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Mental Illness and Work-Related Limitations in Healthcare Workers: A Preliminary Retrospective Study

Author

Listed:
  • Sara Gostoli

    (Department of Psychology, University of Bologna, 40127 Bologna, Italy
    These authors contributed equally to this work.)

  • Laura Nicolucci

    (Department of Psychology, University of Bologna, 40127 Bologna, Italy
    These authors contributed equally to this work.)

  • Carlotta Malaguti

    (Department of Psychiatry, Bologna University Hospital Authority St. Orsola-Malpighi Polyclinic IRCCS, 40138 Bologna, Italy)

  • Chiara Patierno

    (Department of Psychology, University of Bologna, 40127 Bologna, Italy)

  • Danilo Carrozzino

    (Department of Psychology, University of Bologna, 40127 Bologna, Italy)

  • Cristian Balducci

    (Department of Psychology, University of Bologna, 40127 Bologna, Italy)

  • Sara Zaniboni

    (Department of Psychology, University of Bologna, 40127 Bologna, Italy
    Department of Management, Technology and Economics, ETH Zürich, 8092 Zürich, Switzerland)

  • Vittorio Lodi

    (Occupational Health Unit, Bologna University Hospital Authority St. Orsola-Malpighi Polyclinic IRCCS, 40138 Bologna, Italy)

  • Carmine Petio

    (Department of Psychiatry, Bologna University Hospital Authority St. Orsola-Malpighi Polyclinic IRCCS, 40138 Bologna, Italy)

  • Chiara Rafanelli

    (Department of Psychology, University of Bologna, 40127 Bologna, Italy)

Abstract

This retrospective observational study investigated hospital staff requests for job fitness visits, addressed to occupational medicine. Specific objectives were to analyze: (1) health workers’ requests, sociodemographic characteristics, psychiatric diagnoses, assigned doctor’s fit notes, and (orthopedic, psychiatric) limitations; (2) associations between psychiatric diagnoses, sociodemographic (sex, age), and work-related (job, department) characteristics; (3) associations between the same psychiatric diagnoses/orthopedic limitations, fit notes, and/or psychiatric limitations. Data of St. Orsola-Malpighi Polyclinic health workers (N = 149; F = 73.8%; mean age = 48 ± 9.6 years), visited by both the occupational medicine physician and psychiatrist (January 2016–May 2019), were analyzed. 83.2% of the sample presented with at least one psychiatric diagnosis, including mood (47%), anxiety (13.4%), and anxious-depressive (10.7%) disorders. Significant differences between psychiatric diagnoses according to sex and fit notes (both p < 0.01) have been found, whereas no significant associations based on age and work-related characteristics have been observed. Analysis of frequencies of participants with the same psychiatric diagnosis (orthopedic limitation being equal), according to doctor’s fit notes and psychiatric work limitations, showed a high heterogeneity of assignments. The current occupational medicine procedure for fit notes/job limitations assignments does not allow taking into consideration clinical factors possibly associated with more specific assignments. To standardize the procedure and translate the psychiatrist’s clinical judgment into practice, further studies to test the usefulness of clinimetrics, which might represent a reliable approach in considering different fit notes and job limitations, are needed.

Suggested Citation

  • Sara Gostoli & Laura Nicolucci & Carlotta Malaguti & Chiara Patierno & Danilo Carrozzino & Cristian Balducci & Sara Zaniboni & Vittorio Lodi & Carmine Petio & Chiara Rafanelli, 2022. "Mental Illness and Work-Related Limitations in Healthcare Workers: A Preliminary Retrospective Study," IJERPH, MDPI, vol. 19(15), pages 1-14, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9098-:d:872382
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    References listed on IDEAS

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    1. Stansfeld, Stephen & Feeney, Amanda & Head, Jenny & Canner, Robert & North, Fiona & Marmot, Michael, 1995. "Sickness absence for psychiatric illness: The Whitehall II study," Social Science & Medicine, Elsevier, vol. 40(2), pages 189-197, January.
    2. Filippo Rapisarda & Martine Vallarino & Camille Brousseau-Paradis & Luigi De Benedictis & Marc Corbière & Patrizia Villotti & Elena Cavallini & Catherine Briand & Lionel Cailhol & Alain Lesage, 2022. "Workplace Factors, Burnout Signs, and Clinical Mental Health Symptoms among Mental Health Workers in Lombardy and Quebec during the First Wave of COVID-19," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    3. Dewa, Carolyn S. & Lin, Elizabeth, 2000. "Chronic physical illness, psychiatric disorder and disability in the workplace," Social Science & Medicine, Elsevier, vol. 51(1), pages 41-50, July.
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    Cited by:

    1. Cristian Balducci & Chiara Rafanelli & Luca Menghini & Chiara Consiglio, 2024. "The Relationship between Patients’ Demands and Workplace Violence among Healthcare Workers: A Multilevel Look Focusing on the Moderating Role of Psychosocial Working Conditions," IJERPH, MDPI, vol. 21(2), pages 1-13, February.
    2. Sara Gostoli & Angelica D’Oronzo & Carlotta Malaguti & Francesco Guolo & Cristian Balducci & Regina Subach & Vittorio Lodi & Carmine Petio & Chiara Rafanelli, 2023. "Psychopathological Burden among Healthcare Workers during the COVID-19 Pandemic Compared to the Pre-Pandemic Period," IJERPH, MDPI, vol. 20(24), pages 1-13, December.

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