PLoS ONE (Jan 2018)

Occupational exposure factors for mental and behavioral disorders at work: The FOREC thesaurus.

  • Alain Chamoux,
  • Céline Lambert,
  • Audrey Vilmant,
  • Charlotte Lanhers,
  • Raymond Agius,
  • Mounir Boutaleb,
  • Vincent Bonneterre,
  • Geraldine Naughton,
  • Bruno Pereira,
  • Khalid Djeriri,
  • Eric Ben-Brik,
  • Christine Breton,
  • Caroline De Clavière,
  • Corinne Letheux,
  • Anne-Gaëlle Paolillo,
  • Madeleine Valenty,
  • Odile Vandenberghe,
  • Marie-Pierre Aeschlimann,
  • Gérard Lasfargues,
  • Members of the RNV3P,
  • Francois-Xavier Lesage,
  • Frédéric Dutheil

DOI
https://doi.org/10.1371/journal.pone.0198719
Journal volume & issue
Vol. 13, no. 6
p. e0198719

Abstract

Read online

BACKGROUND:Mental disorders in the workplace are a major public health problem. Knowledge of the impact of the psychosocial work environment on mental and behavioral disorders can assist occupational physicians in the identification and description of occupational risk situations, and help to define priority actions. However, no classification for occupational exposure factors is currently available. We aimed to build a thesaurus of "Organizational, Relational, Ethical and other Contributing Factors" (FOREC) linked with the onset of mental and behavioral disorders. METHODS:The French Agency for Food, Environmental and Occupational Health and Safety (ANSES) initiated and supervised a multidisciplinary working group consisting of the representatives of the main French occupational and public health actors. All decisions were accepted on a consensus basis. This collaborative work led to the classification of occupational exposure factors for mental and behavioral disorders in the workplace. To test this thesaurus in clinical practice, a French multicenter study was implemented. Patients were workers referred to the Occupational Disease Centers for mental health issues at work. Factors contributing to mental and behavioral disorders among workers were identified and coded retrospectively from the worker's point of view using the FOREC thesaurus. RESULTS:We recruited 323 workers, aged 44.9±9.2 years, of which 31.3% were men. The most commonly encountered disorders were generalized anxiety disorders (106 workers, 32.8%) and moderate depressive episodes (86 workers, 26.7%). We identified 1357 factors, i.e. an average of 4.2 factors per worker. Among them, 575 (42.4%) were relational and 515 (37.9%) were organizational. All factors identified during consultations were described in the thesaurus. CONCLUSIONS:We built the first thesaurus of "Organizational, Relational, Ethical and other Contributing Factors" (FOREC) that may help to generate profiles of mental and behavioral disorders at work. Encoding and describing these exposure factors, as well as using a worldwide standardized and shared terminology, will help to identify specific workplace prevention programs.