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Table 4 Risk factors for disability pension (DP) among patients with treatment-resistant depression (TRD). Unadjusted and adjusted hazard ratios (HR) with 95% confidence intervals (CI) for all-cause DP

From: Risk and risk factors for disability pension among patients with treatment resistant depression– a matched cohort study

 

Unadjusted HR (95% CI)

Adjusted HR (95% CI)a

Sex

 Men

Ref

Ref

 Women

1.11 (0.95–1.28)

1.21 (1.03–1.41)

Age (years)b

 18–29

Ref

Ref

 30–49

1.28 (1.08–1.52)

1.32 (1.05–1.66)

 50–69

1.63 (1.34–1.98)

1.70 (1.32–2.19)

Size of living area

 Small municipality

1.01 (0.85–1.21)

1.08 (0.90–1.29)

 Medium-sized municipality

0.85 (0.72–1.01)

0.89 (0.75–1.07)

 Large city

Ref

 Ref

Attained education levelb

  ≤ 9 years

1.20 (0.98–1.46)

1.20 (0.97–1.49)

 10–12 years

1.12 (0.93–1.35)

1.09 (0.90–1.32)

  ≥ 13 years

Ref

Ref

Family situationb

 Married, living without children

Ref

Ref

 Married, living with children

0.96 (0.75–1.24)

1.03 (0.78–1.36)

 Unmarried, living without children

0.75 (0.59–0.96)

1.03 (0.79–1.34)

 Unmarried, living with children

0.64 (0.46–0.89)

0.66 (0.46–0.94)

  ≤ 20 years, living with parent/−s

0.93 (0.69–1.25)

1.90 (1.30–2.78)

Country of birth

 Sweden

Ref

Ref

 Other European country

1.30 (0.96–1.77)

1.32 (0.96–1.80)

 Other than Europe

1.59 (1.35–1.88)

1.55 (1.29–1.85)

Long-term sickness absencec

 No

Ref

Ref

 Yes

3.17 (2.70–3.72)

3.26 (2.74–3.87)

Unemploymentd

 None

Ref

Ref

 1–179 days

1.04 (0.87–1.25)

1.24 (1.03–1.50)

  ≥ 180 days

1.11 (0.82–1.50)

1.24 (0.91–1.69)

History of depression

 No

Ref

Ref

 Yes

1.06 (0.87–1.30)

1.01 (0.82–1.25)

History of anxiety disordere

 No

Ref

Ref

 Yes

0.92 (0.76–1.12)

0.91 (0.75–1.12)

History of personality disordere

 No

Ref

Ref

 Yes

1.46 (0.99–2.16)

1.58 (1.05–2.38)

Substance use disordere

 None

Ref

Ref

 Alcohol only

0.73 (0.47–1.12)

0.74 (0.47–1.15)

 Other/mixed

0.82 (0.56–1.21)

0.72 (0.48–1.07)

History of other psychiatric disordere

 No

Ref

Ref

 Yes

1.12 (0.81–1.54)

1.26 (0.90–1.78)

History of self harm/suicide attempte

 No

Ref

Ref

 Yes

1.15 (0.86–1.55)

1.19 (0.87–1.63)

CCI5, 6

 0

Ref

Ref

 1

1.60 (1.18–2.17)

1.41 (1.03–1.92)

  ≥ 2

1.34 (0.69–2.59)

0.87 (0.45–1.69)

  1. aAdjusted for all covariates
  2. bAt time of first antidepressant prescription
  3. c > 90 net days in the 365 days preceding first antidepressant prescription
  4. dIn the year preceding first antidepressant prescription
  5. eWithin 5 years before first antidepressant prescription
  6. fCharlson’s comorbidity index [40]