Prospective impact of psychiatric disorders on employment status and health care use in patients investigated for occupational asthma

Kim L. Lavoie, Montreal Behavioural Medicine Centre, Research Centre, Centre Integre Universitaire de Sante et de Services Sociaux du Nord de l'Ile, Hôpital du Sacré-Coeur de Montréal, J-3190, 5400 Gouin West, Montreal, H4J 1C5, QC, Canada, Department of Psychology, University of Quebec at Montreal (UQAM), Montreal, QC, Canada
Helene Favreau, Montreal Behavioural Medicine Centre, Research Centre, Centre Integre Universitaire de Sante et de Services Sociaux du Nord de l'Ile, Hôpital du Sacré-Coeur de Montréal, J-3190, 5400 Gouin West, Montreal, H4J 1C5, QC, Canada, Department of Psychology, University of Quebec at Montreal (UQAM), Montreal, QC, Canada
Nicola J. Paine, Montreal Behavioural Medicine Centre, Research Centre, Centre Integre Universitaire de Sante et de Services Sociaux du Nord de l'Ile, Hôpital du Sacré-Coeur de Montréal, J-3190, 5400 Gouin West, Montreal, H4J 1C5, QC, Canada, Department of Exercise Science, Concordia University, Montreal, QC, Canada
Catherine Lemiere, Montreal Behavioural Medicine Centre, Research Centre, Centre Integre Universitaire de Sante et de Services Sociaux du Nord de l'Ile, Hôpital du Sacré-Coeur de Montréal, J-3190, 5400 Gouin West, Montreal, H4J 1C5, QC, Canada
Maryann Joseph, Montreal Behavioural Medicine Centre, Research Centre, Centre Integre Universitaire de Sante et de Services Sociaux du Nord de l'Ile, Hôpital du Sacré-Coeur de Montréal, J-3190, 5400 Gouin West, Montreal, H4J 1C5, QC, Canada
Avril Gagnon-Chauvin, Montreal Behavioural Medicine Centre, Research Centre, Centre Integre Universitaire de Sante et de Services Sociaux du Nord de l'Ile, Hôpital du Sacré-Coeur de Montréal, J-3190, 5400 Gouin West, Montreal, H4J 1C5, QC, Canada, Department of Psychology, University of Quebec at Montreal (UQAM), Montreal, QC, Canada
André Cartier, Montreal Behavioural Medicine Centre, Research Centre, Centre Integre Universitaire de Sante et de Services Sociaux du Nord de l'Ile, Hôpital du Sacré-Coeur de Montréal, J-3190, 5400 Gouin West, Montreal, H4J 1C5, QC, Canada
Simon L. Bacon, Montreal Behavioural Medicine Centre, Research Centre, Centre Integre Universitaire de Sante et de Services Sociaux du Nord de l'Ile, Hôpital du Sacré-Coeur de Montréal, J-3190, 5400 Gouin West, Montreal, H4J 1C5, QC, Canada, Department of Exercise Science, Concordia University, Montreal, QC, Canada

Type de document

Études primaires

Année de publication

2016

Langue

Anglais

Titre de la revue

Journal of Occupational and Environmental Medicine

Première page

1196

Dernière page

1201

Résumé

Objective: We previously reported high rates (34%) of psychiatric disorders (PSY) in patients evaluated for occupational asthma (OA). We determined the impact of PSYon employment status and health care use 12 to 18 months later.

Method: One hundred ninety-six patients underwent clinical and psychiatric interviews on the day of their OA evaluation. Patients were re-contacted 12to 18 months later to assess employment status and health care use.

Results: Results indicated that patients with a PSYat baseline were less likely to be employed (adjusted odds ratio=2.88; 95% confidence interval=1.29 to 6.44) irrespective of final medical diagnosis (including OA), and had higher rates of emergency visits (35% vs 19%, P=0.04).

Conclusions: Psychiatric morbidity is common in this population and associated with lower employment rates and greater use of emergency services. Greater efforts should be made to assess and treat PSY in this population. Copyright © 2016 American College of Occupational and Environmental Medicine.

Mots-clés

Asthme, Asthma, Effet psychologique, Psychological effect, Soins aux travailleurs malades, Care of sick workers

Numéro de projet IRSST

n/a

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