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Do predictors of return to work and recurrence of work disability due to mental disorders vary by age? A cohort study

Mattila-Holappa, P; Ervasti, J; Joensuu, M; Ahola, K; Pentti, J; Oksanen, T; Vahtera, J; ... Virtanen, M; + view all (2017) Do predictors of return to work and recurrence of work disability due to mental disorders vary by age? A cohort study. Scandinavian Journal of Public Health , 45 (2) pp. 178-184. 10.1177/1403494816686467. Green open access

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Abstract

BACKGROUND: The extent to which predictors of return to work (RTW) and recurrence of work disability episodes vary by age group is not well understood. METHODS: We examined the associations of sociodemographic and clinical factors with RTW and recurrence after mental-disorder-related work disability episodes in a cohort of 10,496 Finnish public sector employees. Disability records were derived from national disability registers between 2005 and 2011. Effect modification by age was examined in age groups of 21-34, 35-50 and >50 years. RESULTS: A total of 16,551 disability episodes from mental disorders were recorded. The likelihood of RTW was elevated in age group 21-34 (hazard ratio (HR) = 1.36, 95% confidence interval (CI) = 1.28-1.46) and 35-50 years (HR = 1.22, 95% CI = 1.18-1.26) compared to age group >50 years. The risk of a recurrent episode of work disability was higher in age groups >50 (HR = 1.29, 95% CI = 1.09-1.52) and 35-50 years (HR = 1.20, 95% CI = 1.03-1.41) compared to the youngest age group. Employees with depressive disorders were less likely to RTW than employees with neurotic, stress-related and somatoform disorders, and this difference increased with age. Low education was associated with increased risk of recurrent work disability episode in age groups of 50 years or younger, while no such association was observed in age group >50 years. CONCLUSIONS: The importance of depressive symptoms over neurotic, stress-related and somatoform disorders as predictors of delayed RTW increases with age, whereas educational differences in the recurrence of an episode diminish by age.

Type: Article
Title: Do predictors of return to work and recurrence of work disability due to mental disorders vary by age? A cohort study
Location: Sweden
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/1403494816686467
Publisher version: http://doi.org/10.1177/1403494816686467
Language: English
Additional information: Copyright © Author(s) 2017 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav https://doi.org/10.1177/1403494816686467 journals.sagepub.com/home/sjp
Keywords: Age, depression, longitudinal, mental disorders, recurrence, work disability
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: http://discovery.ucl.ac.uk/id/eprint/1539260
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