Occupational Medicine-Oxford最新文献_第4页

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

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

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

Associations between employees' alcohol consumption, insomnia and HR management strength. 员工饮酒、失眠与人力资源管理实力之间的关联。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-01-16 DOI: 10.1093/occmed/kqae100

T-H Dao-Tran, K Townsend, R Loudoun, A Wilkinson, C Seib

{"title":"Associations between employees' alcohol consumption, insomnia and HR management strength.","authors":"T-H Dao-Tran, K Townsend, R Loudoun, A Wilkinson, C Seib","doi":"10.1093/occmed/kqae100","DOIUrl":"10.1093/occmed/kqae100","url":null,"abstract":"Background: Understanding of hazardous alcohol drinking and insomnia among Australian ambulance personnel is limited. Australian ambulance organizations have strengthened their organizational human resource management (HRM) to promote their employees' healthy lifestyles, health and well-being.Aims: To describe the prevalence of hazardous alcohol consumption and insomnia among Australian ambulance personnel and to explore their associations with the organizational HRM strength.Methods: This cross-sectional study was conducted on 492 ambulance personnel randomly selected from three Australian states. The Alcohol Use Disorders tool, The Insomnia Severity Index and the Perceived HRM System Strength instrument measured alcohol consumption, insomnia and HRM strength. Descriptive analyses, bivariate association analyses and general linear models were used for data analysis.Results: Twenty per cent of Australian ambulance personnel consumed alcohol at a hazardous level and 68% experienced clinically significant insomnia. There was no significant association between organizational HRM strength and ambulance personnel's hazardous alcohol consumption. There was a significant association between organizational HRM strength (consensus) and ambulance personnel's insomnia experience.Conclusions: Hazardous alcohol consumption and insomnia were concerns among Australian ambulance personnel. Even though strengthening the HRM system might reduce their experience of insomnia, simply strengthening the HRM system could not reduce their hazardous alcohol consumption.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"647-653"},"PeriodicalIF":2.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11738169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burnout and depression amongst healthcare professionals. 医疗保健专业人员的倦怠和抑郁。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-01-16 DOI: 10.1093/occmed/kqae110

George Collett, Alaa Emad, Ajay K Gupta

引用次数: 0

Maslach Burnout Inventory. 马斯拉克职业倦怠量表。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-01-16 DOI: 10.1093/occmed/kqae116

Gail Kinman

引用次数: 0

Correction to: P-516 working in the time of covid-19: how covid-19 public health policies affect the experience of bullying and harassment among restaurant workers. 更正件P-516 Covid-19 时代的工作：COVID-19公共卫生政策如何影响餐厅员工遭受欺凌和骚扰的经历。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-01-16 DOI: 10.1093/occmed/kqae105

引用次数: 0

The prevalence and effect of poor sleep amongst paramedics: a systematic review. 辅助医务人员睡眠质量差的发生率和影响：系统综述。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-01-16 DOI: 10.1093/occmed/kqae099

K Kendrick, R P Ogeil, M Dunn

{"title":"The prevalence and effect of poor sleep amongst paramedics: a systematic review.","authors":"K Kendrick, R P Ogeil, M Dunn","doi":"10.1093/occmed/kqae099","DOIUrl":"10.1093/occmed/kqae099","url":null,"abstract":"Background: Sleep of inadequate quality, duration or regularity has potential negative physical and mental health outcomes. The impacts of poor sleep within the paramedic occupation are not well understood.Aims: This review aimed to determine the prevalence of insomnia, excessive daytime sleepiness and poor sleep quality amongst paramedics, and to identify any relationships between insomnia, excessive daytime sleepiness, poor sleep quality and other health-related outcomes.Methods: A systematic search identified studies that measured excessive sleepiness, insomnia or poor sleep quality using validated measures. The population was limited to paramedics in Australia, New Zealand or the UK owing to the similar nature of the workload, education standards, shift patterns and scope of practice.Results: Four studies were included. All used the Pittsburgh Sleep Quality Index, two used the Epworth Sleepiness Scale and one used the Insomnia Severity Index. Sample sizes ranged between 60 and 342. The weighted mean prevalence of excessive daytime sleepiness was 30 %, and poor sleep quality reported as 71%. Only one study measured the association between sleep and other health-related outcomes; this study reported an association between sleep quality and multiple measures of mental health.Conclusions: The findings of this review suggest that paramedics experience both poor-quality sleep and excessive daytime sleepiness, and further suggest that there may be an association between poor sleep quality and mental health. Given sleep impacts a variety of health outcomes, as well as impacts work performance, research on the specific components of sleep is important.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"639-646"},"PeriodicalIF":2.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11738175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A narrative review of occupational solar ultraviolet radiation in Britain and skin cancer. 英国职业性太阳紫外线辐射与皮肤癌的述评。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-01-16 DOI: 10.1093/occmed/kqae101

J W Cherrie

{"title":"A narrative review of occupational solar ultraviolet radiation in Britain and skin cancer.","authors":"J W Cherrie","doi":"10.1093/occmed/kqae101","DOIUrl":"10.1093/occmed/kqae101","url":null,"abstract":"Background: Occupational exposure to solar ultraviolet (UV) is known to cause malignant melanoma (MM) and non-melanoma skin cancer (NMSC). However, knowledge of the causal associations has developed erratically.Aims: This review aims to identify when it was accepted that workplace solar UV exposure could cause skin cancer and when it was recognized that there was a risk for outdoor workers in Britain, identifying the steps employers should have taken to protect their workers.Methods: Informative reviews, published since 1974, were located through a systematic literature search. These were used to chart changes in summative knowledge of the role of occupational solar UV exposure in causing skin cancer. An assessment was made of the identified hazards of skin cancer and the recognition of risks for outdoor workers in Britain.Results: From at least 1975, it has been accepted that occupational solar UV exposure could cause squamous cell carcinoma, and from around 2011 for MM and basal cell carcinoma. From 2004, repeated sunburn at work was identified as a likely cause of MM. From 1999, it was accepted that occupational solar UV exposure causes NMSC amongst British workers, and from 2012 there was limited evidence for an MM risk for outdoor workers in northern European countries.Conclusions: Skin cancer risks for British outdoor workers should be actively managed and they should have health surveillance. Outdoor workers who have skin cancer should be eligible for compensation.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":"74 9","pages":"654-659"},"PeriodicalIF":2.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11738172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0