reviewer #1 agreed
On 04 Sep, 2019
Editor assigned
On 20 Aug, 2019
Submission checks complete
On 19 Aug, 2019
Editor invited
On 16 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Practice
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Family Practice.
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 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 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.
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