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Prescribed psychiatric medication among multiple sclerosis patients before and after disability pension: a register study with matched controls
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry. Department of Clinical Neuroscience, Karolinska Institutet, Center for Psychiatry Research, Karolinska Universitetssjukhuset R5:00, 171 77 Stockholm, Sweden.
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2016 (English)In: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 51, no 7, 1047-1054 p.Article in journal (Refereed) Published
Abstract [en]

Many multiple sclerosis (MS) patients of working ages have psychiatric comorbidity, and 60 % are on disability pension (DP). It is unknown how DP is associated with MS patients' mental health. The objective of this study was to investigate the association between prescriptions of psychiatric medication and time before and after receiving full-time DP in MS patients compared with matched controls. Nationwide Swedish registers were used to identify 3836 MS patients who were granted DP in 2000-2012 and 19,180 DP controls matched on socio-demographic variables by propensity scores. Patients and controls were organized in groups by year granted DP. Adjusted odds ratios (ORs) with 95 % confidence intervals (CIs) were calculated for being prescribed selective serotonin reuptake inhibitors (SSRIs), benzodiazepines, or sleeping agents in 2006. Both patients and controls, who were not yet on DP in the study year of 2006, had lower OR compared with those who were granted DP in the same year. The OR increased when being closer to DP. MS patients, who had been granted DP 5-6 years earlier, had a higher risk for prescription of benzodiazepines (OR 1.72; 95 % CI 1.16-2.57) than controls (OR 1.14; 95 % CI 1.14-1.18). These patients also had a higher risk for SSRI prescription when compared directly with controls (OR 1.76; 95 % CI 1.44-2.15). MS patients have substantially higher odds ratios for being prescribed psychiatric drugs after DP than other disability pensioners. Further research on the association of DP with the mental health of MS patients is warranted.

Place, publisher, year, edition, pages
2016. Vol. 51, no 7, 1047-1054 p.
Keyword [en]
Multiple sclerosis, Disability pension, Sick leave, Epidemiology, Depression, Serotonin uptake hibitors, Benzodiazepines, Hypnotics and sedatives
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:umu:diva-124836DOI: 10.1007/s00127-016-1234-3ISI: 000380088900014PubMedID: 27169415OAI: oai:DiVA.org:umu-124836DiVA: diva2:1010373
Available from: 2016-10-03 Created: 2016-08-26 Last updated: 2017-04-20Bibliographically approved

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