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Common mental disorders and cause-specific disability retirement
E Lahelma1, O Pietiläinen1, O Rahkonen1
1Department of Public Health, University of Helsinki, Helsinki, Finland.
Occupational and Environmental Medicine
|November 16, 2014
Summary
Common mental disorders significantly increase the risk of disability retirement, especially for mental health conditions. Addressing these disorders may help prevent employees from retiring early due to mental illness.
Area of Science:
- Occupational Health
- Psychiatry
- Public Health
Background:
- Prevalence of common mental disorders among employees.
- Impact of mental disorders on work disability.
Purpose of the Study:
- Examine the association between common mental disorders and disability retirement.
- Investigate the role of disorder severity and diagnostic causes.
Main Methods:
- Helsinki Health Study cohort (n=6525).
- Baseline surveys (2000-2002) using General Health Questionnaire 12-item (GHQ-12).
- Follow-up of disability retirement events via national registers until 2010; Cox proportional hazards models used.
Main Results:
- A graded association was observed between common mental disorders and disability retirement.
- Individuals with GHQ-12 scores of 7-12 had a 2.16 times higher risk of disability retirement.
- The risk of disability retirement due to mental disorders was substantially higher (HR 7.46).
Conclusions:
- Common mental disorders are significant predictors of disability retirement.
- Mental disorders are a primary cause of disability retirement.
- Interventions targeting common mental disorders could reduce disability retirement rates.
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