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Reconnaissance des psychopathologies par les comités régionaux de reconnaissance des maladies professionnelles de Lorraine entre 2005 et 2011

Abstract : Purpose of the study In France, the number of claims for the recognition of psychopathologies as occupational diseases is increasingly rising. In the face of this increase, the purpose of this study is to describe administrative, sociodemographic, socioprofessional and medical features for the Lorraine claimants, and to identify the elements which were determinant in the decision process of the Lorraine regional committees for recognition of occupational diseases. Method This descriptive study includes 40 cases submitted to Lorraine committees from January 1st 2005 to December 31st 2011. Administrative, sociodemographic, socioprofessional and medical data have been collected and analyzed. Then, two types of elements were analyzed: those linked to a direct connection and those linked to an essential connection. Distinction has been made between elements included in the case and therefore reported to the committee members only, and elements mentioned in the public notice. Results The number of psychopathology cases was increasing. Gender distribution of claimants was even. Factory workers were the least represented (20% of the cases). The service sector was represented up to 85%. Regarding direct connection, evolution of the symptoms and time to onset matching with exposure times significantly influenced the committee's decisions. Although the occupational physician's advice was systematically looked for, it was found in 52.5% of the cases. Advice was in favor of the recognition of the disease in 85.7% of the cases. Regarding essential connection, the lack of psychiatric history mentioned in 62.5% of the acknowledged cases, versus 6.3% of the rejected cases, significantly influenced the committee's decision. Discussion–Conclusion Some heterogeneity amongst the cases was pointed up. It is advisable to back up the three elements to be connected: exposure through detailed collection of psychosocial risk factors, impact on the employee's health through the various medical opinions, evaluation of the causal link for which the occupational physician's advice seems necessary.
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C. Chanson, M. Léonard, I. Thaon, E. Penven, E. Speyer, et al.. Reconnaissance des psychopathologies par les comités régionaux de reconnaissance des maladies professionnelles de Lorraine entre 2005 et 2011. Archives des Maladies Professionnelles et de L'Environnement, Elsevier Masson, 2013, 74 (3), pp.279 - 288. ⟨10.1016/j.admp.2012.11.004⟩. ⟨hal-01797568⟩



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