Presentation T P25

T P25 (Poster Presentation):
Risk markers of all-cause and diagnosis-specific disability pension - a prospective cohort study of individuals sickness absent due to stress-related mental disorders

Presented by: Ellenor Mittendorfer-Rutz

Authors

Mittendorfer-Rutz E1, Ishtiak-Ahmed K2, Perski A

  1. Karolinska Institutet
  2. Stockholm University

Abstract

Background

Stress-related mental disorders rank among the leading causes of sickness absence in several European countries. Despite the size of this public health problem, research on risk markers for granted disability pension in these individuals is absent to date. The aim of this study was to investigate predictors of all-cause and diagnosis-specific disability pension in sickness absentees with stress-related mental disorders.

Methods

A cohort of 36 304 non-retired individuals aged 16- 64 years at 31.12.2004 with at-least one sickness absence spell due to stress-related mental disorders (SRMD) initiated in 2005 was followed-up with regard to disability pension (2006-2010). Uni- and multivariate Hazard ratios (HR) with 95% Confidence Intervals, CI, were estimated for a number of risk markers.

Results

During the follow-up period, 2 735 individuals (7.5%) were granted a disability pension, predominantly due to mental diagnoses (n=2 004, 73.3%). In the multivariate analyses, female sex, age exceeding 35 years, low educational level, being born in a country outside Europe, residing outside big cities, living alone, having had a long duration of the first spell due to SRMD (> 90 days); mental disorders necessitating frequent specialised health care as well as comorbid somatic disorders predicted all-cause disability pension. Hazard ratios ranged from 1.1 to 16.6. Female sex, low educational level, living outside big cities, long sickness absence spells and inpatient care due to somatic diagnoses turned out to be only predictive of DP due to somatic diagnoses. On the other hand, living alone as well as in- and outpatient care due to mental diagnoses increased only the risk for DP due to mental diagnoses.

Conclusions

Several predictors related to socio-demographics, sickness absence and health care could be identified as risk markers for disability pension. Careful monitoring of these risk markers is both of clinical and public health importance.

Schedule Details

Tuesday September 30
12:45 - 13:45 Poster Viewing
Session: Mental disorders