Hyde Martin, Hanson Linda Magnusson, Chungkham Holendro Singh, Leineweber Constanze, Westerlund Hugo
a Stress Research Institute , Stockholm University , Stockholm , Sweden.
Aging Ment Health. 2015;19(5):381-9. doi: 10.1080/13607863.2014.927821. Epub 2014 Jun 19.
Involuntary employment exit in later life has been shown to be a risk factor for poor physical and mental health. This study aims to examine the relationship between involuntary employment exit in later life and subsequent risk of reporting major depression or being prescribed anti-depressant medication (ADM).
Data were drawn from four waves of the Swedish Longitudinal Occupational Survey of Health (SLOSH). This is a nationally representative longitudinal cohort survey of persons employed in Sweden in 2003 and 2005. The sample was restricted to respondents who had exited the labour market aged 50+ years between 2006 and 2012 (N = 1433). Major depression was measured using the Symptom Checklist Core Depression Scale (SCL-CD6). Prescription ADM redeemed from a pharmacy was based on the National Prescribed Drug Register.
After controlling for socio-demographic variables, health, health behaviours, and baseline depression, involuntary employment exit was associated with an increased risk of reporting major depression (OR 3.16; CI 1.32-7.61) and becoming newly prescribed ADM (HR 2.08; CI 1.03-4.21) compared to voluntary employment exit.
Involuntary employment exit represents a risk for subsequent depression in later life. Mental health and social services ought to consider identifying these individuals for possible intervention programs to reduce the burden of depression in later life.
研究表明，晚年非自愿离职是身心健康不佳的一个风险因素。本研究旨在探讨晚年非自愿离职与随后报告重度抑郁症或被开具抗抑郁药物（ADM）处方的风险之间的关系。
数据来自瑞典健康纵向职业调查（SLOSH）的四个阶段。这是一项对2003年和2005年在瑞典就业人员的全国代表性纵向队列调查。样本仅限于2006年至2012年期间50岁及以上退出劳动力市场的受访者（N = 1433）。使用症状清单核心抑郁量表（SCL-CD6）测量重度抑郁症。从药房赎回的ADM处方基于国家处方药登记册。
在控制了社会人口统计学变量、健康状况、健康行为和基线抑郁后，与自愿离职相比，非自愿离职与报告重度抑郁症的风险增加相关（OR 3.16；CI 1.32 - 7.61），以及新开ADM处方的风险增加相关（HR 2.08；CI 1.03 - 4.21）。
非自愿离职是晚年随后发生抑郁症的一个风险因素。心理健康和社会服务机构应考虑识别这些个体，以便开展可能的干预项目，减轻晚年抑郁症的负担。
