Work-related psychosocial risk factors and psychiatric disorders: A cross-sectional study in the French working population
Abstract
Purpose
The study estimates the prevalence of probable psychiatric disorder in the working population,
determines the proportion of people presenting a probable psychiatric disorder among
people exposed to work-related psychosocial risk factors (PSRFs), and identifies which
PSRF has the strongest association with having a probable psychiatric disorder.
Methods
A cross-sectional study conducted in March 2018 involved a representative sample of the
French working population. The General Health Questionnaire 28 (GHQ-28) was used to
estimate the prevalence of probable psychiatric disorder and 44 items were gathered from
theoretical models of PSRFs. We used multiple logistic regression to estimate the association
of each PSRF with having a probable psychiatric disorder, adjusted on individual,
health, and job confounders.
Results
This study involved 3200 French participants. The proportion of probable psychiatric disorder
was 22.2% [20.6; 24.0]. Ten PSRFs were significantly associated with it. The strongest
association was for having problems handling professional and personal responsibilities
(reported by 15% of the study population) (OR = 1.97 [1.52; 2.54]), with 45% pathological
GHQ-28 scores (potential psychiatric cases) for people exposed to this PSRF versus 18%
non-exposed. The next strongest association was lack of support of colleagues (reported by
28%) (OR = 1.63 [1.29; 2.06]). The third strongest association was feeling sometimes afraid
when doing the job (reported by 63%) (OR = 1.53, [1.21; 1.93]).
Conclusions
Our study identified 10 PSRFs associated with psychiatric disorder, with substantial exposure
rate among the population. The results of our research could help develop recommendations
to improve work environment.
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