University of Oulu

Majuri, T., Haapea, M., Huovinen, H. et al. Return to the labour market in schizophrenia and other psychoses: a register-based Northern Finland Birth Cohort 1966 study. Soc Psychiatry Psychiatr Epidemiol 56, 1645–1655 (2021). https://doi.org/10.1007/s00127-020-02009-1

Return to the labour market in schizophrenia and other psychoses : a register-based Northern Finland Birth Cohort 1966 study

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Author: Majuri, Tuomas1; Haapea, Marianne1,2,3; Huovinen, Hanna1;
Organizations: 1Center for Life Course Health Research, Faculty of Medicine, University of Oulu, P.O. Box 5000, 90014, Oulu, Finland
2Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
3Department of Psychiatry, Oulu University Hospital, Oulu, Finland
4Northern Finland Birth Cohorts, Infrastructure for Population Studies, University of Oulu, Oulu, Finland
5Ilmarinen Mutual Pension Insurance Company, Helsinki, Finland
Format: article
Version: accepted version
Access: embargoed
Persistent link: http://urn.fi/urn:nbn:fi-fe2021092046516
Language: English
Published: Springer Nature, 2021
Publish Date: 2022-01-05
Description:

Abstract

Purpose: The prospects and predictors of returning to the labour market after long-term work disability in psychoses are unclear. Our aim was to study the proportion and characteristics of persons with schizophrenia and other psychoses who return to the labour market after receiving a disability pension.

Methods: In this 50-year follow-up study in the Northern Finland Birth Cohort 1966 (NFBC1966), national registers on demographics, care, and disability pensions were used to detect and characterize individuals who had been on a disability pension for psychiatric reasons. We compared individuals with schizophrenia (SZ, n = 223) or other psychoses (OP, n = 200) to those with non-psychotic psychiatric disorders (NP, n = 1815) regarding demographics and end of pension by cross-tabulations and logistic regression.

Results: Of the 170 (74%) persons with SZ who had been on disability pension for a psychiatric reason, 15 (9%) returned to the labour market. Corresponding percentages were 19% for OP and 28% for NP. In SZ, being married, a later onset age of psychosis, and better school performance, and in OP and NP, having children predicted returning to the labour market. In all groups, a shorter length of the latest disability pension associated with returning to the labour market.

Conclusion: Although rare, it is possible to return to the labour market after a disability pension due to psychosis. Factors predicting a return to the labour market could be taken into account when planning rehabilitation.

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Series: Social psychiatry and psychiatric epidemiology
ISSN: 0933-7954
ISSN-E: 1433-9285
ISSN-L: 0933-7954
Volume: 56
Pages: 1645 - 1655
DOI: 10.1007/s00127-020-02009-1
OADOI: https://oadoi.org/10.1007/s00127-020-02009-1
Type of Publication: A1 Journal article – refereed
Field of Science: 3124 Neurology and psychiatry
Subjects:
Funding: Oulu University Hospital funding (basic government funding for hospitals).
Copyright information: © Springer-Verlag GmbH Germany, part of Springer Nature 2021. This is a post-peer-review, pre-copyedit version of an article published in Soc Psychiatry Psychiatr Epidemiol. The final authenticated version is available online at https://doi.org/10.1007/s00127-020-02009-1.