Zuelke Andrea E, Roehr Susanne, Schroeter Matthias L, Witte A Veronica, Hinz Andreas, Glaesmer Heide, Engel Christoph, Enzenbach Cornelia, Zachariae Silke, Zeynalova Samira, Loeffler Markus, Villringer Arno, Riedel-Heller Steffi G
Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany.
Global Brain Health Institute (GBHI), Trinity College Dublin, Dublin, Ireland.
Front Psychiatry. 2020 Sep 18;11:565442. doi: 10.3389/fpsyt.2020.565442. eCollection 2020.
Transition from employment to retirement is regarded a crucial event. However, there is mixed evidence on associations between retirement and mental health, especially regarding early retirement. In Germany, cases of early retirement due to ill health-particularly, mental ill health-are increasing. Therefore, we investigated the association between early retirement and depressive symptoms, including information on different types of early retirement.
We analyzed data from 4,808 participants of the population-based LIFE-Adult-Study (age: 40-65 years, 654 retired, 4,154 employed), controlling for sociodemographic information, social network, pre-existing health conditions, and duration of retirement. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale. Regression analysis using entropy balancing was applied to achieve covariate balance between retired and employed subjects.
We found no overall-differences in depressive symptoms between employed and retired persons (men: b = -.52; p = 0.431; women: b = .05; p = .950). When looking at different types of early retirement, ill-health retirement was linked to increased depressive symptoms in women (b = 4.68, 95% CI = 1.71; 7.65), while voluntary retirement was associated with reduced depressive symptoms in men (b= -1.83, 95% CI = -3.22; -.43) even after controlling for covariates. For women, statutory retirement was linked to lower depressive symptomatology (b = -2.00, 95% CI = -3.99; -.02).
Depressive symptomatology among early retirees depends on reason for retirement: For women, ill-health retirement is linked to higher levels of depressive symptoms. Women who retire early due to ill-health constitute a risk group for depressive symptoms that needs specific attention in the health care and social security system.
从就业到退休的转变被视为一个关键事件。然而,关于退休与心理健康之间的关联,证据并不一致,尤其是在提前退休方面。在德国,因健康问题(特别是精神健康问题)导致的提前退休案例正在增加。因此,我们调查了提前退休与抑郁症状之间的关联,包括不同类型提前退休的相关信息。
我们分析了基于人群的LIFE-成人研究中4808名参与者的数据(年龄:40 - 65岁,654人退休,4154人就业),并控制了社会人口学信息、社交网络、既往健康状况和退休时长。使用流行病学研究中心抑郁量表评估抑郁症状。采用熵平衡回归分析以实现退休和就业受试者之间的协变量平衡。
我们发现就业者和退休者在抑郁症状方面没有总体差异(男性:b = -0.52;p = 0.431;女性:b = 0.05;p = 0.950)。在查看不同类型的提前退休时,因病提前退休与女性抑郁症状增加有关(b = 4.68,95%置信区间 = 1.71;7.65),而即使在控制协变量后,自愿退休与男性抑郁症状减少有关(b = -1.83,9%置信区间 = -3.22;-0.43)。对于女性,法定退休与较低的抑郁症状有关(b = -2.00,95%置信区间 = -3.99;-0.02)。
提前退休者的抑郁症状取决于退休原因:对于女性来说,因病提前退休与较高水平的抑郁症状有关。因健康问题提前退休的女性构成了抑郁症状的风险群体,在医疗保健和社会保障系统中需要特别关注。