{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:10:38Z","timestamp":1740147038725,"version":"3.37.3"},"reference-count":35,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T00:00:00Z","timestamp":1734048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["2021-00154"],"award-info":[{"award-number":["2021-00154"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Stress-related disorders are common diagnoses for sickness absence (SA) and disability pension (DP) in many Western countries. Knowledge on future SA\/DP trajectories among those starting such a SA spell is limited. The aims were to identify future SA\/DP days trajectories among individuals starting an SA spell due to stress-related disorder and investigate socio-demographic and morbidity characteristics associated with specific trajectories.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Using microdata from nationwide registers, we established two cohorts of all living in Sweden who started a new SA spell &gt;14 days due to stress-related disorder in 2011 (N = 32,417) or in 2018 (N = 65,511), respectively. Group-based trajectory models were used to identify trajectories of monthly average SA\/DP days during the following 13 months, separate for each cohort. We used multinomial logistic regression to investigate the associations between sociodemographic and morbidity-related predictors and trajectory membership.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>We identified six SA\/DP trajectories in the two cohorts: <jats:italic>steep drop<\/jats:italic> (30.6% and 35.9% of all included in 2018 and 2011); <jats:italic>constant fluctuating<\/jats:italic> (8.7%, 11.2%); <jats:italic>fast decrease<\/jats:italic> (25.5%, 24.4%); <jats:italic>medium decrease<\/jats:italic> (18.1%, 13.1%); <jats:italic>slow decrease<\/jats:italic> (10.8%, 7.3%), and <jats:italic>constant high<\/jats:italic> (6.2%, 8.0%). The distributions of sociodemographic factors, multi-morbidity, and history of SA\/DP differed between the trajectory groups. For example, compared to the <jats:italic>steep drop<\/jats:italic> trajectory, individuals in the other trajectories were more likely to be a woman, older, having had prior SA\/DP or specialized outpatient healthcare visits.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>In these two explorative, population-wide cohorts, we identified six different trajectories of SA\/DP days among all with a new SA spell with stress-related disorders. The trajectory groups differed regarding both sociodemographic and health-related covariates.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0315706","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T18:26:07Z","timestamp":1734114367000},"page":"e0315706","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sickness absence and disability pension trajectories among individuals on sickness absence due to stress-related disorders. Two prospective population-based cohorts with 13-month follow-up"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3335-7850","authenticated-orcid":true,"given":"Katalin","family":"G\u00e9mes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Pettersson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Sj\u00f6lund Andoff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9595-6627","authenticated-orcid":true,"given":"Kristin","family":"Farrants","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilie","family":"Friberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Alexanderson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,12,13]]},"reference":[{"key":"pone.0315706.ref001","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/s12889-017-4581-4","article-title":"Predictors of return to work among patients in treatment for common mental disorders: a pre-post study","volume":"18","author":"M Victor","year":"2017","journal-title":"BMC Public Health"},{"volume-title":"Myths and Realities about Mental Health and Work","year":"2012","author":"OECD","key":"pone.0315706.ref002"},{"key":"pone.0315706.ref003","unstructured":"Social Insurance in Figures 2022. 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Sickness absence and psychiatric disorders","volume":"32","author":"G Hensing","year":"2004","journal-title":"Scand J Public Health"},{"key":"pone.0315706.ref017","doi-asserted-by":"crossref","first-page":"e51333","DOI":"10.1371\/journal.pone.0051333","article-title":"Long-term unemployment and suicide: a systematic review and meta-analysis","volume":"8","author":"A Milner","year":"2013","journal-title":"PLoS One"},{"key":"pone.0315706.ref018","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.jad.2019.01.045","article-title":"A prediction model for duration of sickness absence due to stress-related disorders","volume":"250","author":"K G\u00e9mes","year":"2019","journal-title":"J Affect Disord"},{"key":"pone.0315706.ref019","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1007\/s10926-017-9730-1","article-title":"Determinants of Sickness Absence and Return to Work Among Employees with Common Mental Disorders: A Scoping Review","volume":"28","author":"H de Vries","year":"2018","journal-title":"J Occup Rehabil"},{"key":"pone.0315706.ref020","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/s10926-008-9121-8","article-title":"A Systematic Review of the Factors which Predict Return to Work for People Suffering Episodes of Poor Mental Health","volume":"18","author":"L Blank","year":"2008","journal-title":"Journal of Occupational Rehabilitation"},{"key":"pone.0315706.ref021","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1080\/09638280600835986","article-title":"Stress-related sickness absence and return to labour market in Sweden","volume":"29","author":"L-G Engstr\u00f6m","year":"2007","journal-title":"Disabil Rehabil"},{"key":"pone.0315706.ref022","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1111\/acps.13067","article-title":"Mental disorders and long-term labour market outcomes: nationwide cohort study of 2 055 720 individuals","volume":"140","author":"C Hakulinen","year":"2019","journal-title":"Acta Psychiatrica Scandinavica"},{"key":"pone.0315706.ref023","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1007\/s10654-019-00511-8","article-title":"The longitudinal integrated database for health insurance and labour market studies (LISA) and its use in medical research","volume":"34","author":"JF Ludvigsson","year":"2019","journal-title":"Eur J Epidemiol"},{"key":"pone.0315706.ref024","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1186\/1471-2458-11-450","article-title":"External review and validation of the Swedish national inpatient register","volume":"11","author":"JF Ludvigsson","year":"2011","journal-title":"BMC Public Health"},{"key":"pone.0315706.ref025","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1007\/s10654-017-0316-1","article-title":"The Swedish cause of death register","volume":"32","author":"HL Brooke","year":"2017","journal-title":"Eur J Epidemiol"},{"key":"pone.0315706.ref026","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1007\/s10654-009-9350-y","article-title":"The Swedish personal identity number: possibilities and pitfalls in healthcare and medical research","volume":"24","author":"JF Ludvigsson","year":"2009","journal-title":"Eur J Epidemiol"},{"key":"pone.0315706.ref027","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1002\/acr.22928","article-title":"Association of Slow Gait Speed With Trajectories of Worsening Depressive Symptoms in Knee Osteoarthritis: An Observational Study","volume":"69","author":"DK White","year":"2017","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"pone.0315706.ref028","first-page":"1","article-title":"Effect Displays in R for Multinomial and Proportional-Odds Logit Models: Extensions to the effects Package","volume":"32","author":"J Fox","year":"2009","journal-title":"J Stat Soft"},{"key":"pone.0315706.ref029","unstructured":"Statistics of Mental health in Sweden (Statistik om psykisk h\u00e4lsa i Sverige) The Public Health Agency of Sweden. www.folkh\u00e4lsomyndigheten.se (2024-11-12)."},{"key":"pone.0315706.ref030","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1186\/s12888-020-02557-5","article-title":"Severity and prevalence of various types of mental ill-health in a general adult population: age and sex differences","volume":"20","author":"P H\u00f6glund","year":"2020","journal-title":"BMC Psychiatry"},{"key":"pone.0315706.ref031","unstructured":"\u00d6sterlund Niklas. 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A call to test the prevalence inflation hypothesis","volume":"69","author":"L Foulkes","year":"2023","journal-title":"New Ideas in Psychology"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0315706","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T18:26:21Z","timestamp":1734114381000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0315706"}},"subtitle":[],"editor":[{"given":"Thomas","family":"Behrens","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,12,13]]},"references-count":35,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,13]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0315706","relation":{},"ISSN":["1932-6203"],"issn-type":[{"type":"electronic","value":"1932-6203"}],"subject":[],"published":{"date-parts":[[2024,12,13]]}}}