[Work-related common mental disorders in Navarra, Spain (2009-2012)]

To determine work-related mental health morbidity and correct psychosocial risks.

In this pilot study conducted at a mental health center, work-related common mental disorders were identified and population incidence was estimated.We next described cases reported from primary care centers in the period 2009 to 2012, via the Occupational Health Surveillance Program. Incidence was calculated by socioeconomic variables. Associations among variables (Chi2 test), their prevalence ratios (PR) and the correlation of risks (kappa coefficient) were compared. Reporting of these cases to the occupational health services and subsequent actions are described.

In the pilot study, 17.5% of common mental disorders were work-related (7.2 x 1000 workers / year). Among the reported cases, incidence was higher in unskilled occupations, feminized economic activities and the services sector. Seventy per cent of cases were associated with hostile behavior and 14.2% with organizational factors. In addition, 83.2% of cases led to sickness absence episodes. Managing directors were at greater risk of bullying (PR 3.92 95%CI 2.35-6.53) as compared to other risks. Overall, 20% of cases ended in job dismissal, particularly in cases of mistreatment or bullying (PR 1.64 95%CI 1.24-2.16).

It is necessary to implement reporting systems and prevention programs for work-relaed mental disorders, especially for collectives of workers with high risk profiles.