Psychiatr Serv 51:908-913, July 2000
© 2000 American Psychiatric Association
Psychopathology and the Initiation of Disability Payments
Anthony C. Kouzis, Ph.D. and
William W. Eaton, Ph.D.
OBJECTIVE: Longitudinal prospective data from the multisite Epidemiologic Catchment Area (ECA) survey were examined to determine relationships between mental disorders, alcohol abuse or dependence, and transfer payments for disability. METHODS: ECA respondents who were not receiving disability benefits at baseline but who were receiving them at the one-year follow-up were identified. The effects of six psychiatric disorders on the risk of starting payments were examined. They were major depressive disorder, panic disorder, alcohol abuse or dependence, phobic disorder, obsessive-compulsive disorder, and schizophrenia. The odds of starting to receive payments were calculated for persons with these disorders, any mental or addictive disorder, or any two or more disorders, while the analysis controlled for sociodemographic characteristics. RESULTS: A total of 15,567 people were interviewed at baseline; 7 percent received disability payments. Among the 11,981 people interviewed at one year, 261 had begun to receive payments that year, for a starting rate of 2.2 percent. Significant predictors of the initiation of payments were little education (odds ratio=3.7) and low household income (OR=2.6). Respondents with panic disorder were 5.2 times more likely to begin receiving benefits than those without this disorder; respondents with schizophrenia were 4.5 times more likely and those with two or more disorders were 2.8 times more likely to start benefits than those without these disorders. CONCLUSIONS: Differences in social class influenced the initiation of disability payments. However, having a mental or addictive disorder was a more significant predictor, strongly increasing the risk of receiving payments. Given the economic burden to society and potential loss of earnings and opportunity costs for persons with disability and their families, intervening to prevent or alleviate mental disorders should be considered as one alternative to reducing disability payments.
This article has been cited by other articles:
|
|
|
|
 
R. E. Drake, J. S. Skinner, G. R. Bond, and H. H. Goldman
Social Security And Mental Illness: Reducing Disability With Supported Employment
Health Aff.,
May 1, 2009;
28(3):
761 - 770.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. R. Bond, H. Xie, and R. E. Drake
Can SSDI and SSI Beneficiaries With Mental Illness Benefit From Evidence-Based Supported Employment?
Psychiatr Serv,
November 1, 2007;
58(11):
1412 - 1420.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Cougnard, R. Goumilloux, F. Monello, and H. Verdoux
Time Between Schizophrenia Onset and First Request for Disability Status in France and Associated Patient Characteristics
Psychiatr Serv,
November 1, 2007;
58(11):
1427 - 1432.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. A. Cook, H. S. Leff, C. R. Blyler, P. B. Gold, R. W. Goldberg, K. T. Mueser, M. G. Toprac, W. R. McFarlane, M. S. Shafer, L. E. Blankertz, et al.
Results of a Multisite Randomized Trial of Supported Employment Interventions for Individuals With Severe Mental Illness
Arch Gen Psychiatry,
May 1, 2005;
62(5):
505 - 512.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. Hensing and R. Wahlstrom
Chapter 7. Sickness absence and psychiatric disorders
Scand J Public Health,
October 1, 2004;
32(63_suppl):
152 - 180.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. H. FRIEDLANDER, S. R. MARDER, E. C. SUNG, and J. S. CHILD
Panic disorder: Psychopathology, medical management and dental implications
J Am Dent Assoc,
June 1, 2004;
135(6):
771 - 778.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M L Steinberg, J M Williams, and D M Ziedonis
Financial implications of cigarette smoking among individuals with schizophrenia
Tob. Control,
June 1, 2004;
13(2):
206 - 206.
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. C. Frueh, J. D. Elhai, P. B. Gold, J. Monnier, K. M. Magruder, T. M. Keane, and G. W. Arana
Disability Compensation Seeking Among Veterans Evaluated for Posttraumatic Stress Disorder
Psychiatr Serv,
January 1, 2003;
54(1):
84 - 91.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
W. J. Katon, P. Roy-Byrne, J. Russo, and D. Cowley
Cost-effectiveness and Cost Offset of a Collaborative Care Intervention for Primary Care Patients With Panic Disorder
Arch Gen Psychiatry,
December 1, 2002;
59(12):
1098 - 1104.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T L Dremsa, C C Engel Jr, X Liu, M Johantgen, and S Smith
Do mental disorders matter? A study of absenteeism among care seeking Gulf War veterans with ill defined conditions and musculoskeletal disorders
Occup. Environ. Med.,
August 1, 2002;
59(8):
532 - 536.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. D. Goodwin and D. S. Pine
Respiratory Disease and Panic Attacks Among Adults in the United States*
Chest,
August 1, 2002;
122(2):
645 - 650.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. M. McGrath and B. C. Frueh
Fraudulent Claims of Combat Status in the VA?
Psychiatr Serv,
March 1, 2002;
53(3):
345 - 345.
[Full Text]
[PDF]
|
|
|
|
|
|
|
Disability Payments and Psychopathology
Journal Watch Psychiatry,
August 22, 2000;
2000(822):
5 - 5.
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 2000
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
