Predictors of long‐term work disability in Major Depressive Disorder: a prospective study
- 12 February 2007
- journal article
- Published by Wiley in Acta Psychiatrica Scandinavica
- Vol. 115 (3) , 206-213
- https://doi.org/10.1111/j.1600-0447.2006.00878.x
Abstract
Major Depressive Disorder (MDD) is a major cause of long-term work disability. However, factors predicting this are not well known. In the Vantaa Depression Study, predictors for being granted a disability pension during an 18-month follow-up were examined among the 186 psychiatric MDD in- and out-patients belonging to the labour force at baseline. The 21 patients (11.3%) granted a disability pension were significantly older, more hopeless, had worse social and occupational functioning, and spent more time depressed during follow-up. After adjusting for these predictors, being on sick leave at baseline still strongly predicted disability pension during follow-up. Disability pension is predicted by multiple sociodemographic and clinical factors. Baseline level of functioning and duration of depressive episodes are key clinical predictors. The positive and negative consequences of sick leave warrant closer attention.Keywords
This publication has 42 references indexed in Scilit:
- Labour force activity by people with depression and anxiety disorders: a population‐level second‐order analysisActa Psychiatrica Scandinavica, 2005
- Unemployment, Job Retention, and Productivity Loss Among Employees With DepressionPsychiatric Services, 2004
- Functional disability and depression in the general population. Results from the Netherlands Mental Health Survey and Incidence Study (NEMESIS)Acta Psychiatrica Scandinavica, 2004
- A Record-Based Analysis of 803 Patients Treated for Depression in Psychiatric CareThe Journal of Clinical Psychiatry, 2001
- Disability Pension for Major Depression in FinlandAmerican Journal of Psychiatry, 2000
- Depression and disability pension in FinlandActa Psychiatrica Scandinavica, 1997
- Assessment of suicidal intention: The Scale for Suicide Ideation.Journal of Consulting and Clinical Psychology, 1979
- The measurement of pessimism: The Hopelessness Scale.Journal of Consulting and Clinical Psychology, 1974
- A RATING SCALE FOR DEPRESSIONJournal of Neurology, Neurosurgery & Psychiatry, 1960
- THE ASSESSMENT OF ANXIETY STATES BY RATINGPsychology and Psychotherapy: Theory, Research and Practice, 1959