Increased incidence of disability due to mental and behavioural disorders in Iceland 1990–2007

Thorlacius, Sigurður; Stefánsson, Sigurjón B.; Ólafsson, Stefán; Tómasson, Kristinn

doi:10.3109/09638230902968316

Cited by 16 publications

(11 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This may affect the generalizability of the current results to other settings. However, benefit receipt at younger age among those with mental disorder diagnoses has also been found in other western countries [1], [3], [4]. The main finding of more lost working years among DB recipients with a mental disorder should thus be relevant also in other contexts.…”

Section: Discussionmentioning

confidence: 81%

“…Further, psychosocial traits and characteristics that may not be clinical conditions in themselves, such as low emotional control [25], extrovert deviant behaviour [25], problem drinking [26], lower IQ [25] and mental impairment [27] have been found to be important predictors both for DB in general and for DB awarded for mental disorder in particular. The threshold for being awarded a DB for a mental disorder has apparently been lowered in recent years [3]. Perhaps mental disorder diagnoses in some extent are being used on the DB application to secure income to individuals in a difficult life situation.…”

Section: Discussionmentioning

confidence: 99%

“…The rate of DB award increase strongly with age [2], with most DBs awarded within a few years before the scheduled age of retirement. The age distribution varies across diagnostic groups, and there are indications that DBs for a mental disorder are generally awarded at younger age than DBs for other disorders [1], [3], [4]. The younger age at DB award for a mental disorder indicates that this diagnostic group is an important contributor to lost working years in the population.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Lost Working Years Due to Mental Disorders: An Analysis of the Norwegian Disability Pension Registry

et al. 2012

View full text Add to dashboard Cite

ObjectivesMental disorders are prevalent diagnoses in disability benefit statistics, with awards often granted at younger age than for other diagnoses. We aimed to compare the number of lost working years following disability benefit award for mental disorders versus other diagnostic groups.MethodsData from the complete Norwegian official registry over disability benefit incidence, including primary diagnoses, were analyzed for the period 2001 to 2003 (N = 77,067), a time-period without any reform in the disability benefit scheme. Lost working years due to disability benefit award before scheduled age retirement at age 67 were calculated.ResultsMusculoskeletal disorders were the commonest reason for disability benefit awards (36.3%) with mental disorders in second place (24.0%). However, mental disorders were responsible for the most working years lost (33.8%) compared with musculoskeletal disorders (29.4%). Individuals awarded disability benefit for a mental disorder were on average 8.9 years younger (46.1 years) than individuals awarded for a musculoskeletal disorder (55.0 years), and 6.9 years younger than individuals awarded for any other somatic disorder (53.0 years). Anxiety and depressive disorders were the largest contributors to lost working years within mental disorders.ConclusionAge at award is highly relevant when the total burden of different diagnoses on disability benefits is considered. There is great disparity in total number of lost working years due to disability benefit award for different diagnostic groups. The high number of lost working years from mental disorders has serious consequences for both the individual and for the wider society and economy.

show abstract

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Lost Working Years Due to Mental Disorders: An Analysis of the Norwegian Disability Pension Registry

et al. 2012

View full text Add to dashboard Cite

show abstract

“…The trend of increasing shares of young people on DP due to mental disorders has also been reported from other Nordic countries [14], Western Europe [12] and other industrialized countries [6,15]. Norwegian researchers have shown that DP due to mental diagnoses was granted on average nine years earlier than DP with musculoskeletal diagnoses, and that DP with mental diagnoses caused the highest number of lost working years compared with all other DP diagnoses [16].…”

Section: Introductionmentioning

confidence: 68%

Does Social Isolation and Low Societal Participation Predict Disability Pension? A Population Based Study

et al. 2013

View full text Add to dashboard Cite

PurposeThe aim was to examine the potential influence of social isolation and low societal participation on the future risk of receiving disability pension among individuals in Sweden. A specific aim was to describe differences depending on disability pension diagnoses, and how the results were modified by sex and age.MethodThe study comprised representative samples of Swedish women and men, who had been interviewed in any of the annual Swedish Surveys of Living Conditions between 1990 and 2007. Information on disability pension and diagnoses was added from the Swedish Social Insurance Agency’s database (1991-2011). The mean number of years of follow-up for the 53920 women and men was twelve years (SD 5.5), and the study base was restricted to the ages 20 to 64 years of age. The predictors were related to disability pension by Cox’s proportional hazards regression.ResultsSocial isolation and low societal participation were associated with future disability pension also after control for age, year of interview, socio demographic conditions and self reported longstanding illness. Lone individuals were at increased risk of disability pension, and the effect of living without children was modified by sex and age. An increase in risk was particularly noticeable among younger women who reported that they had sparse contacts with others, and no close friend. Both women and men who reported that they did not participate in political discussions and who could not appeal on a decision by a public authority were also at increased risk. The effects of social isolation were mainly attributed to disability pension with mental diagnoses, and to younger individuals.ConclusionsThe study suggests that social isolation and low societal participation are predictors of future disability pension. Social isolation and low societal participation increased particularly the risk of future disability pension in mental diagnoses among younger individuals.

show abstract

“…An Icelandic study on DP due to mental disorders pointed out single mothers with poor financial status to be of greater risk of mental disorder that can lead to DP [35]. There are also findings suggesting that childlessness is not linked to mental disorder [36], [37].…”

Section: Discussionmentioning

confidence: 99%

Associations between Childbirth, Hospitalization and Disability Pension: A Cohort Study of Female Twins

et al. 2014

View full text Add to dashboard Cite

BackgroundAs the literature on long-term effects of childbirth on risk of morbidity or permanent work incapacity (DP) is limited, we aimed to study associations of childbirth with hospitalization and DP, adjusting for familial factors.MethodsThis cohort study included female twins, i.e. women with twin sister, born 1959–1990 in Sweden (n = 5 118). At least one in the twin pair had their first childbirth 1994–2009. Women were followed regarding all-cause and cause-specific (mental or musculoskeletal diagnoses) DP during year 2–5 after first delivery or equivalent. Associations between childbirth, hospitalization and DP were calculated as hazard ratios (HR) with 95% confidence intervals (CI).ResultsWomen who did not give birth had markedly higher number of DP days/year compared to those giving birth. Hospitalization after first childbirth was associated with a higher HR of DP. Those hospitalized at least once after their first childbirth had a three-fold DP risk (HR: 3.2; 95% CI 1.1–9.6), DP due to mental diagnoses (HR: 3.2; 1.2–8.8), and of DP due to musculoskeletal diagnoses (HR: 6.1; 1.6–22.9). Lower HRs in the discordant twin pair analyses indicated that familial factors may influence the studied associations.ConclusionsWomen who did not give birth had a much higher risk for DP than those who did. Among those who gave birth, the risk for DP was markedly higher among those with a previous hospitalization, and especially in women with repeated hospitalizations. The results indicate a health selection into giving birth as well as the importance of morbidity for DP.

show abstract

Increased incidence of disability due to mental and behavioural disorders in Iceland 1990–2007

Abstract: The most likely explanation for the changes we observe is alteration in social conditions leading to a lower threshold for seeking disability pension for mental disorders.

Cited by 16 publications

References 11 publications

Lost Working Years Due to Mental Disorders: An Analysis of the Norwegian Disability Pension Registry

Lost Working Years Due to Mental Disorders: An Analysis of the Norwegian Disability Pension Registry

Does Social Isolation and Low Societal Participation Predict Disability Pension? A Population Based Study

Associations between Childbirth, Hospitalization and Disability Pension: A Cohort Study of Female Twins

Contact Info

Product

Resources

About