J.-D. Dewitte

436 Risk of workaholism among hospital medical staff: an epidemiological study

Introduction ‘Workaholism’, an addiction to work, is a pathology which has been recognised since the 1970s. It is generally found in around 10% of workers, yet one study on doctors working in a hospital environment demonstrated that 30% suffered from the condition. This study’s objective is to evaluate the prevalence of workaholism among doctors in a university teaching hospital, and to analyse the links to working conditions and the imbalance between effort and reward. Methodology Cross-sectional survey of doctors in a university teaching hospital, using an anonymous online questionnaire via Sphinx Online© software. The questionnaire consisted of general questions, specific questions on psychoactive substances (tobacco, alcohol, cannabis and others), Siegrist’s effort-reward imbalance questionnaire and the Work Addiction Risk Tests (WART) questionnaire. Results were analysed using Excel© and Biostatgv©. Reuslts There were 162 participants, a rate of 30% of relevant personnel. The principal psychoactive substance used by participants was alcohol: 81.3% of subject reported consuming it. An effort-reward imbalance was present in 18% of subjects who participated in the study. The risk of workaholic was identified in 48% of the cohort: 17% were high risk and 31% medium risk. There was a link between workaholism and effort-reward imbalance (p<0,001). Conclusion The frequency of workaholism among doctors is much higher than the general population. From this study the link with work-related stress may help direct primary prevention efforts for this condition.

988 Anxiety among health care workers of a teaching hospital

An investigation in psychological suffering in all hospital workers of a teaching hospital has been conducted during one month. Population and methods Our population was composed of 5792 non medical professionals of a teaching universitary hospital. 1738 workers were randomly selected, and answered an online auto-questionnaire, consisting of 4 parts: socio-professional data; JCQ questionnaire (Karasek); HAD questionnaire and working experience scale. Data were collected on Sphinx Online R software and exploited on Excel, using Chi2 statistical test with p<0.05. Results In this study, 822 questionnaires were exploitable, representing 47.3% of the population, and including 81.3% of women. The mean age was 41.8 years old, and workers were 84.3% permanent staff. Job strained staff represented 51.7% of the population, whereas 33.7% of the staff were in active. The overall isostrain was 31.6%. More permanent workers, nurse’s aide and hospital keener were job strained (p<0.05). Depression prevalence was of 8%: men, technical agents and people between 42 and 50 years old had a higher risk of depression, respectively 13%, 15.3% and 13.4% (p<0.05). Anxiety prevalence was of 21.6%: agents before 42 and 50 years old, permanent workers, nurse’s aide, had an increased risk of presenting anxious disorder, respectively 28.2%, 22.9% and 28/3% (p<0.05). Conclusion Anxiety and depression prevalences were important in this study, in a hospital environment, and were higher than in general population. High level of psychological demand partly explained those prevalences.