双相情感障碍患者的劳动力市场边缘化:瑞典全国范围的基于登记册的兄弟姐妹对比研究
Bergný Ármannsdóttir1, Heidi Taipale1,2,3, Aemal Akhtar1
1Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden.
Psychological medicine
|December 10, 2024
概括
与普通人和他们的兄弟姐妹相比,患有双相情感障碍 (BD) 的人面临着明显更高的劳动力市场边缘化风险,包括残疾养老金,病假和失业. 与女性相比,患有BD的男性患病缺勤和失业的风险更高.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 有限的大规模研究存在于双相情感障碍 (BD) 患者的劳动力市场边缘化 (LMM).
- 了解 BD 中 LMM 的程度和性质对于开发有针对性的支持至关重要.
研究的目的:
- 研究瑞典双相情感障碍 (BD) 与随后的劳动力市场边缘化 (LMM) 之间的联系.
- 检查性别对被诊断患有BD的个体LMM结果的影响.
主要方法:
- 瑞典的一项队列研究包括25231名19-60岁的个人,首次诊断BD (2007-2016).
- 患有残疾养老金 (DP),长期病缺 (SA) 和长期失业的风险与匹配的一般人口对照 (1:5) 和未受影响的兄弟姐妹进行了比较.
- 用性别分层的考克斯回归分析来计算95%置信区间 (CI) 的危险比率 (HRs).
主要成果:
- 与普通人群相比,患有BD的人具有明显更高的DP (HR=16.67),长期SA (HR=3.19) 和长期失业 (HR=1.75) 的风险.
- 与未受影响的兄弟姐妹相比,患有BD的个人显示DP (HR=5.54),长期SA (HR=2.83) 和长期失业 (HR=1.78) 的风险增加.
- 患有BD的男性比女性具有更高的SA和失业的相对风险;对于DP没有观察到性别差异.
结论:
- 被诊断为双相情感障碍 (BD) 的个人经历劳动力市场边缘化的风险大幅增加.
- 这些风险在与一般人群和他们自己的未受影响的兄弟姐妹相比时是显而易见的.
- 性别影响BD中LMM的表现,男性在病缺和失业方面面临更大的挑战.
相关概念视频
Bipolar Disorder
54
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
54
Borderline Personality Disorder
36
Borderline Personality Disorder is a complex and multifaceted mental health condition characterized by pervasive instability in interpersonal relationships, self-image, emotions, and impulse control. This instability manifests in extreme emotional reactions, fear of abandonment, and self-destructive behaviors. The disorder significantly impacts daily functioning, often leading to distress in both personal and professional domains.
Genetic and Environmental Contributions
Borderline Personality...
Genetic and Environmental Contributions
Borderline Personality...
36
Psychological and Sociocultural Causes of Schizophrenia
71
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
71
Depressive Disorders: Etiology
49
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
49
Self-Discrepancy Theory
18.3K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.3K
Relationship Formation
39.7K
What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
39.7K


