A1 Refereed original research article in a scientific journal

Attachment to employment and education before work disability pension due to a mental disorder among young adults




AuthorsMattila-Holappa P, Joensuu M, Ahola K, Vahtera J, Virtanen M

PublisherBIOMED CENTRAL LTD

Publication year2016

JournalBMC Psychiatry

Journal name in sourceBMC PSYCHIATRY

Journal acronymBMC PSYCHIATRY

Article numberARTN 143

Volume16

Number of pages12

ISSN1471-244X

DOIhttps://doi.org/10.1186/s12888-016-0854-1


Abstract
Backround: We examined attachment to employment and education among young adults before they were granted a fixed-term work disability pension due to psychiatric diagnosis, and the factors associated with this attachment.Methods: The data comprised all persons aged 18-34 who received a new-onset fixed-term disability pension compensation due to a mental disorder in Finland in 2008 (N = 1163). The data were derived from pension applications and the enclosed medical records, and were linked to employment records from a period of three years before the disability pension. We analysed the factors associated with attachment to employment or education with log-binomial regression analysis.Results: Fifty percent of the participants were attached to employment or education before work disability pension. The attached were more often women; had higher basic and vocational education; had mood disorder rather than psychosis diagnosis as a primary diagnosis; and had no record of harmful alcohol use or drug use, or recorded symptoms of mental disorders already at school-age.Conclusions: The level of attachment to employment or education before work disability pension is low among young adults with mental disorders and several risk factors predict poor attachment; severe or comorbid mental disorder, early-life psychiatric morbidity, substance use, male sex, low basic education, and lacking vocational education.



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