A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Early retirement from work among employees with a diagnosis of personality disorder compared to anxiety and depressive disorders
Tekijät: J Korkeila, T Oksanen, M Virtanen, P Salo, H Nabi, J Pentti, J Vahtera, M Kivimäki
Kustantaja: Cambridge University Press
Julkaisuvuosi: 2011
Lehden akronyymi: Eur Psychiatry
Vuosikerta: 26
Numero: 1
Aloitussivu: 18
Lopetussivu: 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.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
