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Long-term work disability due to type I and II bipolar disorder: findings of a six-year prospective study

BACKGROUND: Bipolar disorder (BD) is one of the leading causes of disability worldwide. However, the prevalence and predictors of long-term work disability among patients with type I and II BD have scarcely been studied. We investigated the clinical predictors of long-term work disability among pati...

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Autores principales: Arvilommi, Petri, Pallaskorpi, Sanna, Linnaranta, Outi, Suominen, Kirsi, Leppämäki, Sami, Valtonen, Hanna, Isometsä, Erkki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9271449/
https://www.ncbi.nlm.nih.gov/pubmed/35811322
http://dx.doi.org/10.1186/s40345-022-00264-6
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author Arvilommi, Petri
Pallaskorpi, Sanna
Linnaranta, Outi
Suominen, Kirsi
Leppämäki, Sami
Valtonen, Hanna
Isometsä, Erkki
author_facet Arvilommi, Petri
Pallaskorpi, Sanna
Linnaranta, Outi
Suominen, Kirsi
Leppämäki, Sami
Valtonen, Hanna
Isometsä, Erkki
author_sort Arvilommi, Petri
collection PubMed
description BACKGROUND: Bipolar disorder (BD) is one of the leading causes of disability worldwide. However, the prevalence and predictors of long-term work disability among patients with type I and II BD have scarcely been studied. We investigated the clinical predictors of long-term work disability among patients with BD. METHODS: The Jorvi Bipolar Study (JoBS) is a naturalistic prospective cohort study (n = 191) of adult psychiatric in- and out-patients with DSM-IV type I and II BD in three Finnish cities. Within JoBS we examined the prevalence and predictors of disability pension being granted during a six-year follow-up of the 152 patients in the labor force at baseline and collected information on granted pensions from national registers. We determined the predictors of disability pension using logistic regression models. RESULTS: Over the 6 years, 44% of the patients belonging to the labor force at baseline were granted a disability pension. Older age; type I BD; comorbidity with generalized anxiety disorder, post-traumatic stress disorder or avoidant personality disorder; and duration of time with depressive or mixed symptoms predicted disability pensions. Including disability pensions granted before baseline increased their total prevalence to 55.5%. The observed predictors were similar. CONCLUSION: This regionally representative long-term prospective study found that about half of patients with type I or II bipolar disorder suffer from persistent work disability that leads to disability pension. In addition to the severity of the clinical course and type I bipolar disorder, the longitudinal accumulation of time depressed, psychiatric comorbidity, and older age predicted pensioning. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40345-022-00264-6.
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spelling pubmed-92714492022-07-12 Long-term work disability due to type I and II bipolar disorder: findings of a six-year prospective study Arvilommi, Petri Pallaskorpi, Sanna Linnaranta, Outi Suominen, Kirsi Leppämäki, Sami Valtonen, Hanna Isometsä, Erkki Int J Bipolar Disord Research BACKGROUND: Bipolar disorder (BD) is one of the leading causes of disability worldwide. However, the prevalence and predictors of long-term work disability among patients with type I and II BD have scarcely been studied. We investigated the clinical predictors of long-term work disability among patients with BD. METHODS: The Jorvi Bipolar Study (JoBS) is a naturalistic prospective cohort study (n = 191) of adult psychiatric in- and out-patients with DSM-IV type I and II BD in three Finnish cities. Within JoBS we examined the prevalence and predictors of disability pension being granted during a six-year follow-up of the 152 patients in the labor force at baseline and collected information on granted pensions from national registers. We determined the predictors of disability pension using logistic regression models. RESULTS: Over the 6 years, 44% of the patients belonging to the labor force at baseline were granted a disability pension. Older age; type I BD; comorbidity with generalized anxiety disorder, post-traumatic stress disorder or avoidant personality disorder; and duration of time with depressive or mixed symptoms predicted disability pensions. Including disability pensions granted before baseline increased their total prevalence to 55.5%. The observed predictors were similar. CONCLUSION: This regionally representative long-term prospective study found that about half of patients with type I or II bipolar disorder suffer from persistent work disability that leads to disability pension. In addition to the severity of the clinical course and type I bipolar disorder, the longitudinal accumulation of time depressed, psychiatric comorbidity, and older age predicted pensioning. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40345-022-00264-6. Springer Berlin Heidelberg 2022-07-11 /pmc/articles/PMC9271449/ /pubmed/35811322 http://dx.doi.org/10.1186/s40345-022-00264-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
Arvilommi, Petri
Pallaskorpi, Sanna
Linnaranta, Outi
Suominen, Kirsi
Leppämäki, Sami
Valtonen, Hanna
Isometsä, Erkki
Long-term work disability due to type I and II bipolar disorder: findings of a six-year prospective study
title Long-term work disability due to type I and II bipolar disorder: findings of a six-year prospective study
title_full Long-term work disability due to type I and II bipolar disorder: findings of a six-year prospective study
title_fullStr Long-term work disability due to type I and II bipolar disorder: findings of a six-year prospective study
title_full_unstemmed Long-term work disability due to type I and II bipolar disorder: findings of a six-year prospective study
title_short Long-term work disability due to type I and II bipolar disorder: findings of a six-year prospective study
title_sort long-term work disability due to type i and ii bipolar disorder: findings of a six-year prospective study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9271449/
https://www.ncbi.nlm.nih.gov/pubmed/35811322
http://dx.doi.org/10.1186/s40345-022-00264-6
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