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Psychiatric disorders in professional drivers and fitness for work

Published online by Cambridge University Press:  27 August 2024

W. Ayed
Affiliation:
1Occupational pathology and fitness for work department Charles Nicolle hospital, Faculty of medicine of Tunis, Tunis El Manar University, Tunis
G. Bahri
Affiliation:
1Occupational pathology and fitness for work department Charles Nicolle hospital, Faculty of medicine of Tunis, Tunis El Manar University, Tunis
M. Mersni
Affiliation:
1Occupational pathology and fitness for work department Charles Nicolle hospital, Faculty of medicine of Tunis, Tunis El Manar University, Tunis
D. Brahim
Affiliation:
1Occupational pathology and fitness for work department Charles Nicolle hospital, Faculty of medicine of Tunis, Tunis El Manar University, Tunis
L. Houissa*
Affiliation:
1Occupational pathology and fitness for work department Charles Nicolle hospital, Faculty of medicine of Tunis, Tunis El Manar University, Tunis
I. Youssef
Affiliation:
1Occupational pathology and fitness for work department Charles Nicolle hospital, Faculty of medicine of Tunis, Tunis El Manar University, Tunis
N. Mechergui
Affiliation:
1Occupational pathology and fitness for work department Charles Nicolle hospital, Faculty of medicine of Tunis, Tunis El Manar University, Tunis
M. Bani
Affiliation:
1Occupational pathology and fitness for work department Charles Nicolle hospital, Faculty of medicine of Tunis, Tunis El Manar University, Tunis
H. Bensaid
Affiliation:
1Occupational pathology and fitness for work department Charles Nicolle hospital, Faculty of medicine of Tunis, Tunis El Manar University, Tunis
I. Yaich
Affiliation:
2Forensic Psychiatry department, Razi Hospital, Faculty of medicine of Tunis, Tunis El Manar University, MANNOUBA, Tunisia
C. Bensaid
Affiliation:
2Forensic Psychiatry department, Razi Hospital, Faculty of medicine of Tunis, Tunis El Manar University, MANNOUBA, Tunisia
N. Bram
Affiliation:
2Forensic Psychiatry department, Razi Hospital, Faculty of medicine of Tunis, Tunis El Manar University, MANNOUBA, Tunisia
N. Ladhari
Affiliation:
1Occupational pathology and fitness for work department Charles Nicolle hospital, Faculty of medicine of Tunis, Tunis El Manar University, Tunis
*
*Corresponding author.

Abstract

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Introduction

The driver’s job is a safety job requiring a meticulous neuropsychological assessment, which can affect the decision on fitness to drive. Professional driving benefits from codified regulations concerning neuropsychological disorders.

Objectives

To describe the socio-professional characteristics of drivers with psychiatric illnesses

To specify the impact of these pathologies on decisions on fitness for work

Methods

Retrospective descriptive study of drivers with psychiatric disorders who consulted the occupational pathology and fitness for work department of the Charles Nicolle Hospital for fitness for work assessment during the period from January 2016 to January 2023.

Results

Out of 98 drivers who consulted our department for an aptitude assessment, nine (n=9) patients had a psychiatric disorder. The average age was 45±7 years. They were all men. They were bus (n=7), light car (n=1), and lorry (n=1) drivers. They belonged to the transport (n=7) and service (n=2) sectors. Length of service ranged from one year to 35 years. The pathologies presented by the patients were: anxiety-depressive disorder (n=7) , bipolar disorder (=1) and drug-addiction (n=1). They were being treated with antidepressants (n=7), anxiolytics (n=3), and thymoregulators (n=1). The medico-legal decision was to avoid professional driving (n=7) and to avoid professional driving at night (n=2).

Conclusions

psychiatric illnesses can compromise fitness to work. The role of the occupational physician in the primary and secondary prevention of people at risk is important.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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