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Pathways from parental mental disorders to offspring's work disability due to depressive or anxiety disorders in early adulthood—The 1987 Finnish Birth Cohort
- Source :
- Depression and Anxiety. 36:305-312
- Publication Year :
- 2018
- Publisher :
- Hindawi Limited, 2018.
-
Abstract
- Parental mental disorders have been shown to predict offspring's mental health problems. We examined whether pathways from parental mental disorders to offspring's psychiatric work disability in early adulthood are mediated through offspring's mental disorders and social disadvantage in adolescence.Study population consisted of the 1987 Finnish Birth Cohort. Data on parents' psychiatric care or work disability due to mental diagnosis between 1987 and 2000 and the cohort participants' health and social factors between 2001 and 2005 were derived from administrative national registers. From 2006 through 2015, 52,182 cohort participants were followed for admittance of psychiatric work disability due to depressive or anxiety disorders. First, we applied a pathway analysis to examine the occurrence of each path. We then used mediation analysis to assess the proportion of association between parental mental disorders and work disability mediated by offspring's health and social disadvantage.The pathway model indicated that the association from parental mental disorders to offspring's work disability due to depressive or anxiety disorder is through mental disorders and social disadvantage in adolescence. Odds Ratio for the total effect of parental mental disorders on offspring's psychiatric work disability was 1.85 (95% confidence interval [CI] 1.46-2.34) in the model including offspring's mental disorders that mediated this association by 35%. Corresponding results were 1.86 (95% CI 1.47-2.35) and 28% for social disadvantage in adolescence.These findings suggest that intergenerational determination of work disability due to mental disorders could be addressed by actions supporting mental health and social circumstances in adolescence.
- Subjects :
- Adult
Male
Parents
medicine.medical_specialty
Adolescent
Offspring
Cohort Studies
Young Adult
03 medical and health sciences
0302 clinical medicine
Child of Impaired Parents
Epidemiology
Early adulthood
Odds Ratio
medicine
Humans
Disabled Persons
Psychiatry
Finland
Depression (differential diagnoses)
Work disability
business.industry
Mental Disorders
ta3142
Middle Aged
Anxiety Disorders
ta3123
Mental health
ta3124
030227 psychiatry
Psychiatry and Mental health
Clinical Psychology
Mental Health
Unemployment
Anxiety
Female
Sick Leave
medicine.symptom
Birth cohort
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15206394 and 10914269
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- Depression and Anxiety
- Accession number :
- edsair.doi.dedup.....04d0a292cefbbdb4c410fb72279bebb5