High prevalence of early onset mental disorders among long-term disability claimants

L.R. Cornelius, J. J. L. van der Klink, M R de Boer, S Brouwer, J.W. Groothoff

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

PURPOSE: To provide information on prevalence, comorbidity, age-of-onset and severity of mental disorders among persons claiming disability after long-term sickness absence.

METHOD: Cross-sectional analysis of a cohort of Dutch disability claimants (n = 346). Composite International Diagnostic Interview (CIDI) 3.0 was used to generate DSM-IV classifications of mental disorder, age-of-onset and severity; registry data were used on demographics and ICD-10 classifications of somatic disorder.

RESULTS: The mean age of respondents was 49.8 (range 22-64). The most prevalent broad categories of mental disorders were mood and anxiety disorder with a 12-month prevalence of 28.6% and 32.9%, respectively. Mood and most anxiety disorders had ages of onset in adolescence and early adulthood. The phobias start at school age. Of all respondents, 33.7% had ≥1 12-month mental disorder. Co-occurrence of substance use disorders, phobias and depression/anxiety disorders is frequent. Urogenital and gastrointestinal diseases, and cancer coincide with 12-month mental disorder in 66.7%, 53.9% and 51.7% of cases, respectively. More than two out of three specific mental disorders are serious in terms of disability and days out of working role.

CONCLUSIONS: Disability claimants constitute a vulnerable population with a high prevalence of serious mental disorder, substantial comorbidity and ages-of-onset in early working careers. More research is needed to help prevent long-term sickness absence and disability of claimants with mental health problems.

IMPLICATIONS FOR REHABILITATION: This study shows common mental disorders, such as mood and anxiety disorders, to be highly prevalent among persons claiming disability benefit after long-term sickness absence, to have early onsets and to often co-occur with somatic disorders. Professionals in primary and occupational health care should assess need for treatment of workers at risk, while at the same time being careful not to medicalize normal life problems. Insurance physicians assessing disability benefit claims should identify factors that caused claimants to call in sick and start interventions to promote return to work.

Original languageEnglish
Pages (from-to)520-7
Number of pages8
JournalDisability and Rehabilitation
Volume38
Issue number6
DOIs
Publication statusPublished - 2016

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Mental Disorders
Anxiety Disorders
Age of Onset
Phobic Disorders
Mood Disorders
Comorbidity
Gastrointestinal Neoplasms
Return to Work
Gastrointestinal Diseases
International Classification of Diseases
Vulnerable Populations
Occupational Health
Insurance
Diagnostic and Statistical Manual of Mental Disorders
Substance-Related Disorders
Registries
Primary Health Care
Mental Health
Rehabilitation
Cross-Sectional Studies

Keywords

  • Adult
  • Age of Onset
  • Anxiety Disorders
  • Comorbidity
  • Cross-Sectional Studies
  • Diagnostic and Statistical Manual of Mental Disorders
  • Disabled Persons
  • Female
  • Female Urogenital Diseases
  • Gastrointestinal Diseases
  • Health Surveys
  • Humans
  • International Classification of Diseases
  • Male
  • Male Urogenital Diseases
  • Middle Aged
  • Mood Disorders
  • Neoplasms
  • Netherlands
  • Phobic Disorders
  • Severity of Illness Index
  • Substance-Related Disorders
  • Young Adult
  • Journal Article

Cite this

Cornelius, L.R. ; van der Klink, J. J. L. ; de Boer, M R ; Brouwer, S ; Groothoff, J.W. / High prevalence of early onset mental disorders among long-term disability claimants. In: Disability and Rehabilitation. 2016 ; Vol. 38, No. 6. pp. 520-7.
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abstract = "PURPOSE: To provide information on prevalence, comorbidity, age-of-onset and severity of mental disorders among persons claiming disability after long-term sickness absence.METHOD: Cross-sectional analysis of a cohort of Dutch disability claimants (n = 346). Composite International Diagnostic Interview (CIDI) 3.0 was used to generate DSM-IV classifications of mental disorder, age-of-onset and severity; registry data were used on demographics and ICD-10 classifications of somatic disorder.RESULTS: The mean age of respondents was 49.8 (range 22-64). The most prevalent broad categories of mental disorders were mood and anxiety disorder with a 12-month prevalence of 28.6{\%} and 32.9{\%}, respectively. Mood and most anxiety disorders had ages of onset in adolescence and early adulthood. The phobias start at school age. Of all respondents, 33.7{\%} had ≥1 12-month mental disorder. Co-occurrence of substance use disorders, phobias and depression/anxiety disorders is frequent. Urogenital and gastrointestinal diseases, and cancer coincide with 12-month mental disorder in 66.7{\%}, 53.9{\%} and 51.7{\%} of cases, respectively. More than two out of three specific mental disorders are serious in terms of disability and days out of working role.CONCLUSIONS: Disability claimants constitute a vulnerable population with a high prevalence of serious mental disorder, substantial comorbidity and ages-of-onset in early working careers. More research is needed to help prevent long-term sickness absence and disability of claimants with mental health problems.IMPLICATIONS FOR REHABILITATION: This study shows common mental disorders, such as mood and anxiety disorders, to be highly prevalent among persons claiming disability benefit after long-term sickness absence, to have early onsets and to often co-occur with somatic disorders. Professionals in primary and occupational health care should assess need for treatment of workers at risk, while at the same time being careful not to medicalize normal life problems. Insurance physicians assessing disability benefit claims should identify factors that caused claimants to call in sick and start interventions to promote return to work.",
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High prevalence of early onset mental disorders among long-term disability claimants. / Cornelius, L.R.; van der Klink, J. J. L.; de Boer, M R; Brouwer, S; Groothoff, J.W.

In: Disability and Rehabilitation, Vol. 38, No. 6, 2016, p. 520-7.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - High prevalence of early onset mental disorders among long-term disability claimants

AU - Cornelius, L.R.

AU - van der Klink, J. J. L.

AU - de Boer, M R

AU - Brouwer, S

AU - Groothoff, J.W.

PY - 2016

Y1 - 2016

N2 - PURPOSE: To provide information on prevalence, comorbidity, age-of-onset and severity of mental disorders among persons claiming disability after long-term sickness absence.METHOD: Cross-sectional analysis of a cohort of Dutch disability claimants (n = 346). Composite International Diagnostic Interview (CIDI) 3.0 was used to generate DSM-IV classifications of mental disorder, age-of-onset and severity; registry data were used on demographics and ICD-10 classifications of somatic disorder.RESULTS: The mean age of respondents was 49.8 (range 22-64). The most prevalent broad categories of mental disorders were mood and anxiety disorder with a 12-month prevalence of 28.6% and 32.9%, respectively. Mood and most anxiety disorders had ages of onset in adolescence and early adulthood. The phobias start at school age. Of all respondents, 33.7% had ≥1 12-month mental disorder. Co-occurrence of substance use disorders, phobias and depression/anxiety disorders is frequent. Urogenital and gastrointestinal diseases, and cancer coincide with 12-month mental disorder in 66.7%, 53.9% and 51.7% of cases, respectively. More than two out of three specific mental disorders are serious in terms of disability and days out of working role.CONCLUSIONS: Disability claimants constitute a vulnerable population with a high prevalence of serious mental disorder, substantial comorbidity and ages-of-onset in early working careers. More research is needed to help prevent long-term sickness absence and disability of claimants with mental health problems.IMPLICATIONS FOR REHABILITATION: This study shows common mental disorders, such as mood and anxiety disorders, to be highly prevalent among persons claiming disability benefit after long-term sickness absence, to have early onsets and to often co-occur with somatic disorders. Professionals in primary and occupational health care should assess need for treatment of workers at risk, while at the same time being careful not to medicalize normal life problems. Insurance physicians assessing disability benefit claims should identify factors that caused claimants to call in sick and start interventions to promote return to work.

AB - PURPOSE: To provide information on prevalence, comorbidity, age-of-onset and severity of mental disorders among persons claiming disability after long-term sickness absence.METHOD: Cross-sectional analysis of a cohort of Dutch disability claimants (n = 346). Composite International Diagnostic Interview (CIDI) 3.0 was used to generate DSM-IV classifications of mental disorder, age-of-onset and severity; registry data were used on demographics and ICD-10 classifications of somatic disorder.RESULTS: The mean age of respondents was 49.8 (range 22-64). The most prevalent broad categories of mental disorders were mood and anxiety disorder with a 12-month prevalence of 28.6% and 32.9%, respectively. Mood and most anxiety disorders had ages of onset in adolescence and early adulthood. The phobias start at school age. Of all respondents, 33.7% had ≥1 12-month mental disorder. Co-occurrence of substance use disorders, phobias and depression/anxiety disorders is frequent. Urogenital and gastrointestinal diseases, and cancer coincide with 12-month mental disorder in 66.7%, 53.9% and 51.7% of cases, respectively. More than two out of three specific mental disorders are serious in terms of disability and days out of working role.CONCLUSIONS: Disability claimants constitute a vulnerable population with a high prevalence of serious mental disorder, substantial comorbidity and ages-of-onset in early working careers. More research is needed to help prevent long-term sickness absence and disability of claimants with mental health problems.IMPLICATIONS FOR REHABILITATION: This study shows common mental disorders, such as mood and anxiety disorders, to be highly prevalent among persons claiming disability benefit after long-term sickness absence, to have early onsets and to often co-occur with somatic disorders. Professionals in primary and occupational health care should assess need for treatment of workers at risk, while at the same time being careful not to medicalize normal life problems. Insurance physicians assessing disability benefit claims should identify factors that caused claimants to call in sick and start interventions to promote return to work.

KW - Adult

KW - Age of Onset

KW - Anxiety Disorders

KW - Comorbidity

KW - Cross-Sectional Studies

KW - Diagnostic and Statistical Manual of Mental Disorders

KW - Disabled Persons

KW - Female

KW - Female Urogenital Diseases

KW - Gastrointestinal Diseases

KW - Health Surveys

KW - Humans

KW - International Classification of Diseases

KW - Male

KW - Male Urogenital Diseases

KW - Middle Aged

KW - Mood Disorders

KW - Neoplasms

KW - Netherlands

KW - Phobic Disorders

KW - Severity of Illness Index

KW - Substance-Related Disorders

KW - Young Adult

KW - Journal Article

U2 - 10.3109/09638288.2015.1046566

DO - 10.3109/09638288.2015.1046566

M3 - Article

VL - 38

SP - 520

EP - 527

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

SN - 0963-8288

IS - 6

ER -