The investigated cohort consisted of psychiatric out- and inpatients (N=269) of the Vantaa Depression Study (VDS), a regionally representative, prospective and naturalistic follow-up study. Good adherence to pharmacotherapy in the acute phase independently predicted maintenance treatment. Cluster B personality disorder symptoms predicted a negative attitude and poor adherence, while cluster C symptoms predicted a positive attitude and living alone good adherence to psychosocial treatment. Of psychiatric patients with depression, one-fifth were granted a disability pension within 5 years.
Higher age, personality factors, functional disability, lack of vocational education and comorbid somatic disorder predicted the granting of a disability pension. Smoking patients differed from non-smoking patients with regard to several clinical characteristics (particularly substance use disorders) and personality factors (personality disorders and neuroticism), which may markedly confound research on the impact of smoking.
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