Occupational Risk Factors of Common Psychiatric Disorders among Railway Employees: A Descriptive Study

Abstract There is a dearth of research work and scarcity of availability of data on psychiatric morbidity among railway employees in India. Present hospital based observational descriptive study was carried out at medical OPD of Central Hospital of Northern Western Railway, Jaipur with the specific aims to study occupational attributes of common psychiatric disorders. Total 450 randomly selected individuals were screened for psychiatric morbidities by using Mini-international neuropsychiatric interview-PLUS. Psychiatric diagnosis confirmed by two psychiatrists separately using the ICD, 10th revision (diagnostic and research criteria). A self designed, pre-tested & semi-structured detailed Performa was used to elicit demographical and occupational attributes. Univariate analysis was carried out initially to identify risk factors. The data was analyzed in terms of descriptive statistics, Chi-square test and stepwise binary logistic regression by using SPSS and Primer Version ‘6’. Most common diagnosed psychiatric disorders were Neurotic, stress related and somatoform disorders (28%), followed by mood disorders (25.56%). Common Psychiatric Disorders (CPD) i.e. depression, anxiety and somatoform disorders were the most common diagnosed psychiatric morbidities (49.78%). Working in rotatory shifts, perceived problems related to shift duties and stress in the working environment, work experience more than 20 years and non-executive type job were observed as the occupational risk factors for common psychiatric disorders. The present observations suggest that there is scope for psychiatric intervention for the management of perceived stress at work place, problems related to shift duties and other occupational challenges.

Key words: Common Psychiatric Disorders, Occupational Risk Factors, Shifts Duties, Medical Comorbidity

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