Mood, anxiety, and alcohol use disorders and later cause-specific sick leave in young adult employees

BMC Public Health

Research Article

Fartein Ask Torvik¹  Kristian Tambs¹  Kristian Østby¹  Ragnhild Ørstavik¹  Gun Peggy Knudsen¹  Espen Røysamb²  Line C. Gjerde²  Eivind Ystrom³  Ted Reichborn-Kjennerud⁴ 

[1] Norwegian Institute of Public Health, Domain for Mental and Physical Health, P.O. Box 4404, 0403, Nydalen, Oslo, Norway;Norwegian Institute of Public Health, Domain for Mental and Physical Health, P.O. Box 4404, 0403, Nydalen, Oslo, Norway;University of Oslo, Department of Psychology, Section of Health, Developmental and Personality Psychology, P.O. Box 1094, 0317, Blindern, Oslo, Norway;Norwegian Institute of Public Health, Domain for Mental and Physical Health, P.O. Box 4404, 0403, Nydalen, Oslo, Norway;University of Oslo, Department of Psychology, Section of Health, Developmental and Personality Psychology, P.O. Box 1094, 0317, Blindern, Oslo, Norway;University of Oslo, School of Pharmacy, PharmacoEpidemiology and Drug Safety Research Group, P.O. Box 1094, 0317, Blindern, Oslo, Norway;Norwegian Institute of Public Health, Domain for Mental and Physical Health, P.O. Box 4404, 0403, Nydalen, Oslo, Norway;University of Oslo, Institute of Clinical Medicine, P.O. Box 1171, 0318, Blindern, Oslo, Norway;

关键词: Anxiety;    Depression;    Specific phobia;    Sick leave;    Sickness absence;    Functional impairment;    Occupational health;   

DOI  :  10.1186/s12889-016-3427-9

 received in 2016-02-09, accepted in 2016-08-02,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundMental disorders strongly influence work capability in young adults, but it is not clear which disorders that are most strongly associated with sick leave, and which diagnoses that are stated on the sick leave certificates. Better knowledge of the impairments associated with different mental disorders is needed for optimal planning of interventions and prioritization of health services. In the current study, we investigate the prospective associations between eight mood, anxiety, and alcohol use disorders, and later sick leave granted for mental, somatic, or any disorder.MethodsLifetime mental disorders were assessed by structured diagnostic interviews in 2,178 young adults followed for eight years with registry data on sick leave. Relative risk ratios were estimated for the associations between each mental disorder and the different forms of sick leave.ResultsAll included diagnoses were associated with later sick leave. In adjusted analyses, major depressive disorder and generalized anxiety disorder were the strongest predictors of sick leave granted for mental disorders, whereas social anxiety disorder and specific phobia were the strongest predictors of sick leave granted for somatic disorders. Specific phobia and major depressive disorder had the highest attributable fractions for all-cause sick leave.ConclusionsMood and anxiety disorders constituted independent risk factors for all cause sick leave, whereas alcohol use disorders seemed to be of less importance in young adulthood. Disorders characterised by distress were most strongly associated with sick leave granted for mental disorders, whereas disorders characterised by fear primarily predicted sick leave granted for somatic conditions. A large part of all sick leave is related to specific phobia, due to the high prevalence of this disorder. The impairment associated with this common disorder may be under-acknowledged, and it could decrease work capacity among individuals with somatic disorders. This disorder has good treatment response and may be overlooked as a target for interventions aimed at prevention of sick leave.

【 授权许可】

CC BY   
© The Author(s). 2016