Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Das Thema chronische Unterbauch- und Viszeralschmerzen wird im Live-Webinar am 7. Mai von 17.30 bis 19 Uhr aus internistischer, gynäkologischer und psychologisch-neurowissenschaftlicher Perspektive beleuchtet. Besprochen werden krankheitsbedingte Ursachen, Mechanismen der kognitiven Schmerzmodulation sowie mögliche Therapieoptionen. Die Fortbildung ist mit 2 CME-Punkten zertifiziert. Melden Sie sich jetzt an!
Erweiterte Suche
Anmelden
nach oben
Social Psychiatry and Psychiatric Epidemiology
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 2/2016

01.02.2016 | Original Paper

Clustering of adversity in young adults on disability pension due to mental disorders: a latent class analysis

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 2/2016

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Mental disorders are the leading cause of work disability among young adults. This study examined whether distinct classes could be identified among young adults on the basis of medical history before receiving a disability pension due to a mental disorder.

Methods

Medical history was obtained from pension applications and attached medical certificates for 1163 individuals aged 18–34 years who, in 2008, received a disability pension due to a mental disorder. Using latent class analysis, 10 clinical and individual adversities and their associations with sex, age and diagnostic category were examined.

Results

Three classes were identified: childhood adversity (prevalence, 33 %), comorbidity (23 %), and undefined (44 %). The childhood adversity class was characterized by adverse events and symptoms reported during childhood and it associated with depressive disorders. The comorbidity class was characterized by comorbid mental disorders, suicide attempts and substance abuse and associated with younger age and bipolar disorder. The undefined class formed no distinct profile; individuals in this class had the lowest number of adversities and it associated with psychotic disorders.

Conclusions

The identification of subgroups characterized by childhood circumstances and comorbidity may help planning of prevention and support practices for young adults with mental disorders and risk of work disability.
Literatur
1.
Eläketurvakeskuksen ja Kelan yhteistilasto (2015) (Finnish Centre for pensions and Social Security Institution of Finland 2015)
2.
Lundberg O (1993) The impact of childhood living conditions on illness and mortality in adulthood. Soc Sci Med 36:1047–1052CrossRefPubMed
3.
Upmark M, Lundberg I, Sadigh J, Allebeck P, Bigert C (1999) Psychosocial characteristics in young men as predictors of early disability pension with a psychiatric diagnosis. Soc Psychiatry Psychiatr Epidemiol 34:533–540CrossRefPubMed
4.
Kessler RC, Avenevoli S, Ries Merikangas K (2001) Mood disorders in children and adolescents: an epidemiologic perspective. Biol Psychiatry 49:1002–1014CrossRefPubMed
5.
Patel V, Flisher AJ, Hetrick S, McGorry P (2007) Mental health of young people: a global public-health challenge. Lancet 369:1302–1313CrossRefPubMed
6.
Milne BJ, Caspi A, Harrington H, Poulton R, Rutter M, Moffit TE (2009) Predictive value of family history on severity of illness: the case for depression, anxiety, alcohol dependence, and drug dependence. Arch Gen Psychiatry 66:738–747PubMedCentralCrossRefPubMed
7.
Upmark M, Thundal K-L (2002) An explorative, population-based study of female disability pensioners: the role of childhood conditions and alcohol abuse/dependence. Skand J Public Health 30:191–199CrossRef
8.
Harkonmäki K, Korkeila K, Vahtera J et al (2007) Childhood adversities as a predictor of disability retirement. J Epidemiol Community Health 61:479–484PubMedCentralCrossRefPubMed
9.
10.
Mykletun A, Overland S, Dahl AA et al (2006) A population-based cohort study of the effect of common mental disorders on disability pension awards. Am J Psychiatry 163:1412–1418CrossRefPubMed
11.
Bültmann U, Christensen KB, Burr H, Lund T, Rugulies R (2008) Severe depressive symptoms as predictor of disability pension: a 10-year follow-up study in Denmark. Eur J Public Health 18:232–234CrossRefPubMed
12.
Ahola K, Virtanen M, Honkonen T, Isometsä E, Aromaa A, Lönnqvist J (2011) Common mental disorders and subsequent work disability: a population-based Health 2000 Study. J Affect Disord 134:365–372CrossRefPubMed
13.
Niederkrotenthaler T, Tinghög P, Alexanderson K et al (2014) Future risk of labour market marginalization in young suicide attempters—a population-based prospective cohort study. Int J Epidemiol 43:1520–1530CrossRefPubMed
14.
Sidorchuk A, Hemmingsson T, Romelsjo A, Allebeck P (2012) Alcohol use in adolescence and risk of disability pension: a 39 year follow-up of a population-based conscription survey. PLoS One 7:e42083PubMedCentralCrossRefPubMed
15.
Miettunen J, Lauronen E, Veijola J et al (2007) Socio-demographic and clinical predictors of occupational status in schizophrenic psychoses—follow-up within the Northern Finland 1966 Birth Cohort. Psychiatry Res 150:217–225CrossRefPubMed
16.
Lauronen E, Miettunen J, Veijola J, Karhu J, Jones PB, Isohanni M (2007) Outcome and its predictors in schizophrenia within the Northern Finland 1966 Birth Cohort. Eur Psychiatry 22:129–136CrossRefPubMed
17.
WHO (2010) International statistical classification of diseases and related health problems tenth revision. World Health Organisation, Geneva
18.
SAS Institute Inc (2010) SAS ® 9.2 language reference: concepts, 2nd edn. SAS Institute Inc, Cary
19.
20.
Nylund KL, Asparouhov T, Muthén BO (2007) Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo simulation study. Struct Equ Modeling 14:535–569CrossRef
21.
22.
Clark C, Caldwell T, Power C, Stansfeld SA (2010) Does the influence of childhood adversity on psychopathology persist across the lifecourse? A 45-year prospective epidemiologic study. Ann Epidemiol 20:385–394CrossRefPubMed
23.
Widom CS, DuMont K, Czaja SJ (2007) A prospective investigation of major depressive disorder and comorbidity in abused and neglected children grown up. Arch Gen Psychiatry 64:49–56CrossRefPubMed
24.
Keller MC, Neale MC, Kendler KS (2007) Association of different adverse life events with distinct patterns of depressive symptoms. Am J Psychiatry 164:1521–1529CrossRefPubMed
25.
Bynner J (2013) School to work transitions and wellbeing in a changing labour market. In: Helve H, Evans K (eds) Youth and work transitions in changing social landscapes. The Tufnell Press, London, pp 31–44
26.
Valtonen H, Suominen K, Mantere O, Leppämäki S, Arvilommi P, Isometsä ET (2005) Suicidal ideation and attempts in bipolar I and II disorders. J Clin Psychiatry 66:1456–1462CrossRefPubMed
27.
Holma KM, Haukka J, Suominen K et al (2014) Differences in incidence of suicide attempts between bipolar I and II disorders and major depressive disorder. Bipolar Disord 16:652–661CrossRefPubMed
28.
Brady KT, Randall CL (1999) Gender differences in substance use disorders. Psychiatr Clin North Am 22:241–252CrossRefPubMed
29.
Mościcki EK (1994) Gender differences in completed and attempted suicides. Ann Epidemiol 4:152–158CrossRefPubMed
30.
Weiss RD, Griffin ML, Kolodziej ME et al (2007) A randomized trial of integrated group therapy versus group drug counseling for patients with bipolar disorder and substance dependence. Am J Psychiatry 164:100–107CrossRefPubMed
31.
Weiss RD, Griffin ML, Jaffee WB et al (2009) A “community-friendly” version of integrated group therapy for patients with bipolar disorder and substance dependence: a randomized controlled trial. Drug Alcohol Depend 104:212–219PubMedCentralCrossRefPubMed
32.
Fountoulakis KN, Gonda X, Siamouli M, Rihmer Z (2009) Psychotherapeutic intervention and suicide risk reduction in bipolar disorder: a review of the evidence. J Affect Disord 113:21–29CrossRefPubMed
33.
Rihmer Z, Gonda X (2012) Prevention of depression-related suicides in primary care. Psychiatr Hung 27:72–81PubMed
34.
Kivekäs J, Hannu T, Rokkanen T, Ropponen T (2012) Pitkäaikaisen työkyvyttömyyden arviointi kannattaa keskittää työterveyshuoltoon [More significant role for occupational health care in long-term disability assessment]. Suom. Lääkäril 67:2229–2233 (in Finnish)
Metadaten
Titel
Clustering of adversity in young adults on disability pension due to mental disorders: a latent class analysis
Publikationsdatum
01.02.2016
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 2/2016
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-015-1123-1

Weitere Artikel der Ausgabe 2/2016

Social Psychiatry and Psychiatric Epidemiology 2/2016 Zur Ausgabe

Original Paper

Sociodemographic, clinical and childhood correlates of adult violent victimisation in a large, national survey sample of people with psychotic disorders

Original Paper

Employment and income among first-time cases diagnosed with non-affective psychosis in Stockholm, Sweden: a follow-up study 2004/2005–2010

Original Paper

The association between major depression prevalence and sex becomes weaker with age

Original Paper

The age of anxiety? It depends where you look: changes in STAI trait anxiety, 1970–2010

Original Paper

Self-harm and life problems: findings from the Multicentre Study of Self-harm in England

Original Paper

Sexual orientation disparities in physical health: age and gender effects in a population-based study

Neu im Fachgebiet Psychiatrie

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise