Occupational Stress and Bipolar Disorder

Study Overview
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Brief Summary
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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.

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

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

Conditions
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Bipolar Disorder

Intervention / Treatment
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* Other: Date collection


Participation Criteria
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Eligibility Criteria
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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)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Date collection|Date collection|

What is the study measuring?
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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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Bipolar Disorder, occupational stress