P-414 Professional Burnout as a Predictor of the Risk of Adjustment Disorders in Employees Chemical Production

Introduction By 2019, mental disorders among the most active age group (15-49 years) get the first range of the global burden of disease, A. Cieza at al., 2020. In ICD-11 «Problems associated with working conditions» includes QD85 «Professional burnout syndrome». The limitations: psychologists and occupational medicine specialists almost are based on scales and questionnaire methods. Methods Interpretation of the results, not confirmed by clinical interviewing by a psychiatrist, does not allow to diagnose the psychopathological phenomenon and limits therapeutic intervention at the early stages of the formation of psychopathological symptoms. The goal is to assess the risk factors for the formation of psychiatry disorders in employees of enterprises at the highest risk - the production of powder and other basic organic chemicals. Results The assessment of working conditions, socio-industrial characteristics, clinical and psychopathological examination of 1,474 workers (4 groups, including control) was carried out. Results relative contraindications to work may do not reach the clinical level: workers under the influence of a chemical factor in combination with noise and emotional stress accentuations of the nature of the anxiety type, asthenic and conversion circle. Discussion -Conclusion Workers in conditions of the chemical factor of production in combination with the threat to life in the form of explosion and fire hazard have asthenic-vegetative and anxiety–phobic symptoms, accentuation of the nature of the inhibited circle and the conversion type of response. To work under the influence of noise and emotional stress (no chemical factor) – isolated manifestations of the syndrome of disorders of the autonomic nervous system, asthenia and pronounced anxious character traits