ArticleEpidemiology and psychiatric sciences2025
Mental health-related sickness absences in parents of children with mental disorders or neurodevelopmental conditions.
Article in Epidemiology and psychiatric sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
aimsHaving a child with a psychiatric diagnosis is associated with parents' greater risk of subsequent mental disorders but no immediate change in their annual labour market metrics. This discrepancy could be explained by shorter absences from work. We examined first-time psychiatric sickness absences in parents whose children have psychiatric diagnoses.
methodsUsing several linked nationwide Finnish registers, in this cohort study we examined time to first psychiatric sickness absence in parents whose children were born in 2001-2012 (early-childhood-onset diagnoses) or 2005-2016 (late-childhood-onset diagnoses). Exposure was having a child with a psychiatric diagnosis. Follow-up started when the parent's eldest turned 1 (early-childhood-onset diagnoses) or 5 (late-childhood-onset diagnoses) and ended at psychiatric sickness absence, emigration, 68th birthday, death, or 31 December 2020, whichever occurred first.
resultsThe 2001-2012 and 2005-2016 cohorts included 357 135 and 397 874 parents followed for 3.31 and 3.70 million person-years. Having a diagnosed child was associated with greater risk of psychiatric sickness absence in all except men whose children had substance use or psychotic disorder diagnoses. Time-varying analyses showed the greatest associations for women (HR: 4.92; 95% CI: 3.97-6.10) and men (HR: 2.48; 95% CI: 1.61-3.80) within 6 months of a child's eating disorder diagnosis.
conclusionsParents of children with psychiatric diagnoses may be at a greater risk of a psychiatric sickness absence. Associations differed by child's diagnosis, parent's gender and time since diagnosis.
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