Productivity costs of schizophrenia spectrum and other psychotic disorders by friction cost and human capital methods: The Northern Finland Birth Cohort 1966

被引:1
作者
Majuri, Tuomas [1 ,2 ,3 ,4 ]
Nerg, Iiro [5 ]
Huikari, Sanna [5 ]
Rissanen, Ina [1 ,2 ,3 ,6 ,7 ]
Jaaskelainen, Erika [1 ,2 ,3 ,4 ]
Miettunen, Jouko [1 ,2 ,3 ]
Korhonen, Marko [5 ]
机构
[1] Univ Oulu, Fac Med, Res Unit Populat Hlth, POB 5000, Oulu, Finland
[2] Oulu Univ Hosp, Med Res Ctr Oulu, Oulu, Finland
[3] Univ Oulu, Oulu, Finland
[4] Oulu Univ Hosp, Dept Psychiat, Oulu, Finland
[5] Univ Oulu, Dept Econ Accounting & Finance, Oulu, Finland
[6] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
[7] Univ Utrecht, Utrecht, Netherlands
关键词
Schizophrenia; Psychosis; Indirect costs; Productivity cost; Follow-up; Cohort study; SOCIETAL COST; PREVALENCE;
D O I
10.1007/s00127-024-02652-y
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
PurposePsychotic disorders are associated with substantial productivity costs; however no previous studies have compared these between schizophrenia spectrum (SSD) and other psychotic disorders (OP). The human capital method (HCM) and the friction cost method (FCM) are the two most common approaches to assess productivity costs. The HCM focuses on employees' perspectives on the costs, whereas the FCM demonstrates employers' perspectives. Studies comparing these methods when estimating the productivity costs of psychoses are lacking.MethodsUtilizing the Northern Finland Birth Cohort 1966 with linkages to national registers, we compared the adjusted productivity costs of SSD (n = 216) and OP (n = 217). The productivity costs were estimated from ages 18 to 53 including projections to statutory retirement age using the FCM and HCM.ResultsWhen estimated via the HCM, productivity losses were higher for SSD (euro193,940) than for OP (euro163,080). However, when assessed using the FCM, costs were significantly lower for SSD (euro2,720) than for OP (euro4,430). Productivity costs varied by sex and various clinical and occupational factors.ConclusionThis study highlights how productivity costs vary by psychosis diagnosis. These differences should be noted when planning interventions. The low FCM estimates indicate the need of interventions before or during the early phases of psychoses. From a societal perspective, interventions are needed, particularly for those with highest HCM productivity losses, such as males with SSD. Besides psychiatric services, the roles of social services, employment agencies and occupational health care should be considered when helping individuals with psychoses to working life.
引用
收藏
页码:1721 / 1731
页数:11
相关论文
共 54 条
  • [31] Bipolar Disorder, Schizoaffective Disorder, and Schizophrenia Overlap: A New Comorbidity Index
    Laursen, Thomas Munk
    Agerbo, Esben
    Pedersen, Carsten Bocker
    [J]. JOURNAL OF CLINICAL PSYCHIATRY, 2009, 70 (10) : 1432 - 1438
  • [32] The Societal Cost of Schizophrenia: An Updated Systematic Review of Cost-of-Illness Studies
    Lin, Claire
    Zhang, Xiaoyu
    Jin, Huajie
    [J]. PHARMACOECONOMICS, 2023, 41 (02) : 139 - 153
  • [33] Scholastic achievement at age 16 and risk of schizophrenia and other psychoses:: a national cohort study
    MacCabe, J. H.
    Lambe, M. P.
    Cnattingius, S.
    Torrang, A.
    Bjoerk, C.
    Sham, P. C.
    David, A. S.
    Murray, R. M.
    Hultman, C. M.
    [J]. PSYCHOLOGICAL MEDICINE, 2008, 38 (08) : 1133 - 1140
  • [34] Employment trajectories until midlife in schizophrenia and other psychoses: the Northern Finland Birth Cohort 1966
    Majuri, Tuomas
    Alakokkare, Anni-Emilia
    Haapea, Marianne
    Nordstrom, Tanja
    Miettunen, Jouko
    Jaaskelainen, Erika
    Ala-Mursula, Leena
    [J]. SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2023, 58 (01) : 65 - 76
  • [35] Return to the labour market in schizophrenia and other psychoses: a register-based Northern Finland Birth Cohort 1966 study
    Majuri, Tuomas
    Haapea, Marianne
    Huovinen, Hanna
    Nordstrom, Tanja
    Ala-Mursula, Leena
    Penttila, Matti
    Martimo, Kari-Pekka
    Miettunen, Jouko
    Jaaskelainen, Erika
    [J]. SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2021, 56 (09) : 1645 - 1655
  • [36] Ministry of Economic Affairs and Employment, 2023, OFFICIAL STAT FINLAN
  • [37] Prevalence of psychotic disorders and its association with methodological issues. A systematic review and meta-analyses
    Moreno-Kustner, Berta
    Martin, Carlos
    Pastor, Loly
    [J]. PLOS ONE, 2018, 13 (04):
  • [38] Cohort Profile: 46 years of follow-up of the Northern Finland Birth Cohort 1966 (NFBC1966)
    Nordstrom, Tanja
    Miettunen, Jouko
    Auvinen, Juha
    Ala-Mursula, Leena
    Keinanen-Kiukaanniemi, Sirkka
    Veijola, Juha
    Jarvelin, Marjo-Riitta
    Sebert, Sylvain
    Mannikko, Minna
    [J]. INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2021, 50 (06) : 1786 - +
  • [39] Sex differences in the course of schizophrenia across diverse regions of the world
    Novick, Diego
    Montgomery, William
    Treuer, Tamas
    Victoria Moneta, Maria
    Maria Haro, Josep
    [J]. NEUROPSYCHIATRIC DISEASE AND TREATMENT, 2016, 12 : 2927 - 2939
  • [40] Explaining the gender gap in sickness absence
    Ostby, K. A.
    Mykletun, A.
    Nilsen, W.
    [J]. OCCUPATIONAL MEDICINE-OXFORD, 2018, 68 (05): : 320 - 326