Occupational Stress and Bipolar Disorder

Assessment of Occupational Stress and Well-being in French Patients Suffering From Bipolar Disorder

Bipolar disorder is a mental disorder characterized by alternance of depressive and manic phases, separated by intercritical phases (euthymia). The majority of patients report occupation and professional difficulties. Sixty percent of bipolar patients are inactive . Indeed, according to the World Health Organisation, bipolar disorder is the second cause of days not worked.

Several factors are related to the lower professional functioning observed in bipolar patients: early age of onset, delay of diagnosis and treatment, recurrence of thymic episodes, residual symptoms and cognitive disorders during euthymia, side effects of mood stabilizers.

To our knowledge, no study has ever focused on well-being at work in French patients. However, suffering from a psychiatric disorder and the lack of support from colleagues and the hierarchy are risk factors for burnout, a growing health issue.

Patients with mental illness are often victims of stigmatization, which may involve the professional field. In addition, thymic recurrences may alter professional functioning of active patients: multiplication of work disruptions, conflicts with peers. Conversely work can be stressful, promoting thyic relapses. It is therefore essential to better understand the occupational stresses of active patients suffering from bipolar disorder in order to promote functional remission beyond clinical remission.

The aim of this study is to assess the level of stress and well-being at work in active French bipolar patients.

Study Overview

• Status: Completed
• Conditions: Bipolar Disorder
• Intervention / Treatment: Other: Date collection

Detailed Description

Socio-demographic, psychiatric and occupational data of 200 bipolar patients will be collected over a period of 6 months.

• Study Type: Observational
• Enrollment (Actual): 200

Contacts and Locations

Study Locations

• France
  • Montpellier, France, 34295
    • Uhmontpellier

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Patients with Bipolar disorder

Description

Inclusion Criteria:

• out patients and inpatients in the Department of Emergency Psychiatry and Post Acute Care, CHU Montpellier, France
• to have completed the self-administered questionnaire on professional activity.

Exclusion Criteria:

• Deprived of liberty subject (by judicial or administrative decision)
• Protected by law (guardianship)

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Level of occupational stress using a Likert scale	level of occupational stress assessed at the patient visit will be collected, from 0 (none) to 10 (maximum possible occupational stress).	1 day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Presenteism during the last month using the Stanford Presenteeism Scale	Presenteism during the last month assessed at the patient visit will be collected	1 day
Support of colleagues and superiors using the Karasek questionnaire.	Support of colleagues and superiors assessed at the patient visit will be collected	1 day
Impact of work on the private sphere using the SWING scale (survey work-home interaction-Nijmegen)	Impact of work on the private sphere assessed at the patient visit will be collected	1 day
Balance effort - reward in using the Siegrist questionaire	Balance effort - reward assessed at the patient visit will be collected	1 day

Collaborators and Investigators

• Sponsor: University Hospital, Montpellier

Study record dates

Study Major Dates

• Study Start (Actual): May 22, 2017
• Primary Completion (Actual): May 31, 2018
• Study Completion (Actual): June 30, 2018

Study Registration Dates

• First Submitted: May 19, 2017
• First Submitted That Met QC Criteria: May 19, 2017
• First Posted (Actual): May 22, 2017

Study Record Updates

• Last Update Posted (Actual): October 11, 2018
• Last Update Submitted That Met QC Criteria: October 10, 2018
• Last Verified: September 1, 2018

More Information

Terms related to this study

• Keywords: Bipolar Disorder; occupational stress
• Additional Relevant MeSH Terms: Behavioral Symptoms; Mental Disorders; Pathologic Processes; Stress, Psychological; Occupational Diseases; Bipolar and Related Disorders; Disease; Occupational Stress; Bipolar Disorder
• Other Study ID Numbers: RECHMPL17_0138

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED
• IPD Plan Description: NC

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No