{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T08:38:43Z","timestamp":1777538323842,"version":"3.51.4"},"reference-count":53,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Social Insurance Institution of Finland"},{"name":"Etera Mutual Pension Insurance Company of Finland"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bipolar Disorders"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Bipolar disorder (<jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content>) is one of the leading causes of disability worldwide. However, vocational ability and predictors of long\u2010term work disability have rarely been studied among patients with <jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content>. We investigated clinical predictors of work disability among patients with <jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content> in psychiatric care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Jorvi Bipolar Study (Jo<jats:styled-content style=\"fixed-case\">BS<\/jats:styled-content>) is a naturalistic prospective cohort study (N\u00a0=\u00a0191) representing adult (18\u201359\u00a0years) psychiatric inpatients and outpatients with <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content> bipolar I disorder (<jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content>\u2010I) and bipolar <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> disorder (<jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>) in three Finnish cities. Within the Jo<jats:styled-content style=\"fixed-case\">BS<\/jats:styled-content>, we investigated the prevalence of disability pensions at baseline, and predictors for being granted a disability pension during an 18\u2010month follow\u2010up of the 151 patients in the labor force at baseline. Cox models were used to determine predictors for onset of disability pension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At baseline, 21% (40\/191) of the patients already had a disability pension. During the follow\u2010up, a further 38 patients (25% of the 151 followed) were granted a new disability pension. The predictors included older age, male gender, depressive index episode, higher number of psychiatric hospitalizations, generalized anxiety disorder, avoidant personality disorder, and depressive burden during follow\u2010up. However, the predictors differed depending on bipolar subtype, age, and gender.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content>\u2010I and <jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> are associated with a major risk of long\u2010term work disability, the proportion of patients with a disability pension rising to 41% in the medium\u2010term follow\u2010up of the Finnish cohort investigated in the present study. Severe clinical course, depression, comorbidities, age, and gender are likely to be the main predictors but predictors may vary depending on the subgroup.<\/jats:p><\/jats:sec>","DOI":"10.1111\/bdi.12349","type":"journal-article","created":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T06:20:54Z","timestamp":1448950854000},"page":"821-835","source":"Crossref","is-referenced-by-count":29,"title":["Predictors of long\u2010term work disability among patients with type I and <scp>II<\/scp> bipolar disorder: a prospective 18\u2010month follow\u2010up study"],"prefix":"10.1111","volume":"17","author":[{"given":"Petri","family":"Arvilommi","sequence":"first","affiliation":[{"name":"Unit of Mental Health National Institute of Health and Welfare Helsinki Finland"},{"name":"Psychiatric and Substance Abuse Services Helsinki City Department of Social Services and Healthcare Helsinki 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