{
  "abstract": "Objective There has been an increase in mental disorders in OECD countries in recent years. Mental disorders are also often behind sickness absences (SA) and disability pensions (DP). Exacerbated by the Covid-19 pandemic, especially high rates of depression, and anxiety have been reported. Comparison between different types of mental disorders causing SA as risk factors for a prospective DP transition has seldomly been examined with appropriate study settings. An updated view on this association, adjusting for various other risk-inducing factors, is thus needed.Material and Methods Our study sample included non-retired Finns with a long-term sickness absence based on a mental disorder starting in 2020. Sickness absence was measured through sickness allowance days accumulated over a 12-month period. After this period, each person was followed for 36 months for transitions to DP (the dependent variable). A variable distinguishing between different mental disorders as bases for SA was used as the main independent variable. The risk of entering into DP was examined using descriptive methods and survival analysis (Cox proportional hazards regression).Results Cox proportional hazards regression analyses showed substantial differences in the hazard ratios for prospective DP risk across different mental disorders, even when adjusting for various covariates and the total length of SA influencing the DP risk. Psychoses had the highest hazard ratios, and psychiatric sleep disorders the lowest ones.Conclusion Different mental disorders as bases for sickness absences pose differing risks for permanent work disability. It is important to recognize that different mental disorders contribute to the total disability burden in differing ways – some cause a great amount of sickness absence days but few DP transitions, while some in particularly increase the risk of permanent work disability.",
  "authors": [
    {
      "affiliations": [
        "Social Insurance Institution of Finland (Kela) Research"
      ],
      "name": "Riku Perhoniemi"
    },
    {
      "affiliations": [
        "Social Insurance Institution of Finland (Kela) Research"
      ],
      "name": "Jenni Blomgren"
    }
  ],
  "title": "8280984 Sickness absences due to mental disorders and disability pension risk in Finland",
  "uid": "7e8f507d-ac1e-51fd-b85e-b76f6ebb8c14"
}