Is retirement beneficial for mental health?: antidepressant use before and after retirement.
Is retirement beneficial for mental health?: antidepressant use before and after retirement.
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DOI：
10.1097/ede.0b013e31821c41bd
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发表时间：
2011-07
期刊：
影响因子：
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通讯作者：
Kivimäki M
中科院分区：
文献类型：
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作者：
Oksanen T;Vahtera J;Westerlund H;Pentti J;Sjösten N;Virtanen M;Kawachi I;Kivimäki M
最近基于自我报告数据的研究表明，退休可能对心理健康有好处，但使用客观终点的研究仍然很少。这项研究纵向考察了在向退休过渡的9年中，抗抑郁药物使用的变化。参与者是芬兰公共部门的雇员：7138人在法定退休年龄退休(76%为女性，平均年龄为61.2岁)，1238人因心理健康问题提前退休(78%为女性，平均年龄为52.0岁)，2643人因身体健康问题退休(72%为女性，平均年龄为55.4岁)。在退休前四年和退休后四年购买抗抑郁药物是根据1994-2005年国家药房综合记录进行的。在退休前一年，在将在法定年龄退休的人中，使用抗抑郁药物的比例为4%，在因精神健康问题而退休的人中，使用抗抑郁药物的比例为61%，在因身体健康问题而将退休的人中，使用抗抑郁药物的比例为14%。与退休有关的抗抑郁药物使用的变化取决于退休的原因。在老年退休人员中，抗抑郁药物的使用在过渡期内减少(年龄和日历年调整后的抗抑郁药物使用1年后与退休前1年的流行率=0.77[95%可信区间=0.68-0.88])。在那些其主要原因是精神健康问题或身体健康问题的人中，退休前抗抑郁药的使用有增加的趋势，对于精神健康退休的人，退休后抗抑郁药的使用有所减少。有记录的购买抗抑郁药物的轨迹与退休有益于心理健康的假设一致。
Recent studies based on self-reported data suggest that retirement may have beneficial effects on mental health, but studies using objective endpoints remain scarce. This study examines longitudinally the changes in antidepressant medication use across the 9 years spanning the transition to retirement. Participants were Finnish public-sector employees: 7138 retired at statutory retirement age (76% women, mean age 61.2 years), 1238 retired early due to mental health issues (78% women, mean age 52.0 years), and 2643 retired due to physical health issues(72% women, mean age 55.4 years). Purchase of antidepressant medication four years prior to and four years after retirement year were based on comprehensive national pharmacy records in 1994-2005. One year before retirement, the use of antidepressants was 4% among those who would retire at statutory age, 61% among those who would retire due to mental health issues, and 14% among those who would retire due to physical health issues. Retirement-related changes in antidepressant use depended on the reason for retirement. Among old-age retirees, antidepressant medication use decreased during the transition period (age- and calendar-year-adjusted prevalence ratio for antidepressant use 1 year after vs. 1 year before retirement = 0.77 [95% confidence interval = 0.68 – 0.88]). Among those whose main reason for disability pension was mental health issues or physical health issues, there was an increasing trend in antidepressant use prior to retirement and, for mental health retirements, a decrease after retirement. Trajectories of recorded purchases of antidepressant medication are consistent with the hypothesis that retirement is beneficial for mental health.