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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.

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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.

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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.