Dynamics of Mental Disorders Morbidity among Employees of the Ministry of Internal Affairs of Russia from 2008 to 2023

Background: the professional activity of employees of the Ministry of Internal Affairs of Russia belongs to the extreme, in which there is an increased risk of mental adaptation disorders, the occurrence of stress-related and mental disorders. The aim of study: to assess mental disorders dynamics among employees of the Ministry of Internal Affairs of Russia and use this data for prevention, timely detection, treatment and social rehabilitation. Patients and Methods: we studied the dynamics of mental disorders in employees of the Ministry of Internal Affairs of Russia with special ranks for 16 years from 2008 to 2023. The identified mental disorders should be correlated with groups in the V class of diseases “Mental disorders and behavioral disorders” according to the International Statistical Classification of Diseases and Causes of Death Related to Health of the 10th revision (ICD-10). The total and primary morbidity, labor losses were calculated per 1,000 employees or in ppm (%), due to low values, the need for dispensary supervision, hospitalization and dismissal — per 10 thousand employees or 10^-4. The indicator of chronic morbidity was calculated by comparing the level of general morbidity to the primary one. The development of the indicators was studied using the analysis of dynamic series and a polynomial trend of the 2-nd order. Results: the average long-term level of general morbidity of mental disorders of employees of the Ministry of Internal Affairs of Russia was 7.1%, primary morbidity — 3.7%, the need for dispensary supervision according to the results of preventive examinations — 21,8 × 10^–4, hospitalization — 10.9 × 10^–4, disqualification for health reasons — 1.35 × 10^–4. The dynamics of reduction of the listed types of morbidity is noted. The level of general and primary morbidity of mental disorders in employees of the Ministry of Internal Affairs of Russia was statistically significantly lower (p < 0.001) than in the adult population of working age, and the primary morbidity was higher at the trend level (p > 0.05) than in servicemen of the Armed Forces of Russia. The average long-term level of chronization of mental disorders in the adult population of working age in Russia turned out to be 11.6, among employees of the Ministry of Internal Affairs of Russia — 1.9. The 1st rank of significance of the constructed socio-epidemiological assessment was indicators of neurotic stress-related and somatoform disorders (group 5) with a share of 50.4%, the 2nd rank — organic, including symptomatic, mental disorders (group 2) — 25.6%, rank 3 — schizophrenia, schizotypal and delusional disorders (group 3) — 10.7%. The cumulative proportion 35 of cases of these causes was 86.7%. Conclusions: the structure and dynamics of mental disorders incidence in employees of the Ministry of Internal Affairs of Russia dictates the need to improve approaches to neurotic, stress-related, and somatoform disorders prevention. It seems appropriate to organize systematic monitoring of Ministry of Internal Affairs of Russia employees’ mental health state. 

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