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Predictors of employment in young adults with psychiatric work disability
Author(s) -
Joensuu Matti,
MattilaHolappa Pauliina,
Ahola Kirsi,
Kivimäki Mika,
Tuisku Katinka,
Koskinen Aki,
Vahtera Jussi,
Virtanen Marianna
Publication year - 2019
Publication title -
early intervention in psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.087
H-Index - 45
eISSN - 1751-7893
pISSN - 1751-7885
DOI - 10.1111/eip.12730
Subject(s) - psychiatry , disability pension , psychological intervention , disability benefits , depression (economics) , psychology , young adult , rehabilitation , clinical psychology , medicine , developmental psychology , social security , population , environmental health , political science , law , economics , macroeconomics , neuroscience
Aim Mental disorders are the leading cause of work disability among young adults in the industrialized world. Factors predicting employment after long‐term psychiatric work disability are largely unknown. Methods We linked personal and clinical information from the benefit applications and medical certificates of 1163 young adults (18‐34 years) with a new‐onset fixed‐term psychiatric disability pension in 2008 with employment records between 2005 and 2013. The outcomes were starting employment during and being employed at the end of follow‐up. Results Of the participants, 48% had been employed during and 22% were employed at the end of follow‐up. Sustained employment history, university education (master's degree) and no recorded psychological symptoms in childhood were associated with both subsequent employment outcomes. Women and participants under 25 years were more likely to start employment. Depression and other mental disorders (vs psychotic diagnose) and having no comorbid mental disorders or substance abuse were associated with employment at the end of follow‐up. Conclusions Sustained employment history, university education and no recorded psychological symptoms during childhood predict a return to employment among young adults after a fixed‐term psychiatric work disability pension. Pro‐active interventions in psychological problems during childhood could enhance employment after a period of work disability.