{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T13:07:54Z","timestamp":1784725674284,"version":"3.55.0"},"reference-count":40,"publisher":"BMJ","issue":"12","funder":[{"name":"Working Environment Research Fund","award":["#20185100851"],"award-info":[{"award-number":["#20185100851"]}]},{"name":"Departments of Occupational Medicine, Central Denmark Region","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Occup Environ Med"],"accepted":{"date-parts":[[2026,1,16]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study examines work participation (WP) and disability pension (DP) among patients diagnosed with post-traumatic stress disorder (PTSD) at Danish Departments of Occupational Medicine. The aim was to identify WP trajectories and determine whether occupation is associated with poor labour market attachment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A nationwide longitudinal study was conducted on register data from patients diagnosed with PTSD at Departments of Occupational Medicine in Denmark from 2000 to 2015. WP was operationalised as a score (WPS, Work Participation Score) derived from the proportion of weeks in employment relative to the possible number of work weeks per year. WPS is dichotomised as low (\u226475%) or high (&gt;75%). Group-based trajectory models were used to identify patterns of WP. Logistic regression was used to investigate the effect of occupation on WPS and DP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 1187 patients, 68% had low WPS and 43% entered DP after 3 years. Three trajectories were identified from prediagnosis to postdiagnosis: sustained low WPS (12.5%), shift from high to low WPS (50.7%) and near-full recovery (36.8%). Patients in the occupations \u2018plant and machine operator and assemblers\u2019 (OR=3.25; 95%\u2009CI: 1.28 to 8.23) and \u2018prison guards\u2019 (OR=2.50; 95%\u2009CI: 1.23 to 5.08) had higher odds of low WPS, but only \u2018prison guards\u2019 (OR=1.84; 95%\u2009CI: 0.97 to 3.49) had potentially higher odds of receiving DP after 3 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Work-related PTSD is associated with a high risk of low WPS after 3 years. Specific occupations are associated with poorer labour market attachment, underscoring the need for prevention and recovery interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT04459793\">NCT04459793<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/oemed-2025-110412","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T18:20:32Z","timestamp":1770142832000},"page":"589-596","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Work participation and disability pension after work-related PTSD: trajectories and impact of occupation"],"prefix":"10.1136","volume":"82","clinical-trial-number":[{"clinical-trial-number":"nct04459793","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9646-5487","authenticated-orcid":false,"given":"Mads Lillethorup","family":"Persson","sequence":"first","affiliation":[{"name":"Department of Psychology and Behavioral Sciences, Aarhus University, Aarhus, Denmark"},{"name":"Department of Occupational Medicine, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0667-241X","authenticated-orcid":false,"given":"Morten Vejs","family":"Willert","sequence":"additional","affiliation":[{"name":"Department of Occupational Medicine, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Kyndi","sequence":"additional","affiliation":[{"name":"Department of Occupational Medicine, University Research Clinic, Danish Ramazzini Centre, G\u00f8dstrup Hospital, Herning, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vita Ligaya","family":"Dalgaard","sequence":"additional","affiliation":[{"name":"Department of Psychology and Behavioral Sciences, Aarhus University, Aarhus, Denmark"},{"name":"Department of Occupational Medicine, University Research Clinic, Danish Ramazzini Centre, G\u00f8dstrup Hospital, Herning, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"2026071704301468000_82.12.589.1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717000708"},{"key":"2026071704301468000_82.12.589.2","first-page":"4","article-title":"Posttraumatic stress disorder: the burden to the individual and to society","volume":"61 Suppl 5","author":"Kessler","year":"2000","journal-title":"J Clin 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