Average Seniority Research Articles

Explaining organizational commitment and job satisfaction: the role of leadership and seniority

Effective leaders increase organizational success. The Leadership Efficacy Model suggests that leaders’ efficacy increases when leaders are perceived as congruent; that is, when employees perceive the leader to do (practical cycle of leadership) what s/he says will (conceptual cycle of leadership) and there is a close match between what employees expect from leaders and what leaders display. This recent theoretical framework also acknowledges that a number of factors can interfere with the relationship between leadership cycle congruence and leadership efficacy. Such antecedent factors include group members’ characteristics (e.g., organizational seniority). This study aimed to test the assumption that leadership cycles congruence positively predicts leadership efficacy (measured by organizational commitment and job satisfaction, and that this relationship is moderated by employees’ seniority. 318 employees (55% male, with an average seniority of 8 years) completed a questionnaire assessing leadership cycles, organizational commitment, and job satisfaction. Path analysis results showed that the higher leadership cycles congruence, the higher employees’ organizational commitment and job satisfaction. Furthermore, the relationship between leadership cycle congruence and organizational commitment was stronger for more senior members of the organization (but not for job satisfaction). The results highlight the importance of leaders act in a congruent manner with their ideas and of meeting employees’ needs. Moreover, it shows that senior members of the organization are particularly sensitive to leadership congruency.

Nomophobia in Nursing Staff and Interns at a Second Level Medical Care Hospital in Mexico

Introduction: mobile phones and tablets have become an essential tool in life. Excessive and prolonged use generates Nomophobia, characterized by the irrational fear of losing contact with the mobile phone. Objective: to determine Nomophobia in Nursing Staff and Interns at a Second Level Medical Care Hospital in Sinaloa, Mexico. Methods: descriptive, cross-sectional study. Sample of 330 participants. Probabilistic sampling. A personal data sheet and a Nomophobia questionnaire (NMPQ-20) were used. Descriptive and inferential statistics were employed. Approval was obtained from the Local Committee on Ethics and Health Research. Results: average age 33,82 years, 53,3 % were women, average seniority 7,54 years, 43,9 % belonged to the morning shift, general nurses predominated with 39,4 % and WhatsApp with 63 %. 38,5 % communicated frequently with their partner, 100 % used the mobile phone during the day and the average number of hours they used the device was 2,71 hours. Low levels of nomophobia (general and by dimensions) were obtained. No significant relationship or difference was found between nomophobia and age, seniority and work shift. Significant differences were found between nomophobia and sex and job category, where men and nursing interns predominated. Conclusions: nomophobia was found to be at low levels in nursing staff and interns. Significant differences were found between nomophobia and gender and category. It is essential to implement strategies that reduce the use of mobile devices, since it can put patient safety at risk by acting as a distraction.

Harassment among women health workers in university hospital: An epidemiological study

Introduction: Women have played an active role in medicine since ancient times, but they have often faced many challenges. Today, bullying is a major issue in the healthcare field. According to Einarsen (1999) and Leymann, this phenomenon encompasses frequent abuse over a prolonged period, with humiliating consequences. Studies carried out in Morocco, notably in Fez and Marrakech, show a high incidence of moral harassment, at 34.2% and 27.5% respectively. Despite progress, women still face prejudice and obstacles in the healthcare field. The aim of this study is to assess the frequency of moral harassment among female doctors and paramedical staff at the Med VI University Hospital (CHU) in Marrakech, by analyzing their profile and identifying related elements. Materials and method: From September 2019 to February 2020, this descriptive, cross-sectional study was conducted among all female healthcare staff at Marrakech University Hospital with at least six months' experience, with the exception of students, office workers, administrators and secretaries. Data were collected using the Leymann Inventory of Psychological Terror (LIPT), supplemented by questions on personal history and job satisfaction. Three hundred professionals were approached, and 208 responded (70% participation rate). The participants were doctors and paramedics. Informed consent was obtained, and anonymity was respected. Statistical analysis was carried out with SPSS version 23.0, using the Chi2 test for categorical variables with a significance level of p = 0.05. Results: The average age of the participants was 29, mainly single (60%). The majority were junior doctors (60%). Average professional seniority was 36.4 months, with 50% having less than five years' seniority. 62% worked in medical departments. The prevalence of moral harassment was 26%. Frequent situations included rumors (32%) and humiliating remarks (37.4%). Harassment came mainly from hierarchical superiors (41% of perpetrators were women). There were no significant gender differences in terms of harassment. Conclusion: The study reveals a high incidence of moral harassment among female doctors and paramedical staff at Marrakech University Hospital. Despite advances, women still face major challenges that impact on their well-being and professional fulfillment. Recognizing and addressing these behaviors is essential to improving the professional environment for women in healthcare. Urgent, coordinated measures are needed to prevent bullying, support victims and promote gender equality in medicine.

"I Felt a Sense of Mission during Moments of Crisis": Mental Health Professionals' Perspectives on Their Initial Treatment of Evacuees during the Israel-Hamas Conflict.

This study examines mental health service providers who provided care to evacuees during the Israel-Hamas conflict. Utilizing a phenomenological qualitative method, the research delves into the psychological impact on the participants' lived experiences. The sample included 25 mental health providers (13 female, age range 28-63, mean 42.4, SD 7.3; 15 psychologists and 10 social worker, average seniority 10.8 years, SD 5.2, range 2-18 years). Data were collected through semi-structured interviews conducted between December 2023 and March 2024. The data analysis revealed a dual narrative: Participants paid a major personal price and experienced secondary traumatization manifesting in emotional detachment, physical symptoms, and heightened arousal. They also derived a profound sense of meaning and fulfillment from their work, contributing to personal and professional growth. These findings underscore the complexity of their experiences, which were marked by the challenges of secondary trauma and the resilience fostered through their work. This study emphasizes the importance of support systems, including social and familial networks and professional supervision, in navigating these challenges. This study has several limitations, including small sample size and the use of virtual interviews, suggesting the need for further research with a broader participant base and in different contexts.

Epidemiological profile of long-term leave for psychiatric illnesses

IntroductionLong-term leave for psychiatric illness is the most frequently prescribed reason for leave, and appears to be on the increase in recent years.ObjectivesTo draw up a sociodemographic, occupational and clinical profile of workers who have taken long-term sick leave for psychiatric illnessMethodsRetrospective descriptive study involving the medical files of workers from both the public and private sectors, having benefited from long-term sick leave over a period going from August 17, 2022 to September 12, 2023, referred to the occupational medicine and pathology department of Charles Nicolle Hospital in Tunis for medical fitness-for-work assessment. Data collection was based on a pre-established synoptic form.Results During the study period, we identified 639 long-term sick leave prescribed for psychiatric illnesses. Our study population was predominantly female, with a sex ratio of 0.29 and a mean age of 46.82 ± 25.06 years. Sixty percent of employees were married. The most represented occupational category was nurses (33%). Average job seniority was 17.21±10.41 years. Depressive syndrome was the most common psychiatric pathology in our population (80.3%), followed by bipolar disorder (6.4%) and anxiety disorder (5%). Long-term sick leave was prescribed by a psychiatrist working in the private sector in 90.3% of cases. The average duration of leave was 63.70±31.58 days. The triggering factor was work-related and social in 33.6% and 30.1% of cases respectively. The agents returned to work after the long-term sick leave in 92% of cases.ConclusionsLong-term sick leave for psychiatric reasons is a handicap to productivity in society. Non-occupational factors are thought to be responsible for these mental health disorders. Setting up and improving social structures in the workplace would reduce the number of cases of long-term sick leaveDisclosure of InterestNone Declared

Assessing empathy among caregivers: a cross-sectional study

IntroductionEmpathy plays an important role in everyday human relationships. It is the ability to put oneself in the place of others, to represent what they think and feel. In healthcare settings, several studies have highlighted its positive effects on patients in terms of physical and psychological well-being.ObjectivesEvaluate empathy among caregivers.MethodsThis is a cross-sectional study, conducted over a 1- month -period and enrolling nursing staff working at Farhat Hached Academic hospital. Empathy was assessed using the Jefferson Scale of physician’s empathy (JSPE) scale.ResultsA total of 92 caregivers were enrolled in this study. The average age was 40.41 years with a sex ratio of 0.95. The most represented category was nurses (64.1%) with an average seniority of 17.2 years. The average empathy score was 98.4. Scores above half were reported in 69.5% of cases. The presence of empathy was significantly associated with female gender (p=0.002).ConclusionsEmpathy is a key point in the patient-caregiver relationship. Thus, the nursing staff must be aware of this concept in order to improve the quality of care.Disclosure of InterestNone Declared

A simulation model to analyze the behavior of a faculty retirement plan: a case study in Mexico

AbstractThe main goal in this study was to determine confidence intervals for average age, average seniority, and average money-savings, for faculty members in a university retirement system using a simulation model. The simulation—built-in Arena—considers age, seniority, and the probability of continuing in the institution as the main input random variables in the model. An annual interest rate of 7% and an average annual salary increase of 3% were considered. The scenario simulated consisted of the teacher and the university making contributions, the faculty 5% of his salary, and the university 5% of the teacher’s salary. Since the base salaries with which teachers join to university are variable, we considered a monthly salary of MXN 23 181.2, corresponding to full-time teachers with middle salaries. The results obtained by a simulation of 30 replicates showed that the confidence intervals for the average age at retirement were (55.0, 55.2) years, for the average seniority (22.1, 22.3) years, and for the average savings amount (329 795.2, 341 287.0) MXN. Moreover, the risk that a retiree of 62 years of age and more of 25 years of work, is alive after his savings runs out is approximately 98% and this happens at 64 years of age.

Circumstances of intensity of anxiety among firemen – pilot study

The aim of this paper is to increase knowledge on the subject of the circumstances of anxiety among firemen, while taking account of the quantitative criteria according to the time scale and qualitative factors associated with the locations of conducting duties. Material and methods: The research encompassed 35 people, including 27 men (aged: 30.8±5.0 years of age) and 8 women (aged: 26.5±2.0 years of age) who conduct fire services in the State Fire Services (SFS) in several locations in Poland. The STAI (State-Trait Anxiety Inventory) method was applied, which is recommended for diagnosing predisposition for professions that require a low level of anxiety and increased levels of resistance to stress. The research was supplemented by survey questions relating to everyday life and health behaviour. Results : In cluster group no. 1 of an average seniority of 10.78 years, the level of anxiety amounted to 59.92 points, while attention to making nutrition choices was at the level of 2.5 points. In the second cluster group selected with a seniority in the fire services of 4.40 years, the level of anxiety amounted to 53.07 points, while attention to making nutrition choices was at the level of 1.53 points. Conclusion: Longer seniority in the fire services is not associated with a lower level of the situational level of anxiety felt. The effect of the combined impact of factors occurs in the form of interactions such as in the form of the fire services, as well as seniority with relation to the intensity of anxiety amongst firemen.

Job burnout among polish nurses - influence of mobbing and coping with stress

Mobbing behaviours at workplaces and occupational burnout have negative impacts on the working and private lives. Mobbing, irrespective of its intensity, represents one of the most significant stressors and often leads to an irreversible psycho-deterioration of an individual. Overcoming a stressful situation at work requires specifying the methods for coping with stress resulting in job burnout. Job burnout is a complex syndrome of emotional exhaustion, depersonalization and reduced personal accomplishment. The aim of these study was to analyze interrelationships between mobbing, coping with stress and job burnout among nurses.The study included 86 nurses of various specialties, who gave their consent to participate in the project, were examined. The average age of the nurses was 37.7 years, and the average job seniority was 12.6 years. The study were conducted in 2019-2020 in hospitals of Southern Poland. and was based on the following instruments: Sociodemographic survey, The Negative Acts Questionnaire (NAQ), COPE Inventory and Maslach Burnout Inventory (MBI).The presented studies showed a statistically significant and consistent relationship between the intensity of perceived mobbing in nurses and the results obtained on the scale of emotional exhaustion and depersonalization. A relationship was found between the preference for some specific stress management strategies and job burnout level, also after adjustment for the mobbing intensity, age and seniority of the respondents, thus empirically confirming a multifaceted nature of the unfavorable phenomena related to the work of a nurse.It was found that there is interrelationships between mobbing, coping with stress and job burnout among nurses.

Hearing injuries due to atmospheric pressure changes in air and water survival training instructors

Under normal atmospheric conditions, the individual has an optimal state of health, but these conditions alter their physiology and can cause damage to health. Hence, sudden changes in atmospheric pressure generate hearing manifestations and/or injuries because the pressure inside the ear must be equal to that outside. The objective of this study was to determine the prevalence of hearing injuries caused by sudden changes in atmospheric pressure in air and water survival training instructors, during the period 2012-2022. Epidemiological, descriptive cross-sectional research. To collect the information, a documentary review of the clinical records and the work plan was carried out. The population and sample were made up of the 20 instructors of the Department of Physiological Training (DAF). Results: the male sex predominated (85 %), the average age and seniority were 36 ± 4,68 and 12 ± 6,59 years respectively, with a work exposure of 6 hours per week. In addition, 15 cases of hearing loss and 01 case of decompression illness with hearing injury were diagnosed, a prevalence of 0,8 cases per year, which indicates that one instructor annually suffers from hearing injury due to Barotrauma. This is why the main prevention measure is in the organization of work, limiting the number and duration of dives. Therefore, it is recommended to implement a hearing conservation program and comply with the morbidity registry of occupational diseases and accidents of the DAF instructor staff related to changes in atmospheric pressure

Polish infection control nurses’ job satisfaction and cooperation with their colleagues reflect how the value of infection control is appreciated by other health care workers: findings from surveys conducted before and during the COVID-19 pandemic

BackgroundInfection prevention and control (IPC) is based on the activity of specialized, trained and highly qualified personnel, especially infection control nurses (ICNs). Effective implementation of IPC procedures demands close cooperation between IPC teams (IPCTs) and hospital personnel. Based on disturbing results on the epidemiology of health care-associated infections (HAIs) and compliance with preventive procedures, we suspect that cooperation between ICNs and different groups of hospital staff is poor.The aim of this study was to assess the perceptions of ICNs working in Polish hospitals with regard to difficulties in working with various professional groups in the hospital, their organizational conditions, and their job satisfaction before and after the COVID-19 pandemic.MethodsThe study was conducted twice, in 2014 and 2021, among ICNs working in Polish hospitals. The survey used an anonymous questionnaire designed by the authors.ResultsIn 2014, 183 ICNs participated in the study, and 175 ICNs participated in 2021. The respondents’ average age and seniority (duration of work as an ICN) were higher in 2021. Depending on the ward specialty, approximately 30–48.8% of the ICNs had difficulty cooperating with physicians. However, the ICNs declared better cooperation with nurses in various hospital wards and with other professionals. For some groups of hospital staff, there was a negative correlation between poor cooperation and ICNs’ job satisfaction. The job satisfaction data were disturbing; for example, more than half of the respondents considered changing jobs, and the lack of a sense of purpose in their work was declared by 29.7% of ICNs in 2014 and by 54.3% of ICNs in 2021.ConclusionsOur results suggest that infection prevention and control is not highly appreciated by health care workers and hospital management. Our study reveals difficulties in ICNs’ cooperation with hospital staff and managers in both 2021 and 2014, moderate job satisfaction, a high level of willingness to change jobs, and insufficient training in interpersonal skills and the implementation of changes. These findings clearly indicate an urgent need to introduce modern competence development systems in infection control beyond the scope of traditional training.

Work psychosocial factors and stress in medical staff in the epidemiology area of a public institution

Psychosocial risk factors are conditions present in the work environment that are related to the organization of work, its social environment, work content and the performance of the task that can affect the health of workers. This research aims to determine the psychosocial factors at work and stress in the medical staff of a public institution. Research under the positivist, quantitative, observational, descriptive and cross-sectional paradigm. The population and census sample consisted of 15 medical profession workers. In the collection of information, three questionnaires from the Battery of instruments for the evaluation of psychosocial risk factors of the Ministry of Social Protection, Colombia (2010) were applied. The results show that women predominated (80.0%), where (46.7%) was single, with an average age and seniority of 32 years and 10 years respectively. As for psychosocial work factors, high and very high risk levels were found in 53.3%, with extra-work conditions being the most unfavorable, associated with the economic situation of the family group (80.0%), characteristics of the home and the environment (73.3%) and home-work-home displacement (73.3.%). On the other hand, 40.0% of the personnel studied perceived high and very high risk levels of stress. Concluding that the population is exposed to occupational psychosocial factors, with the appearance of revealing symptoms of stress. Therefore, the use of corrective measures that help minimize possible damage to health is recommended.

ARTERIAL HYPERTENSION IN DIABETICS: FREQUENCY AND ASSOCIATED FACTORS

Objective: Diabetic patients have an increased risk of developing hypertension. Its pathogenesis in diabetes is complex. It generally takes place in a context of metabolism and insulin resistance. The association of these 2 pathologies worsens the prognosis of these patients. The objective of this work was to evaluate the frequency of hypertension in diabetics, as well as the factors associated with its occurrence. Design and method: A retrospective study was conducted on 70 diabetic patients followed in the department and internal medicine consultations. All the patients benefited from an interrogation and a complete clinical examination. Results: A female predominance was noted (74.6%). The mean age was 55.8 ± 14 years. Our patients were mainly type 2 diabetics (88%), insulin-treated (78%), with an average seniority of 11.7 ± 7 years. More than half of the patients were known to be hypertensive (57.3%). Dyslipidemia was present in 66.7% of cases. The presence of hypertension was associated in a way statistically significant for age, BMI and presence of dyslipidemia, type and duration of diabetes. It was also significantly correlated with diabetic nephropathy, and the degree of renal insufficiency. Discussion: Hypertension is frequently associated with diabetes. It increases cardiovascular morbidity and mortality and accelerates the progression of atherosclerosis. Hypertension is also a contributory factor to diabetic nephropathy and renal failure. Conclusions: The management of hypertension in diabetics and other risk factors is a vital prognostic element in a patient already at high cardiovascular risk.

MEDICAL FITNESS IN WORKERS WITH PSYCHIATRIC DISORDERS

IntroductionMental health disorders are among the most burdensome health concerns in the world; it affects more than 970 million people in 2019. These disorders deteriorate all aspects of life, especially the professional field, impacting mainly physical capability, daily functioning, and productivity among the working-age population.ObjectivesTo study the socio-professional and medical characteristics of workers with psychiatric disorders and to assess the repercussions of these pathologies on work ability.MethodsA descriptive and retrospective study included all the medical files of workers with psychiatric disorders who were referred to the occupational medicine department at Charles Nicolle Hospital for a medical opinion of fitness for work during the period from January 1, 2014, to December 31, 2020.ResultsThe average age of the 224 cases collected was 41.74± [25-60 years] with a sex ratio of 0.67. The average professional seniority was 13.4 years±8.27 years. The most common occupational sectors were health (38.1%) and communication (20.2%). The patients were mainly suffering from either an anxiety-depressive disorder (36.6%) or psychosis (11.6%). These included 21 cases of bipolar disorder, 21 cases of schizophrenia, two cases of chronic hallucinatory psychosis and 3 cases of delusional psychosis. Forty-three patients were fit to continue working, 133 patients were fit with restrictions and twenty-six were unfitted to work.A professional reclassification was recommended for 37 patients in positions with a lower mental load. One employee suffering from advanced schizophrenia was offered early retirement on grounds of disability. Permanent unfitness was pronounced in 11.6% of cases.ConclusionsThe impact of mental disorders on cognitive abilities can be so significant as to result in temporary or permanent unfitness for work. However, the decision of medical fitness for work for the same psychiatric pathology may vary from one individual to another and from one workstation to another.Disclosure of InterestNone Declared

Psychological impact of the covid-19 pandemic on health care personnel working in COVID settings

IntroductionCOVID19 pandemic had a significant psychological impact on the population worldwide. However, health care workers have been the most exposed to psychological effects.ObjectivesTo determine the psychological impact of the covid19 pandemic on health care professionals (HCPs) who were working in the covid19 setting.MethodsDescriptive cross-sectional study carried out in May 2020, having interested the HCPs of the Charles Nicolle hospital who were working in the COVID19 settings .The data collection was carried out with a pre-established questionnaire .The visual analog scale of B. Chini was used to assess the level of work stress. This assessment was undertaken at three points in time: during the work, during the confinement period and post confinement .ResultsSeventy five nurses participated to the study. The average age was 39.7±9.6 years. The sex ratio was 0.74. The average professional seniority was 11.6±8.14 years. During the confinement, a feeling of anxiety and apprehension of danger to others were reported by 96% of the participants. In addition, sleep disorders and irritability were noticed in 65% and 92% of cases respectively. At the end of the confinement period, 77% of the cases reported neuropsychological complaints: feelings of anxiety (57%), mood disorders (49%), a sleep disorders (32%) and concentration disorders (20%). The average level of stress was evaluated at 7.54 during the work, 7.36 during confinement and 5.28 after confinement. Faced with this psychological suffering, 88% of the cases noted the absence of psychological support or assistance.ConclusionsPsychological support and early screening in psychiatry and occupational medicine are necessary to prevent any deterioration in their mental health.Disclosure of InterestNone Declared

Socio-professional stigmatization among healthcare workers with COVID-19

IntroductionThe COVID-19 pandemic had deeply altered the social and professional lives of people with SARS-COV2. The anxiety of being contaminated by the virus during the first waves had created avoidance behaviors and established a climate of rejection towards healthcare workers (HW) with COVID.ObjectivesThe aim of this study was to assess stigmatization among healthcare workers with COVID-19MethodsThis is a retrospective cross-sectional study carried out on HWs in a university hospital in Tunis who were affected by COVID-19 and who consulted the occupational medicine department. The study was conducted between March 2021 and June 2021. Data collection was based on pre-established forms. The questionnaire assessing stigmatization was inspired by the questionnaire assessing stigma in AIDS patientsResultsThe study included 100 health personnel. The sex ratio (M/W) = 0.29. The average age was 39.22 ± 9.3 with extremes ranging from 24 to 58 years. The average professional seniority was 11.39±9.4. Nurses were the most represented professional category (26%). The psychiatric history was: Depressive disorder (14%) and anxiety disorder (10%). Eighty HW were infected with SARS-COV2 for the first time. Contamination was intra-hospital in 50% of cases. Eighteen HW had been rejected. Verbal abuse towards HW with COVID was noted in 8% and physical abuse in 11%. Twenty-six HW had lost their friends and 36 of them no longer had as much social activity as before. In the workplace, rejection was noted in 21% cases, 10 health personnel reported a discriminatory orientation for the care of patients with COVID and 19 HW felt useless at work.ConclusionsSocio-professional stigmatization should help us to understand the vulnerability and psychological impact of this health crisis on health workers. Control and prevention strategies need to be established.Disclosure of InterestNone Declared

Psychiatric disorders in teleoperators : A series of 27 cases

IntroductionBy its nature, the activity of teleoperators seems to be a propitious environment for the development of psychosocial disorders, sometimes severeObjectivesTo study the frequency of psychiatric disorders among teleoperators and their impact on medical fitness for workMethodsThis is a retrospective descriptive epidemiological study. We examined the files of teleoperators who were referred to the occupational medicine department of Charles Nicolle between 2014 and 2022 for a medical opinion of aptitudeResultsA total of 82 cases were identified, 27 of which had psychological complaints. A clear female predominance was noted (21). The average age was 38.22+-6.536 years. All the patients were telephonists at the call-taking station with an average professional seniority of 9.3+-3.395 years. The symptoms noted were: sad mood (19), irritability (15), anxiety (10), sleep disorders (8), loss of vital impetus (8), neurovegetative signs (6), psychomotor slowing (5), concentration and memory disorders (3). Only one patient had suicidal thoughts. Symptoms had been evolving for an average of 34.32+-34.527 months. Psychiatric follow-up was noted in 16 patients. The diagnoses retained were: anxiety and depressive disorder (19), adjustment disorder (4), panic disorder (2), obsessive-compulsive disorder (1), and a satisfactory state of health (1). In some cases, the evolution was marked by complications: addiction(1), tonic stuttering with phobic disorder(1) and speech disorder(1). The prescribed treatments were: an antidepressant(2), an antidepressant-anxiety combination(8) and psychotropic drugs(2). Concerning the ability to work, 21 patients required an eviction from call taking (definitive (9) or temporary for 3 months (7) or 6 months (5) with re-evaluation of the medical ability to work at the end of this period), 1patient had an eviction from night work and an other had a reduction of the working hours.ConclusionsTeleoperators are exposed to several risks which can affect both their mental and physical health and put their medical fitness for work at risk.Disclosure of InterestNone Declared

Assessment of Fatigue and Quality of Life in Multiple Sclerosis Patients: A Cross-Sectional Study

IntroductionMultiple sclerosis (MS) is a chronic inflammatory disorder of the central nervous system that is associated with a range of devastating symptoms including fatigue. In addition, the accumulation of disability that occurs in most MS patients can have a detrimental effect on their quality of life.ObjectivesTo assess fatigue and quality of life in patients with MS.MethodsDescriptive cross-sectional study that interested MS patients referred to the occupational pathology consultation of Charles Nicolle Hospital, during the period from 1 July 2020 to 30 September 2022. The data collected concerned socio-demographic and occupational characteristics. The impact of MS on quality of life was studied using the SF-12 quality of life scale. Fatigue was assessed by the Fatigue Severity Scale (FSS).ResultsTwenty-six cases of MS were identified. The mean age was 38 ± 9 years with a sex ratio (M/F) of 0.3. The average occupational seniority was 11 ± 8 years. The health sector was the most represented (23%, n= 6) followed by the transport sector (19%, n= 5). The main occupations were manual workers (31%), drivers, and administrative agents (19% each). The occupational constraints were physical in 44% of cases and psychological in 24% of cases. Fourteen patients (87% of the cases) lost their jobs because of the disease. The decision on occupational fitness was definitive incapacity in 44% of cases. The mean FSS score was 4±1.74. Sixteen patients (62%) had moderate fatigue (FSS 36-52), eight patients (31%) had mild fatigue (FSS <36) and two patients (8%) had severe fatigue (FSS >52). In addition, the mean scores for the physical and mental components of perceived health were estimated to be 37.04±7.67 and 44.93±7.23, respectively. The mean global score (SG) of SF12 was 40.98±7.23. The majority of patients (92%, n=24) had an average quality of life (SG- SF12 between 30 and 60) and two patients (8%) had a poor quality of life (SG <30).ConclusionsThe impact of MS on the socio-professional quality of life of patients was noted in the majority of cases. It is therefore imperative to improve the care of our patients on both the physical and psychological levels.Disclosure of InterestNone Declared

Anxiety and depressive disorders Screening among Healthcare Professionals

IntroductionStress is an integral part of the profession of health care personnel (HCP) and manifests in higher rates of depressive and anxiety disorders (ADD).ObjectivesScreening of anxiety and depressive disorders factors among HCPsMethodsA descriptive cross-sectional study in two university hospitals in Ariana was carried out ont september 2022. It included HCP who were examined for medical periodic visit. Data was collect from medical records, anxiety and depression Scale (HAD) and somnolence questionnaire (Epworth).ResultsOne hundred and nine HCP were included in the study. Women represented 87.2% of cases. The average age was 38 ±10.7 years. The average occupational seniority varied between one to 38 years. Nurses represented 38.5%, technicians 24% and doctors 7%. They had night work in 12% of cases. Depression and anxiety were found for 20% and 31% of cases respectively. Successive daytime sleepiness was found in 7% of cases. A statistically significant relationship was found between excessive daytime sleepiness and anxiety (p=0.005) and between depression (p=0.002).ConclusionsAnxiety and depressive disorders in HCP were considerable. they were assiciated with sleepiness disorder. Night or day time shift wasn’t statistically correlated with ADD. Referral to psychiatric consultations after psychological opinion was done in order garantee therapeutic support and decide fitness to work.Disclosure of InterestNone Declared

Study of the association of work-related musculoskeletal disorders and anxiety-depressive diseases

IntroductionMental disorders, musculoskeletal diseases (MSDs) and their comorbidities are major threats to work and functional ability. The relationship between mental health and the common MSDs has not received enough attentionObjectivesTo study the socio-professional characteristics of workers suffering from work related MSDTo evaluate the association of work related MSDs with anxiety and depression disordersMethodsA descriptive cross-sectional study conducted among workers with work-related MSDs who consulted the occupational medicine department of the Charles Nicolle Hospital between January 2022 and September 2022. A remote survey was conducted among these workers to screen for anxiety and depressive disorders using the Hospital anxiety and Depressive ScaleResultsThe study population consisted of 54 workers with MSDs with a sex ratio (M/F) of 0.74. The average age was 44.4 [27-61 years]. The average professional seniority was 14.9 years±7 years and the sectors with the highest prevalence of MSDs were the health sector (22%), the food industry (13%) and the textile industry (11%). The workers reported MSDs of the lumbar spine in 61%, gonarthrosis in 31%, followed by MSDs of the upper limb in 25%. The prevalence of anxiety and depressive disorders were respectively 46% and 38%. There was no significant association between socio-demographic factors and anxiety depressive disorders. The anxiety disorder was associated with MSDs of the lumbar spine (p: 0.05; OR: 0.32 CI95% [0.1-1.09]).ConclusionsAnxiety and depressive disorders were common among workers with MSDs related to work. Interventions targeting psychological distress and work-related psychosocial characteristics may reduce their musculoskeletal pain.Disclosure of InterestNone Declared