由于不同精神疾病而导致的长期病假是如何与未来的残疾养老金风险相关的? 基于芬兰人口的前性队列研究
Riku Perhoniemi1, Jenni Blomgren2
1The Social Insurance Institution of Finland (Kela), Helsinki, Finland riku.perhoniemi@kela.fi.
BMJ open
|March 4, 2026
概括
精神障碍如精神病和双相情感障碍显著增加了长期残疾退休的风险. 相反,焦虑和睡眠障碍虽然会导致长期的病缺,但不会增加这种风险.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 职业健康 职业健康 职业健康
背景情况:
- 在经合组织国家,精神健康障碍的增加与长期病假 (LTSA) 和残疾养老金 (DP) 有关.
- 了解各种精神疾病对永久性工作残疾的差异性风险对于公共卫生和职业安全至关重要.
研究的目的:
- 为了比较随后的残疾退休 (DP) 与导致长期病缺 (LTSA) 的不同精神障碍相关的风险.
主要方法:
- 一项基于人口的18-59岁芬兰人的前性队列研究,该研究于2020年启动了精神病学LTSA.
- 随访48个月,以评估第一个DP咒语的时间,使用对伴随性疾病,LTSA长度和社会人口统计学进行调整的考克斯回归.
- 确定了六种精神障碍类型,并分析了与之相关的PD风险.
主要成果:
- 精神病和其他情绪障碍显示,与抑郁症相比,DP的调整HR显著更高.
- 焦虑障碍和精神病睡眠障碍对DP的调整HR值较低.
- 增加PD风险的因素包括较高的年龄,较低的教育/社会经济地位,并发症,慢性疾病和较长的LTSA.
结论:
- 不同的精神障碍给永久性劳动残疾带来不同的风险.
- 抑郁症呈现DP的平均风险,而焦虑和睡眠障碍的风险较低,尽管导致LTSA.
- 精神病和双相情感障碍对工作能力构成最严重的威胁.
更多相关视频
09:59Transillumination-Assisted Dissection of Specific Stages of the Mouse Seminiferous Epithelial Cycle for Downstream Immunostaining Analyses
Published on: October 7, 2020
8.7K
02:47Author Spotlight: Exercise Test for Evaluation of the Functional Efficacy of the Pig Cardiovascular System
Published on: May 12, 2023
2.1K
相关概念视频
Longitudinal Research
11.7K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
11.7K
Factors Affecting Illness
5.4K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
5.4K
Classification of Illness
9.4K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
9.4K
Longitudinal Studies
706
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
706
Stress and Mental Health
1.7K
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
1.7K
Psychological and Sociocultural Causes of Schizophrenia
977
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...
977
