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Early retirement from work among employees with a diagnosis of personality disorder compared to anxiety and depressive disorders

Published online by Cambridge University Press:  16 April 2020

J. Korkeila ,
T. Oksanen ,
M. Virtanen ,
P. Salo ,
H. Nabi ,
J. Pentti ,
J. Vahtera  and
M. Kivimäki
J. Korkeila*
Affiliation:
Department of psychiatry, University of Turku, Kunnallissairaalantie 20, 20700Turku, Finland Satakunta hospital district, Sairaalatie 14, 29200 Harjavalta, Finland
T. Oksanen
Affiliation:
Finnish Institute of Occupational Health, Turku, Lemminkäisenkatu 14-18B, 20520Turku, Finland
M. Virtanen
Affiliation:
Finnish Institute of Occupational Health, Topeliuksenkatu 41aA, 00250Helsinki, Finland
P. Salo
Affiliation:
Finnish Institute of Occupational Health, Turku, Lemminkäisenkatu 14-18B, 20520Turku, Finland
H. Nabi
Affiliation:
Inserm U687, Villejuif, France
J. Pentti
Affiliation:
Finnish Institute of Occupational Health, Turku, Lemminkäisenkatu 14-18B, 20520Turku, Finland
J. Vahtera
Affiliation:
Finnish Institute of Occupational Health, Turku, Lemminkäisenkatu 14-18B, 20520Turku, Finland University of Turku, Turku University Hospital, Lemminkäisenkatu1, 20520Turku, Finland
M. Kivimäki
Affiliation:
Finnish Institute of Occupational Health, Topeliuksenkatu 41aA, 00250Helsinki, Finland Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, WC1E 6 BT, London, UK
*
*Corresponding author. Tel.: +358 40 5514249; fax: +358 2 2662528. E-mail address: [email protected][email protected](J. Korkeila)
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Abstract

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.

Keywords

Personality disordersEmployeesWork disability
Type
Original article
Information
European Psychiatry , Volume 26 , Issue 1 , January 2011 , pp. 18 - 22
Copyright
Copyright © Elsevier Masson SAS 2011

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