Occupational Medicine-Oxford最新文献_第3页

A service evaluation of PTSD Resolution therapy for military veterans. 退伍军人PTSD消退治疗的服务评价。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-03-31 DOI: 10.1093/occmed/kqaf012

C E Hall, N Greenberg

{"title":"A service evaluation of PTSD Resolution therapy for military veterans.","authors":"C E Hall, N Greenberg","doi":"10.1093/occmed/kqaf012","DOIUrl":"https://doi.org/10.1093/occmed/kqaf012","url":null,"abstract":"Background: Post-traumatic stress disorder (PTSD) Resolution is a UK-based charity that provides treatment for military veterans, reservists and their families. However, there is little contemporary evaluation of their clinical outcomes to inform commissioners or potential service users.Aims: To establish whether treatment by PTSD Resolution therapists resulted in positive outcomes at the end of therapy and follow-up; to establish risk and resilience factors associated with positive treatment outcomes; and to the extent possible, compare PTSD Resolution with National Health Service (NHS)-Improving Access to Psychological Therapies (IAPT) services.Methods: A sample of 211 closed cases from the service provider between April 2022 and May 2023 were utilized. Clients provided demographic data and completed a series of mental health screening tools. Follow-up data were also collected where possible. Paired t-tests, univariable binary logistic regressions and chi-squared tests were used in the analysis.Results: Around 6% of clients attended only one session, with 82% having a planned ending. This service evaluation suggests that veterans who enter therapy with PTSD Resolution appear to experience similar rates of recovery to IAPT users. Analysis of follow-up data revealed that clients scores slightly increased following the completion of therapy but remained below caseness thresholds and significantly lower than entry-level scores.Conclusions: These data suggest that veterans who choose to engage with PTSD Resolution for their mental health difficulties should expect to experience a similar benefit to that they would have experienced if they had sought outpatient care from the NHS.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Presenteeism and physio-psychological disorders among frontline nurses fighting COVID-19. 抗击COVID-19一线护士的出勤和生理心理障碍

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-03-29 DOI: 10.1093/occmed/kqaf011

W Kong, L Sun, T Deng, D Feng

{"title":"Presenteeism and physio-psychological disorders among frontline nurses fighting COVID-19.","authors":"W Kong, L Sun, T Deng, D Feng","doi":"10.1093/occmed/kqaf011","DOIUrl":"https://doi.org/10.1093/occmed/kqaf011","url":null,"abstract":"Background: Presenteeism, defined as workers continuing to work despite being sick, was associated with poor health outcomes amongst frontline nurses, particularly those assisting other cities during the pandemic. The mechanisms behind this association remain unclear.Aims: To investigate the presenteeism rate of frontline nurses and explore the effect of presenteeism on their physio-psychological disorders with personal health prevention and control strategies as the mediator.Methods: The cross-sectional study was conducted between April and May 2022 among Chinese frontline nurses working in isolation wards and assisting Shanghai in combating the COVID-19 outbreak. A total of 350 participants from one hospital were invited to complete a questionnaire survey. Structural equation modelling examined the relationships among presenteeism, personal health prevention and control strategies, and physio-psychological disorders.Results: A total of 300 frontline nurses participated. Participants reported a presenteeism rate of 66%. Presenteeism had a direct influence on mental disorders (β = 0.29, 95% confidence interval [CI]: 0.12, 0.47) and physical disorders (β = 0.37, 95% CI: 0.22, 0.54). Personal health prevention and control strategies mediated the relationship between presenteeism and mental disorders (β = 0.10, 95% CI: 0.01, 0.20) or physical disorders (β = 0.21, 95% CI: 0.07, 0.33).Conclusions: Presenteeism remained high among Chinese frontline nurses. Personal health prevention and control strategies partly mediated the negative effect of presenteeism on health. Thus, reducing presenteeism and enhancing protection and control strategies may be important measures to promote the health of these nurses.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health and Safety Executive Management Standards: associations with operational effectiveness in policing. 健康和安全行政管理标准：与警务行动效率的联系。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-03-19 DOI: 10.1093/occmed/kqaf018

Jonathan Houdmont

{"title":"Health and Safety Executive Management Standards: associations with operational effectiveness in policing.","authors":"Jonathan Houdmont","doi":"10.1093/occmed/kqaf018","DOIUrl":"https://doi.org/10.1093/occmed/kqaf018","url":null,"abstract":"Background: The United Kingdom (UK) Health and Safety Executive's Management Standards encompass a set of aspirational quality standards and a risk management methodology pertaining to psychosocial working conditions. Two decades since their introduction, implementation of the Management Standards or equivalent approaches remains far from universal across UK organizations. This may be due, in part, to a paucity of evidence concerning their operational effectiveness benefits.Aims: This study aimed to generate evidence on the business benefits of the Management Standards by examining associations between achievement of the good practice quality standards and indices of operational effectiveness.Methods: Police custody sergeants (N = 1493) completed the Management Standards Indicator Tool that assesses the extent to which the quality standards are met, plus measures of operational effectiveness (job performance, attendance behaviours, intention to leave). Logistic regression was used to examine associations between achievement of the quality standards and operational effectiveness.Results: The proportion of respondents reporting fulfilment of the quality standards in their workplace ranged from 3% (change) to 65% (role). Achievement of the quality standards was variously associated with elevated odds for the concurrent presence of desirable states of operational effectiveness.Conclusions: These findings point to the operational effectiveness benefits of a preventative approach to the management of workplace psychosocial risk and may encourage organizations to adopt the Management Standards or an equivalent approach to fulfil their legal duty in respect to psychosocial risk management.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Occupational benzene exposure and skin cancers: a systematic review and meta-analysis. 职业性苯暴露与皮肤癌：系统回顾和荟萃分析。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-02-28 DOI: 10.1093/occmed/kqae112

M Angelini, M S Seyyedsalehi, P Boffetta

{"title":"Occupational benzene exposure and skin cancers: a systematic review and meta-analysis.","authors":"M Angelini, M S Seyyedsalehi, P Boffetta","doi":"10.1093/occmed/kqae112","DOIUrl":"https://doi.org/10.1093/occmed/kqae112","url":null,"abstract":"Background: Exposure to benzene is a widespread occupational hazard that has been associated with haematopoietic neoplasms. The increasing awareness of the health effects that can arise from extended dermal contact with aromatic hydrocarbons, such as benzene, may elevate the risk of skin cancer.Aims: This study addresses the association between occupational benzene exposure and its incidence and mortality, encompassing non-melanoma skin cancer (NMSC), including basal cell carcinoma and squamous cell carcinoma, as well as cutaneous melanoma (CM).Methods: After removing duplicates, we screened 5652 articles from four different sources (Embase, Pubmed, Scopus and IARC Monographs), retrieving 29 independent studies on occupational benzene exposure and skin cancer. The meta-analysis used a random-effects model, overall and stratifying by gender, publication year, outcome, geographic region, industry type and study design.Results: The analysis encompasses 18 risk estimates on CM and 21 on either NMSC or not-specified skin cancer (NM/NS) mostly from Europe and North America and predominantly from oil industry cohorts. There was no association with either CM (relative risk [RR] = 0.99, 95% confidence interval [CI] 0.81; 1.21) or NM/NS (RR = 1.19, 95% CI 0.94; 1.50), except for a positive association between employment in the chemical industry and NM/NS risk. There was no evidence of publication bias for either type of cancer (P = 0.70 and P = 0.08).Conclusions: Our meta-analysis found no association between occupational benzene exposure and skin cancer. Further research should aim to describe the association of benzene exposure with skin cancer in less developed countries and among various occupations.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction to: Decentralized worker-centred occupational management in health care: nationwide survey and alpha testing. 卫生保健中以工人为中心的分散职业管理：全国调查和alpha测试。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-02-27 DOI: 10.1093/occmed/kqaf008

引用次数: 0

Direct-to-consumer occupational health monitoring: opportunities, concerns, ethical considerations. 直接面向消费者的职业健康监测：机会、关切、伦理考虑。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-02-26 DOI: 10.1093/occmed/kqaf007

Lode Godderis, Charles Decree, Tuur Devooght

引用次数: 0

Doctors with mental health difficulties and ADHD. 有精神健康问题和多动症的医生。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-01-23 DOI: 10.1093/occmed/kqae139

B Perera, Z Al-Najjar

{"title":"Doctors with mental health difficulties and ADHD.","authors":"B Perera, Z Al-Najjar","doi":"10.1093/occmed/kqae139","DOIUrl":"https://doi.org/10.1093/occmed/kqae139","url":null,"abstract":"Background: There is growing interest in understanding neurodevelopmental disorders such as Attention-deficit/hyperactivity disorder (ADHD) among doctors. However, the current understanding of ADHD and its association with mental well-being in doctors is limited.Aims: This study investigated the significance of ADHD among doctors with mental health difficulties accessing a national mental health service for doctors in England.Methods: Electronic records from 2877 doctors seeking mental health care through the National Health Service Practitioner Health service were analysed. Demographic data, psychopathology scales (PHQ-9 for depression, GAD-7 for anxiety, Core-10 for psychological well-being) and ADHD screening using ADHD Self-Report Scale (ASRS) were examined. Analyses were conducted to explore associations between ADHD screening, demographic variables and co-existing mental health disorders.Results: The study revealed that over one-third (35%) of doctors in this study sample screened positive for ADHD using the ASRS questionnaire. The male-to-female ratio for screened positive was 1.1:1. The number of doctors screening positive for ADHD reduced with age. A substantial portion of doctors who screened positive for ADHD also exhibited symptoms of co-existing mental health disorders such as anxiety and depression.Conclusions: This study highlights that assessments for ADHD among doctors presenting with mental health difficulties can be important and relevant. Validated screening tools can be used in this process. The high rate of psychopathology among those who screened positive for ADHD in this study sample indicates the need for detailed assessments to understand the complex dynamic of ADHD symptoms and psychiatric disorders. Recognizing ADHD is important as treatments are different to other psychiatric disorders.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of classroom-level stressors with psychological distress in teachers. 课堂压力源与教师心理困扰的关系。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-01-17 DOI: 10.1093/occmed/kqae140

D Titheradge, A Albajara Sáenz, R Hayes, O C Ukoumunne, T Ford

{"title":"Association of classroom-level stressors with psychological distress in teachers.","authors":"D Titheradge, A Albajara Sáenz, R Hayes, O C Ukoumunne, T Ford","doi":"10.1093/occmed/kqae140","DOIUrl":"https://doi.org/10.1093/occmed/kqae140","url":null,"abstract":"Background: Poor mental health is highly prevalent among schoolteachers. Different occupational, contextual and personal factors have been identified as sources of their psychological distress.Aims: To explore the association of classroom-level variables with teachers' mental health over the course of an academic year.Methods: This study included 80 primary schoolteachers and 2075 pupils from the STARS trial conducted in England, which explored the impact of the Incredible Years Teacher Classroom Management programme. Linear regression models examined the relationships between classroom-level predictor variables and teachers' psychological distress, as measured by the Everyday Feeling Questionnaire, at 1 and 9 months into the school year. Predictor variables included classroom size and demographic composition, amount of teaching assistant support, and pupils' mental health, as measured by the Strengths and Difficulties Questionnaire and the Pupil Behaviour Questionnaire. Analyses were adjusted for teacher length of service and trial arm status.Results: One month into the school year, fully adjusted analyses showed that having a classroom with a higher proportion of male pupils was associated with worse teacher mental health. None of the classroom-level stressors were associated with teacher mental health at 9 months.Conclusions: Classroom gender balance was associated with teacher's mental health at the beginning but not at the end of the academic year. It is important to consider classroom-level variables when developing interventions and policies for teacher mental health.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction to: Healthcare professionals as domestic abuse survivors: workplace impact and support-seeking. 更正：作为家庭暴力幸存者的保健专业人员：工作场所影响和寻求支持。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-01-16 DOI: 10.1093/occmed/kqae106

引用次数: 0

Improving recruitment to occupational health professions through highlighting intrinsic rewards. 通过突出内在奖励，改善职业卫生专业人员的招聘。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-01-16 DOI: 10.1093/occmed/kqae108

A Semkina, C Norrie, R Elaswarapu, I Kessler, J Moriarty, A Boaz, J Manthorpe, A Knight

{"title":"Improving recruitment to occupational health professions through highlighting intrinsic rewards.","authors":"A Semkina, C Norrie, R Elaswarapu, I Kessler, J Moriarty, A Boaz, J Manthorpe, A Knight","doi":"10.1093/occmed/kqae108","DOIUrl":"10.1093/occmed/kqae108","url":null,"abstract":"Background: There are currently 2.5 million people economically inactive in the UK due to sickness. The government is considering a range of new initiatives to bring them back into the workforce; however, a lack of occupational health (OH) professionals, who play an important part in the recovery of physical and mental conditions that would otherwise inhibit employees from working, is hindering these efforts.Aims: To identify factors that make OH attractive as a source of employment with the aim of assisting those undertaking recruitment to the specialism.Methods: We conducted a qualitative study comparing the views of 13 OH nurses and doctors ('insiders') and 45 students and professionals from other medical and nursing fields ('outsiders') across the UK. Both groups provided their perceptions about what makes OH an attractive career. Data collection involved a mix of interviews and focus groups conducted from March to July 2023. Transcripts were thematically analysed using NVivo 14 to manage the data.Results: Both groups highly valued the work-life balance offered by OH work, which represents a positive point of attraction to employment. In addition, people working in OH talked extensively about more intrinsic rewards-the opportunity to be impactful, to enjoy job variety and to practise preventative approaches.Conclusions: The intrinsic rewards that OH work brings need to be advertised more widely to attract potential recruits who are 'a good fit' to OH and will be committed to the field.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"660-667"},"PeriodicalIF":2.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0