File Download
There are no files associated with this item.
Links for fulltext
(May Require Subscription)
- Publisher Website: 10.1093/eurpub/ckz131
- Scopus: eid_2-s2.0-85081943022
- PMID: 31326988
- WOS: WOS:000562331500027
- Find via
Supplementary
- Citations:
- Appears in Collections:
Article: Psychotropic medication before and after disability retirement by pre-retirement perceived work-related stress
Title | Psychotropic medication before and after disability retirement by pre-retirement perceived work-related stress |
---|---|
Authors | |
Issue Date | 2020 |
Citation | European Journal of Public Health, 2020, v. 30, n. 1, p. 158-163 How to Cite? |
Abstract | Background: Retirement has been associated with improved mental health, but it is unclear how much this is due to the removal of work-related stressors. We examined rates of psychotropic medication use before and after the transition to disability retirement due to mental, musculoskeletal and other causes by pre-retirement levels of perceived work stress (effort-reward imbalance, ERI). Methods: Register-based date and diagnosis of disability retirement of 2766 participants of the Finnish Public Sector study cohort were linked to survey data on ERI, social- and health-related covariates, and to national records on prescribed reimbursed psychotropic medication, measured as defined daily doses (DDDs). Follow-up for DDDs was 2-5 years before and after disability retirement. We assessed differences in the levels of DDDs before and after retirement among those with high vs. low level of pre-retirement ERI with repeated measures regression. Results: Those with high (vs. low) levels of ERI used slightly more psychotropic medication before disability retirement due to mental disorders [rate ratio (RR) 1.14, 95% confidence intervals (CI) 0.94-1.37], but after retirement this difference attenuated (RR 0.94, 95% CI 0.80-1.10, P for interaction 0.02). Such a change was not observed for the other causes of disability retirement. Conclusions: The level of psychotropic medication use over the transition to disability retirement due to mental, but not musculoskeletal or other, causes was modified by pre-retirement perceived work-related stress. This suggests that among people retiring due to mental disorders those who had stressful jobs benefit from retirement more than those with low levels of work-related stress. |
Persistent Identifier | http://hdl.handle.net/10722/307289 |
ISSN | 2023 Impact Factor: 3.7 2023 SCImago Journal Rankings: 1.078 |
ISI Accession Number ID |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Halonen, Jaana I. | - |
dc.contributor.author | Chandola, Tarani | - |
dc.contributor.author | Hyde, Martin | - |
dc.contributor.author | Leinonen, Taina | - |
dc.contributor.author | Westerlund, Hugo | - |
dc.contributor.author | Aalto, Ville | - |
dc.contributor.author | Pentti, Jaana | - |
dc.contributor.author | Laaksonen, Mikko | - |
dc.contributor.author | Stenholm, Sari | - |
dc.contributor.author | Mänty, Minna | - |
dc.contributor.author | Vahtera, Jussi | - |
dc.contributor.author | Oksanen, Tuula | - |
dc.contributor.author | Kivimäki, Mika | - |
dc.contributor.author | Virtanen, Marianna | - |
dc.contributor.author | Lallukka, Tea | - |
dc.date.accessioned | 2021-11-03T06:22:18Z | - |
dc.date.available | 2021-11-03T06:22:18Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | European Journal of Public Health, 2020, v. 30, n. 1, p. 158-163 | - |
dc.identifier.issn | 1101-1262 | - |
dc.identifier.uri | http://hdl.handle.net/10722/307289 | - |
dc.description.abstract | Background: Retirement has been associated with improved mental health, but it is unclear how much this is due to the removal of work-related stressors. We examined rates of psychotropic medication use before and after the transition to disability retirement due to mental, musculoskeletal and other causes by pre-retirement levels of perceived work stress (effort-reward imbalance, ERI). Methods: Register-based date and diagnosis of disability retirement of 2766 participants of the Finnish Public Sector study cohort were linked to survey data on ERI, social- and health-related covariates, and to national records on prescribed reimbursed psychotropic medication, measured as defined daily doses (DDDs). Follow-up for DDDs was 2-5 years before and after disability retirement. We assessed differences in the levels of DDDs before and after retirement among those with high vs. low level of pre-retirement ERI with repeated measures regression. Results: Those with high (vs. low) levels of ERI used slightly more psychotropic medication before disability retirement due to mental disorders [rate ratio (RR) 1.14, 95% confidence intervals (CI) 0.94-1.37], but after retirement this difference attenuated (RR 0.94, 95% CI 0.80-1.10, P for interaction 0.02). Such a change was not observed for the other causes of disability retirement. Conclusions: The level of psychotropic medication use over the transition to disability retirement due to mental, but not musculoskeletal or other, causes was modified by pre-retirement perceived work-related stress. This suggests that among people retiring due to mental disorders those who had stressful jobs benefit from retirement more than those with low levels of work-related stress. | - |
dc.language | eng | - |
dc.relation.ispartof | European Journal of Public Health | - |
dc.title | Psychotropic medication before and after disability retirement by pre-retirement perceived work-related stress | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1093/eurpub/ckz131 | - |
dc.identifier.pmid | 31326988 | - |
dc.identifier.scopus | eid_2-s2.0-85081943022 | - |
dc.identifier.volume | 30 | - |
dc.identifier.issue | 1 | - |
dc.identifier.spage | 158 | - |
dc.identifier.epage | 163 | - |
dc.identifier.eissn | 1464-360X | - |
dc.identifier.isi | WOS:000562331500027 | - |