Evidence map›Paper›PMID 40509735›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2025

Socioeconomic status, antidepressant use, and return to work after disability due to common mental disorders.

Helena Leppänen, Olli Kampman, Reija Autio, Antti Tanskanen, Heidi Taipale, Tino Karolaakso, Päivi Rissanen, Turkka Näppilä, Sami Pirkola

Abstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Helena LeppänenFaculty of Medicine and Health Technology, https://ror.org/033003e23Tampere University, Tampere, Finland.ORCID 0000-0002-1051-3200
Olli KampmanDepartment of Psychiatry, The Wellbeing Services County of Pirkanmaa, Finland.ORCID 0000-0001-6891-2266
Reija AutioFaculty of Social Sciences, Tampere University, Tampere, Finland.ORCID 0000-0002-6519-2715
Antti Tanskanenhttps://ror.org/033c4qc49Niuvanniemi Hospital, Kuopio, Finland.ORCID 0000-0002-3795-3126
Heidi Taipalehttps://ror.org/033c4qc49Niuvanniemi Hospital, Kuopio, Finland.ORCID 0000-0002-3281-934X
Tino KarolaaksoFaculty of Social Sciences, Tampere University, Tampere, Finland.ORCID 0000-0002-7875-8079
Päivi RissanenFaculty of Social Sciences, Tampere University, Tampere, Finland.ORCID 0000-0003-4779-6221
Turkka NäppiläTampere University Library, Tampere University, Tampere, Finland.ORCID 0000-0002-0562-7254
Sami PirkolaDepartment of Psychiatry, The Wellbeing Services County of Pirkanmaa, Finland.ORCID 0000-0003-0138-3130

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommon mental disorders (CMDs) are significant causes of work disability. Low socioeconomic status (SES) is a known risk factor for CMDs and work disability, one possible reason being poorer treatment adherence. We aimed to study the realization of pharmacological treatment and antidepressant adherence in patients with CMDs 3 years before and 3 years after being granted a disability pension (DP) and the role of SES in this. We also studied whether antidepressant adherence is associated with return to work (RTW) after a temporary DP.

methodsInformation on all persons granted a DP due to CMD between 2010 and 2012 in Finland (

resultsPrevalence of taking antidepressants increased towards the DP grant and decreased thereafter, but 14.6% of subjects did not take antidepressants or antipsychotics at all during the study period. Of SES factors, only income was positively associated with antidepressant adherence, lasting over a year. Antidepressant adherence was not associated with RTW.

conclusionsAn alarming result was the absence of recommended medication in fewer than every seventh patient estimated to be disabled due to pharmacologically treatable psychiatric disorders. Contrary to expectations, SES had only a minor predictive role in antidepressant adherence in this patient group. Contrary to taking antidepressants, rehabilitation was associated with RTW. The results adduced the importance of CMD treatment optimization regardless of SES.

Indexed as

Antidepressive AgentsMental DisordersPersons with DisabilitiesReturn to WorkSocial ClassAdultFemaleFinlandHumansMaleMiddle AgedPensionsRegistriesAntidepressive Agentsantidepressantscommon mental disordersdisability pensionreturn to worksocioeconomic status

Identifiers

PMID40509735
PMCPMC12188336

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.