Long-term effects of mental disorders on employment in the National Comorbidity Survey ten-year follow-up

Abstract

Purpose Although significant negative associations of mental disorders with employment have been documented in epidemiological research, much of this research was based on cross-sectional samples and focused only on severe and persistent mental disorders. The present study examined the longitudinal associations of more common mental disorders with employment. Methods Data on the associations of common mental disorders with employment are presented here from 4,501 respondents in the National Comorbidity Survey panel study, a two-wave community epidemiological survey of respondents aged 15-54 at baseline (1990-1992) who were re-interviewed in 2001-2003 and were employed, unemployed in the labor force or student at baseline. Lifetime mental disorders at baseline and disorders with onset after baseline were assessed with the Composite International Diagnostic Interview, a fully-structured interview that assessed lifetime prevalence of internalizing fear disorders (panic, phobias), anxiety/misery disorders (major depression, generalized anxiety disorder, post-traumatic stress disorder), externalizing disorders (conduct disorder, alcohol and illicit drug abuse-dependence), and bipolar disorder. Results Both baseline lifetime disorders and disorders with onsets after baseline were associated with significantly reduced odds of subsequent employment among respondents who were either employed or students at baseline. Population projections based on the assumption that these associations represented causal effects suggest that the mental disorders considered here were associated with 1.7-3.2 million adults being unemployed in the US population at follow-up. Conclusions Expanded access to treatment among current employees and students with mental disorders might lead to improved employment outcomes in these segments of the population.

Parents of children diagnosed with cancer: work situation and sick leave, a five-year post end-of-treatment or a child’s death follow-up study

“…Partial PTSD or sub-syndromal PTSD have been associated with comorbid psychiatric symptoms almost to the same extent as full PTSD and is an important diagnostic entity in populations exposed to serious illness [13]. In addition, a negative association between psychiatric disorders, including PTSD, and being employed has been documented in epidemiological studies [14].…”

“…Specifically, the study aimed to assess the proportion of parents working and on sick leave at five years after end of ST or a child's death and whether proportions differed from that reported at one year after end of ST or a child's death. In addition, since parents' work opportunities may also be influenced by mental health disorders [14], we also aimed to assess the association between partial PTSD and work situation and sick leave at five years after end of ST or a child's death.…”

Long-term effects of mental disorders on marital outcomes in the National Comorbidity Survey ten-year follow-up

“…This report is part of a series of reports examining social consequences of mental disorders in the US [1,2]. Previous reports in the series examined educational [1] and employment [2] outcomes.…”

“…Previous reports in the series examined educational [1] and employment [2] outcomes. This report focuses on marital outcomes.…”

Análise dos Comportamentos Autolesivos na Unidade de Comportamentos Suicidários do Hospital de Braga

“…A epidemiologia mostra que as doenças mentais são responsáveis por elevados graus de incapacidade (sobretudo laboral e social) e elevadas taxas de morbilidade e mortalidade. 1,2 Esta última deve-se, em grande parte, ao suicídio que, em termos mundiais, é uma das dez principais causas de morte. 3,4 Na faixa etária dos 15-29 anos, o suicídio representa a segunda principal causa de morte.…”