Early retirement in cancer patients with or without comorbid mental health conditions: a prospective cohort study
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Early retirement in cancer patients with or without comorbid mental health conditions: a prospective cohort study. / Singer, Susanne; Meyer, Alexandra; Wienholz, Sabine; Briest, Susanne; Brown, Anna; Dietz, Andreas; Binder, Harald; Jonas, Sven; Papsdorf, Kirsten; Stolzenburg, Jens-Uwe; Köhler, Uwe; Raßler, Jörg; Zwerenz, Rüdiger; Schröter, Katharina; Mehnert, Anja; Löbner, Margrit; König, Hans-Helmut; Riedel-Heller, Steffi G.
In: CANCER-AM CANCER SOC, Vol. 120, No. 14, 15.07.2014, p. 2199-206.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Early retirement in cancer patients with or without comorbid mental health conditions: a prospective cohort study
AU - Singer, Susanne
AU - Meyer, Alexandra
AU - Wienholz, Sabine
AU - Briest, Susanne
AU - Brown, Anna
AU - Dietz, Andreas
AU - Binder, Harald
AU - Jonas, Sven
AU - Papsdorf, Kirsten
AU - Stolzenburg, Jens-Uwe
AU - Köhler, Uwe
AU - Raßler, Jörg
AU - Zwerenz, Rüdiger
AU - Schröter, Katharina
AU - Mehnert, Anja
AU - Löbner, Margrit
AU - König, Hans-Helmut
AU - Riedel-Heller, Steffi G
N1 - © 2014 American Cancer Society.
PY - 2014/7/15
Y1 - 2014/7/15
N2 - BACKGROUND: The authors investigated whether cancer patients who have comorbid mental health disorders (MD) are at greater risk of early retirement compared with those who do not have MD.METHODS: Individuals ages 18 to 55 years from a consecutive sample of patients who were admitted for inpatient oncologic treatment were interviewed using structured clinical interviews to ascertain MD. The patients were followed for 15 months, and the date of early retirement was documented. Rates of early retirement per 100 person-years (py) in patients with and without MD were compared using multivariate Poisson regression models.RESULTS: At baseline, 491 patients were interviewed, and 150 of those patients (30.6%) were diagnosed with MD. Forty-one patients began full early retirement during follow-up. In patients with MD, the incidence of early retirement was 9.3 per 100 py compared with 6.1 per 100 py in mentally healthy patients. The crude rate ratio (RR) was 1.5 (95% confidence interval [CI], 0.8-2.8). The effect of MD on early retirement was modified in part by income: in patients with low income, the adjusted RR was 11.7, whereas no effect was observed in higher income groups. Patients with depression were at greater risk of retirement when they had higher income (RR, 3.4; P = .05). The effects of anxiety (RR, 2.4; P = .05), adjustment disorders (RR, 1.7; P = .21), and alcohol dependence (RR, 1.8; P = .40) on early retirement were equal across income groups.CONCLUSIONS: Mental health conditions are risk factors for early retirement in cancer patients, although this effect differs according to the type of disorder and the patient's income level.
AB - BACKGROUND: The authors investigated whether cancer patients who have comorbid mental health disorders (MD) are at greater risk of early retirement compared with those who do not have MD.METHODS: Individuals ages 18 to 55 years from a consecutive sample of patients who were admitted for inpatient oncologic treatment were interviewed using structured clinical interviews to ascertain MD. The patients were followed for 15 months, and the date of early retirement was documented. Rates of early retirement per 100 person-years (py) in patients with and without MD were compared using multivariate Poisson regression models.RESULTS: At baseline, 491 patients were interviewed, and 150 of those patients (30.6%) were diagnosed with MD. Forty-one patients began full early retirement during follow-up. In patients with MD, the incidence of early retirement was 9.3 per 100 py compared with 6.1 per 100 py in mentally healthy patients. The crude rate ratio (RR) was 1.5 (95% confidence interval [CI], 0.8-2.8). The effect of MD on early retirement was modified in part by income: in patients with low income, the adjusted RR was 11.7, whereas no effect was observed in higher income groups. Patients with depression were at greater risk of retirement when they had higher income (RR, 3.4; P = .05). The effects of anxiety (RR, 2.4; P = .05), adjustment disorders (RR, 1.7; P = .21), and alcohol dependence (RR, 1.8; P = .40) on early retirement were equal across income groups.CONCLUSIONS: Mental health conditions are risk factors for early retirement in cancer patients, although this effect differs according to the type of disorder and the patient's income level.
KW - Adult
KW - Alcoholism
KW - Anxiety
KW - Comorbidity
KW - Depression
KW - Female
KW - Germany
KW - Humans
KW - Interviews as Topic
KW - Male
KW - Mental Disorders
KW - Middle Aged
KW - Neoplasms
KW - Odds Ratio
KW - Poisson Distribution
KW - Prospective Studies
KW - Retirement
U2 - 10.1002/cncr.28716
DO - 10.1002/cncr.28716
M3 - SCORING: Journal article
C2 - 24752999
VL - 120
SP - 2199
EP - 2206
JO - CANCER-AM CANCER SOC
JF - CANCER-AM CANCER SOC
SN - 0008-543X
IS - 14
ER -