A1 Refereed original research article in a scientific journal
Early retirement from work among employees with a diagnosis of personality disorder compared to anxiety and depressive disorders
Authors: J Korkeila, T Oksanen, M Virtanen, P Salo, H Nabi, J Pentti, J Vahtera, M Kivimäki
Publisher: Cambridge University Press
Publication year: 2011
Journal acronym: Eur Psychiatry
Volume: 26
Issue: 1
First page : 18
Last page: 22
DOI: https://doi.org/10.1016/j.eurpsy.2009.12.022.
Objective: Risk of retirement from work before statutory retirement age among employees with personality disorders is unknown.
Method: We used diagnoses of awarded medical rehabilitations and hospitalisations to select two clinical cohorts from a population of 151,618 employees: participants in rehabilitation (total N=1942, 233 personality disorder, 419 anxiety disorder and 1290 depression cases) and hospitalised patients (N=1333, 354, 126 and 853, respectively). Early retirement from work was tracked through national registers during a period of 5 years. Cox proportional hazard models were used to examine the association of diagnostic groups with risk of early retirement.
Results: In models adjusted for age, sex and socioeconomic position, the relative risk of early retirement for patients with personality disorders was 3.5-fold (95% CI 2.1 to 5.8) in the rehabilitation cohort and 2.3-fold (95% CI 1.6 to 3.5) in the hospital cohort compared with anxiety disorders. The corresponding hazard ratios of early retirement for personality disorders compared with depressive disorders were 1.1 (95% CI 0.8-1.5) and 1.7 (95% CI 1.4-2.1), respectively.
Conclusions: Personality disorders increase the risk of early retirement at least to an equal extent as depression and more than twice that of anxiety disorders.
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