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Doctors have a higher prevalence of mental ill health compared with other professional occupations but incidence rates are poorly studied.
To determine incidence rates and trends of work-related ill health (WRIH) and work-related mental ill health (WRMIH) in doctors compared with other professions in Great Britain.
Incidence rates were calculated using an occupational physician reporting scheme from 2005–2010. Multilevel regression was use to study incidence rates from 2001 to 2014.
Annual incidence rates for WRIH and WRIMH in doctors were 515 and 431 per 100000 people employed, respectively. Higher incidence rates for WRIH and WRMIH were observed for ambulance staff and nurses, respectively. Doctors demonstrated an annual average incidence rates increase for WRIH and WRMIH, especially in women, whereas the other occupations demonstrated a decreasing or static trend. The difference in trends between the occupations was statistically significant.
WRIH and WRMIH incidence rate are increasing in doctors, especially in women, warranting further research.
Judging whether we can trust other people is central to social
interaction, despite being error-prone. A fear of others can be instilled
by the contemporary political and social climate. Unfounded mistrust is
called paranoia, and in severe forms is a central symptom of
To demonstrate that individuals without severe mental illness in the
general population experience unfounded paranoid thoughts, and to
determine factors predictive of paranoia using the first laboratory
method of capturing the experience.
Two hundred members of the general public were comprehensively assessed,
and then entered a virtual reality train ride populated by neutral
characters. Ordinal logistic regressions (controlling for age, gender,
ethnicity, education, intellectual functioning, socio-economic status,
train use, playing of computer games) were used to determine predictors
The majority agreed that the characters were neutral, or even thought
they were friendly. However, a substantial minority reported paranoid
concerns. Paranoia was strongly predicted by anxiety, worry, perceptual
anomalies and cognitive inflexibility.
This is the most unambiguous demonstration of paranoid ideation in the
general public so far. Paranoia can be understood in terms of cognitive
factors. The use of virtual reality should lead to rapid advances in the
understanding of paranoia.
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