ArticleSocial psychiatry and psychiatric epidemiology2020
The importance of clinical and labour market histories in psychiatric disability retirement: analysis of the comprehensive Finnish national-level RETIRE data.
Article in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 30 citations in OpenAlex.
- Return to Work or Not: The Paths to Psychiatric Disability and Back.Journal of occupational rehabilitation · 2026Article
- Pathways into and out of temporary disability retirement: an 8-year sequence analysis study in Finland.European journal of public health · 2025Article
- Socioeconomic status, antidepressant use, and return to work after disability due to common mental disorders.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Article
- Patterns of mental health services and mood disorder disability pensions: a standard comparison of Finland's three largest hospital districts.BMC psychiatry · 2023Article
- Identifying labour market pathways after a 30-day-long sickness absence -a three-year sequence analysis study in Finland.BMC public health · 2023Article
- Employment trajectories until midlife in schizophrenia and other psychoses: the Northern Finland Birth Cohort 1966.Social psychiatry and psychiatric epidemiology · 2023Article
- Socioeconomic factors and use of psychotherapy in common mental disorders predisposing to disability pension.BMC health services research · 2022Article
- Precarious work increases depression-based disability among male employees.European journal of public health · 2021Article
- Contextual and mental health service factors in mental disorder-based disability pensioning in Finland - a regional comparison.BMC health services research · 2021Article
- Return to the labour market in schizophrenia and other psychoses: a register-based Northern Finland Birth Cohort 1966 study.Social psychiatry and psychiatric epidemiology · 2021Article
- Association of diabetes type and chronic diabetes complications with early exit from the labour force: register-based study of people with diabetes in Finland.Diabetologia · 2021Article
- Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees.International journal of environmental research and public health · 2021Article
- Socioeconomic factors in disability retirement due to mental disorders in Finland.European journal of public health · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesDespite the stable incidence of mental disorders in Finland and Europe, mental health-related occupational disability has been increasing. We unveiled the paths to permanent psychiatric disability, recovery, or death, by analysing sequences of labour market participation.
methodsThe RETIRE register database includes information regarding all persons (n = 42,170) awarded an ICD-10 psychiatric disability pension between 2010 and 2015 in Finland. We identified clusters of typical paths of pre-retirement labour market history. Controlling for major mental disorders, age, and sex, we evaluated factors associated with returning to work (RTW), or death, over a 5-year follow-up period.
resultsOnly 10.5% of the disabled subjects returned to work within the follow-up. Half of them ended up with a permanent disability pension. Seven distinguishable paths to disability were identified. Subjects in the cluster characterized by steady employment were relatively often females, lost their work ability due to affective disorders, and had the highest rate of returning to work (16.3%). Mortality was highest (9%) among the cluster characterized by long-term unemployment. Distributions of major diagnostic groups, as well as age and sex, differed between clusters. After their adjustment in the analysis of RTW or death, the identified labour market history paths prior to losing work ability remained as important independent prognostic factors for both outcomes.
conclusionsThe complex retirement process involves identifiable clinical and contextual associating factors. Labour market history patterns associate with varying prognoses after psychiatric retirement. Prolonged unemployment appears as a predictor of relatively poor prognoses, whereas employment indicates the opposite.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.