{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:43:44Z","timestamp":1761561824341,"version":"3.37.3"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"DOI":"10.13039\/501100001861","name":"Forskningsr\u00e5det f\u00f6r Arbetsliv och Socialvetenskap","doi-asserted-by":"publisher","award":["2009-1758","2007-1762"],"award-info":[{"award-number":["2009-1758","2007-1762"]}],"id":[{"id":"10.13039\/501100001861","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001861","name":"Forskningsr\u00e5det f\u00f6r Arbetsliv och Socialvetenskap","doi-asserted-by":"publisher","award":["2009-1758","2007-1762"],"award-info":[{"award-number":["2009-1758","2007-1762"]}],"id":[{"id":"10.13039\/501100001861","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sleep Disorders"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Insomnia and disability pension are major health problems, but few population-based studies have examined the association between insomnia and risk of disability pension.<jats:italic>Methods<\/jats:italic>. We conducted a prospective nationwide cohort study based on Swedish population-based registers including all 5,028,922 individuals living in Sweden on December 31, 2004\/2005, aged 17\u201364 years, and not on disability or old age pension. Those having at least one admission\/specialist visit with a diagnosis of disorders of initiating and maintaining sleep (insomnias) (ICD-10: G47.0) during 2000\/2001\u20132005 were compared to those with no such inpatient\/outpatient care. All-cause and diagnosis-specific incident disability pension were followed from 2006 to 2010. Incidence rate ratios (IRRs) and 95% confidence intervals (CIs) were estimated by Cox regression.<jats:italic>Results<\/jats:italic>. In models adjusted for prior sickness absence, sociodemographic factors, and inpatient\/specialized outpatient care, associations between insomnia and increased risks of all-cause disability pension (IRR 1.35, 95% CI 1.09\u20131.67) and disability pension due to mental diagnoses (IRR 1.86, 95% CI 1.38\u20132.50) were observed. After further adjustment for insomnia medications these associations disappeared. No associations between insomnia and risk of disability pension due to cancer, circulatory, or musculoskeletal diagnoses were observed.<jats:italic>Conclusion<\/jats:italic>. Insomnia seems to be positively associated with all-cause disability pension and disability pension due to mental diagnoses.<\/jats:p>","DOI":"10.1155\/2013\/209832","type":"journal-article","created":{"date-parts":[[2013,12,31]],"date-time":"2013-12-31T16:01:10Z","timestamp":1388505670000},"page":"1-9","source":"Crossref","is-referenced-by-count":8,"title":["Clinically Diagnosed Insomnia and Risk of All-Cause and Diagnosis-Specific Disability Pension: A Nationwide Cohort Study"],"prefix":"10.1155","volume":"2013","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9041-2417","authenticated-orcid":true,"given":"Catarina","family":"Jansson","sequence":"first","affiliation":[{"name":"Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Berzelius v\u00e4g 3, 6th Floor, 171 77 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Alexanderson","sequence":"additional","affiliation":[{"name":"Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Berzelius v\u00e4g 3, 6th Floor, 171 77 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00f6ran","family":"Kecklund","sequence":"additional","affiliation":[{"name":"Stress Research Institute, Stockholm University, 106 91 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5161-5521","authenticated-orcid":true,"given":"Torbj\u00f6rn","family":"\u00c5kerstedt","sequence":"additional","affiliation":[{"name":"Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Berzelius v\u00e4g 3, 6th Floor, 171 77 Stockholm, Sweden"},{"name":"Stress Research Institute, Stockholm University, 106 91 Stockholm, 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