Hostname: page-component-8448b6f56d-t5pn6 Total loading time: 0 Render date: 2024-04-20T02:18:49.563Z Has data issue: false hasContentIssue false
  • English
  • Français

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: jyrkor@utu.fijyrki.korkeila@utu.fi(J. Korkeila)
Get access

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Causes of death 2005. Statistics Finland, Health 2003:2. Helsinki, Finland: Multiprint; 2006. (reference in Finnish). Information also available: http://www.stat.fi/index_en.html..Google Scholar
Coid, JYang, MTyrer, PRoberts, AUllrich, SPrevalence and correlates of personality disorder in Great Britain. Br J Psychiatry 2006; 188: 423–431.CrossRefGoogle ScholarPubMed
Demyttenaere, KBruffaerts, RPosada-Villa, JGasquet, IKovess, VLepine, JPet al.Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 2004; 291: 2581–2590.Google ScholarPubMed
Hannerz, HBorgå, PBorritz, MLife expectancies for individuals with psychiatric diagnoses. Public Health 2001; 115: 328–337.CrossRefGoogle ScholarPubMed
Huang, YKotov, RDe GirolamoG, Preti, AAngermeyer, MBenjet, Cet al.DSM-IV personality disorders in the WHO World Mental Health Surveys. Br J Psychiatry 2009; 195: 46–53.CrossRefGoogle ScholarPubMed
Kivimäki, MGunnell, DLawlor, DADavey Smith, GPentti, JVirtanen, Met al.Social inequalities in antidepressant treatment and mortality: a longitudinal register study. Psychol Med 2007; 37: 373–382.CrossRefGoogle ScholarPubMed
Lenzenweger, MFJohnson, MDWillett, JBIndividual growth curve analysis illuminates stability and change in personality disorder features. The longitudinal study of personality disorders. Arch Gen Psychiatry 2004; 61: 1015–1024.CrossRefGoogle ScholarPubMed
Lenzenweger, MFLane, MCLoranger, AWKessler, RCDSM-IV personality disorders in the National Comorbidity Survey Replication. Biol Psychiatry 2007; 62: 553–564.CrossRefGoogle ScholarPubMed
Lim, DSanderson, KAndrews, GLost productivity among full-time workers with mental disorders. J Mental Health Policy Econ 2000; 3: 139–146.CrossRefGoogle ScholarPubMed
Murray, CJLopez, ADAlternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 1997; 349: 1498–1504.CrossRefGoogle ScholarPubMed
Pajunen, PKoukkunen, HKetonen, MJerkkola, TImmonen-Räihä, PKärjä-Koskenkari, Pet al.The validity of the Finnish Hospital Discharge Register and Causes of Death Register data on coronary heart disease. Eur J Cardiovasc Prev Rehabil 2005; 12: 132–137.Google ScholarPubMed
Rapola, JMVirtamo, JKorhonen, PHaapakoski, JHartman, AMEdwards, BKet al.Validity of diagnoses of major coronary events in national registers of hospital diagnoses and deaths in Finland. Eur J Epidemiol 1997; 13: 33–138.CrossRefGoogle ScholarPubMed
Räsänen, PTiihonen, JIsohanni, MMoring, JKoiranen, MJuvenile mortality, mental disturbances and criminality: a prospective study of the Northern Finland 1966 birth cohort. Acta Psychiatr Scand 1998; 97: 5–9.CrossRefGoogle ScholarPubMed
Saarni, SISuvisaari, JSintonen, HKoskinen, SHärkänen, TLönnqvist, JThe health-related quality-of-life impact of chronic conditions varied with age in general population. J Clin Epidemiol 2007; 60: 1288–1297.CrossRefGoogle ScholarPubMed
Skodol, AELongitudinal course and outcome of personality disorders. Psychiatr Clin North Am 31viii2008 495503.CrossRefGoogle ScholarPubMed
Skodol, AEPagano, MEBender, DSShea, MTGunderson, JGYen, Set al.Stability of functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder over two years. Psychol Med 2005; 35: 443–451.CrossRefGoogle ScholarPubMed
Soeteman, DIVerheul, RBusschbach, JJThe burden of disease in personality disorders: diagnosis-specific quality of life. J Personal Disord 2008; 22: 259–268.CrossRefGoogle ScholarPubMed
Vahtera, JKorkeila, JKarlsson, HSuoyrjö, HVirtanen, MPentti, Jet al.Sickness absence trends during and after long-term psychotherapy and antidepressant medication among depressive employees. Psychother Psychosom 2009; 78: 130–132.CrossRefGoogle ScholarPubMed
van Asselt, ADDirksen, CDArntz, ASeverens, JLThe cost of borderline personality disorder: societal cost of illness in BPD-patients. Eur Psychiatry 2007; 22: 354–361.CrossRefGoogle ScholarPubMed
Widiger, TASamuel, DBEvidence-based assessment of personality disorders. Psychol Assess 2005; 17: 278–287.CrossRefGoogle ScholarPubMed
Zanarini, MCFrankenburg, FRHennenJ, Reich, DBSilk, KRPrediction of the 10-year course of borderline personality disorder. Am J Psychiatry 2006; 1632: 827–832.CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.