Trajectories of mental health before and after old-age and disability retirement: a register-based study on purchases of psychotropic drugs

Laaksonen, Mikko; Metsä‐Simola, Niina; Martikainen, Pekka; Pietiläinen, Olli; Rahkonen, Ossi; Gould, Raija; Partonen, Timo; Lahelma, Eero

doi:10.5271/sjweh.3290

Cited by 55 publications

(60 citation statements)

References 24 publications

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“…The use of sedative antidepressants increased rapidly in Finland from 1999-2009 (12), and there has also been an increasing tendency to use smaller amounts of antidepressants for insomnia and anxiety disorders. It is thus plausible that the generally increased use of antidepressants in Finland could explain the non-decreasing steady trend in the use of antidepressants in the later study of Laaksonen et al (6). Nevertheless, the results suggest that it is not always true that old-age retirement is beneficial to mental health.…”

Section: Is Retirement Beneficial or Harmful To Mental Health?contrasting

confidence: 51%

“…However, data on the use of medication in the Laaksonen et al study (6) was collected from a later period (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008) than the Oksanen et al study (5) (1994-2005). The latter also required the use of ≥30 daily doses in each year in order to classify the use of antidepressant.…”

Section: Is Retirement Beneficial or Harmful To Mental Health?mentioning

confidence: 88%

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Is retirement beneficial or harmful to mental health?

Härmä¹

2012

Scand J Work Environ Health

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Section: Is Retirement Beneficial or Harmful To Mental Health?contrasting

confidence: 51%

Section: Is Retirement Beneficial or Harmful To Mental Health?mentioning

confidence: 88%

Is retirement beneficial or harmful to mental health?

Härmä¹

2012

Scand J Work Environ Health

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“…Recent studies have reported an increase in psychotropic medications before DP due to mental disorders and an immediate decrease after DP [18–20]. It is likely that patterns of such medication may differ for different mental disorders and that such changes might be influenced by different socio-demographic and medical factors.…”

Section: Introductionmentioning

confidence: 99%

Trajectories of antidepressant medication use in individuals before and after being granted disability pension due to common mental disorders- a nationwide register-based study

et al. 2018

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BackgroundEarly retirement caused by disability pension (DP) due to common mental disorders (CMDs) is frequent in European countries. Inadequate treatment, e.g., suboptimal antidepressant (AD) medication before DP can be crucial in such DP. This explorative study aimed to disentangle trajectories of AD based on defined daily dose (DDD) before and after granted DP, and to characterize the trajectories by socio-demographics and medical factors.MethodsAll 4642 individuals in Sweden aged 19–64 with incident DP due to CMD in 2009–2010 were included. Trajectories of annual DDDs of AD were analysed over a 6-year period by a group-based trajectory method. Associations between socio-demographic or medical factors and different trajectories were estimated by chi2-test and multinomial logistic regression.ResultsFive trajectories of ADs were identified. Three groups, comprising 34%, 34%, and 21% of the cohort, had constant AD levels before and after DP with mean annual DDDs of 29, 234, and 580, respectively. Two groups, each including 6% of the cohort, had increasing levels of DDDs, levelling off at around 1150 and 785 DDDs after DP. Particularly age, outpatient care due to mental diagnoses and DP diagnoses were significantly associated with different trajectories (p < 0.05). All the groups had a larger proportion of older individuals (> 50%, 45–64 years), except for the ‘increasing low’ group, where younger individuals were in majority (> 60%, 18–44 years), who more frequently exited labour market due to ‘anxiety disorders’, with lower education and more specialised healthcare before DP than the other groups.ConclusionThe heterogeneity among the five trajectory groups was partly explained by age, the severity of the mental disorder and the DP diagnoses. DDDs of ADs, though on different levels, varied marginally before and after granted DP in the majority. Moreover, AD levels were very low in one third of the individuals. Early identification and focus on the ‘increasing low’ group might be important in order to identify individuals at risk for further increase in annual DDDs of ADs even after granted DP, and might also contribute in prevention of DP. Further detailed research regarding different groups is warranted.

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“…The same technique was used on six repeated measurements during a two-year follow-up of workers with a traumatic limb injury and distinguished three return-to-work trajectories with different patterns of individual and work-related characteristics (12). An exemplary study with exceptional use of register-based information demonstrated convincingly through growth-curve trajectories that mental health improved after disability retirement, especially for workers with mental disorders, but no change was observed among old-age pensioners (13).…”

mentioning

confidence: 99%

The need for novel strategies to analyze the dynamic pattern of worker’s health over time and the consequences for sustained employability

Burdorf¹

2012

Scand J Work Environ Health

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Trajectories of mental health before and after old-age and disability retirement: a register-based study on purchases of psychotropic drugs

Cited by 55 publications

References 24 publications

Is retirement beneficial or harmful to mental health?

Is retirement beneficial or harmful to mental health?

Trajectories of antidepressant medication use in individuals before and after being granted disability pension due to common mental disorders- a nationwide register-based study

The need for novel strategies to analyze the dynamic pattern of worker’s health over time and the consequences for sustained employability

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