TY  - JOUR
PY  - 2019//
TI  - Mortality in persons with disability pension due to common mental disorders: a cohort study of Swedish construction workers
JO  - Scandinavian journal of public health
A1  - Söderberg, Mia
A1  - Schiöler, Linus
A1  - Stattin, Mikael
A1  - Burdorf, Alex
A1  - Järvholm, Bengt
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - <i>Aims:</i> This study investigated mortality in disability pensions due to common mental disorder, and variation over time after first receiving disability pension. <i>Methods</i>: Objectives were explored in 301,863 construction workers (97.2% men) recruited through healthcare examinations from 1971-1993. By linking with the Swedish National Insurance Agency registers, disability pensions until 2014 were identified. Common mental disorder was defined as disability pension diagnosis due to anxiety, stress-related disorders or moderate depression. Mortality was calculated in all-psychiatric diagnosis and diagnostic sub-groups, and compared to persons without disability pensions, using Poisson regression. Additional analyses were stratified by age at follow-up. <i>Results</i>: In total 6030 subjects received disability pensions based on psychiatric diagnoses, and 2624 constituted common mental disorder. Analyses in an all-psychiatric diagnosis displayed increased mortality risks in men (relative risk 3.6; 95% confidence interval 3.3-3.9) and women (relative risk 2.1; 95% confidence interval 1.6-2.6). Common mental disorder was associated with mortality, especially in men (relative risk 2.5; 95% confidence interval 2.2-2.8). Increased relative risks in alcohol and substance abuse were also observed. <br><br>RESULTS in analyses stratified by age at follow-up displayed persistent high relative risks for mortality in older ages (75-89 years) in men in all-psychiatric disability pensions diagnosis (relative risk 2.8; 95% confidence interval 2.1-3.7) and common mental disorder diagnosis (relative risk 2.6; 95% confidence interval 1.8-3.6), compared to men without disability pensions. Similar results were found in women, but few cases lowered the precision of estimates. <b><i>Conclusions</i>: This study shows that disability pension based on common mental disorders, often regarded as a 'lighter' psychiatric diagnosis, is a risk for early mortality in construction workers, even several years after first receiving disability pension.</b><p />  <p>Language: en</p>
LA  - en
SN  - 1403-4948
UR  - http://dx.doi.org/10.1177/1403494819884440
ID  - ref1
ER  -