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      Depressive Symptomatology in Early Retirees Associated With Reason for Retirement—Results From the Population-Based LIFE-Adult-Study

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          Abstract

          Background

          Transition from employment to retirement is regarded a crucial event. However, there is mixed evidence on associations between retirement and mental health, especially regarding early retirement. In Germany, cases of early retirement due to ill health—particularly, mental ill health—are increasing. Therefore, we investigated the association between early retirement and depressive symptoms, including information on different types of early retirement.

          Methods

          We analyzed data from 4,808 participants of the population-based LIFE-Adult-Study (age: 40–65 years, 654 retired, 4,154 employed), controlling for sociodemographic information, social network, pre-existing health conditions, and duration of retirement. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale. Regression analysis using entropy balancing was applied to achieve covariate balance between retired and employed subjects.

          Results

          We found no overall-differences in depressive symptoms between employed and retired persons (men: b = −.52; p = 0.431; women: b = .05; p = .950). When looking at different types of early retirement, ill-health retirement was linked to increased depressive symptoms in women (b = 4.68, 95% CI = 1.71; 7.65), while voluntary retirement was associated with reduced depressive symptoms in men (b= −1.83, 95% CI = −3.22; −.43) even after controlling for covariates. For women, statutory retirement was linked to lower depressive symptomatology (b = −2.00, 95% CI = −3.99; −.02).

          Conclusion

          Depressive symptomatology among early retirees depends on reason for retirement: For women, ill-health retirement is linked to higher levels of depressive symptoms. Women who retire early due to ill-health constitute a risk group for depressive symptoms that needs specific attention in the health care and social security system.

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          Most cited references72

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          The CES-D Scale: A Self-Report Depression Scale for Research in the General Population

          L Radloff (1977)
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            Entropy Balancing for Causal Effects: A Multivariate Reweighting Method to Produce Balanced Samples in Observational Studies

            This paper proposes entropy balancing, a data preprocessing method to achieve covariate balance in observational studies with binary treatments. Entropy balancing relies on a maximum entropy reweighting scheme that calibrates unit weights so that the reweighted treatment and control group satisfy a potentially large set of prespecified balance conditions that incorporate information about known sample moments. Entropy balancing thereby exactly adjusts inequalities in representation with respect to the first, second, and possibly higher moments of the covariate distributions. These balance improvements can reduce model dependence for the subsequent estimation of treatment effects. The method assures that balance improves on all covariate moments included in the reweighting. It also obviates the need for continual balance checking and iterative searching over propensity score models that may stochastically balance the covariate moments. We demonstrate the use of entropy balancing with Monte Carlo simulations and empirical applications.
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              A standard international socio-economic index of occupational status

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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                18 September 2020
                2020
                : 11
                : 565442
                Affiliations
                [1] 1 Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig , Leipzig, Germany
                [2] 2 Global Brain Health Institute (GBHI), Trinity College Dublin , Dublin, Ireland
                [3] 3 Department of Neurology, Max-Planck-Institute for Human Cognitive and Brain Sciences , Leipzig, Germany
                [4] 4 University Hospital Leipzig, Clinic for Cognitive Neurology , Leipzig, Germany
                [5] 5 Department of Medical Psychology and Medical Sociology, University of Leipzig , Leipzig, Germany
                [6] 6 Institute for Medical Informatics, Statistics and Epidemiology (IMISE), University of Leipzig , Leipzig, Germany
                Author notes

                Edited by: Karsten Heekeren, University of Zurich, Switzerland

                Reviewed by: Carlos María Alcover, Rey Juan Carlos University, Spain; Karla Spyra, Charité – Universitätsmedizin Berlin, Germany

                *Correspondence: Andrea E. Zuelke, andrea.zuelke@ 123456medizin.uni-leipzig.de

                This article was submitted to Public Mental Health, a section of the journal Frontiers in Psychiatry

                Article
                10.3389/fpsyt.2020.565442
                7530286
                33192685
                d32e46ca-6a1a-4d36-867b-bf5f8a14164d
                Copyright © 2020 Zuelke, Roehr, Schroeter, Witte, Hinz, Glaesmer, Engel, Enzenbach, Zachariae, Zeynalova, Loeffler, Villringer and Riedel-Heller

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 25 May 2020
                : 04 September 2020
                Page count
                Figures: 0, Tables: 4, Equations: 0, References: 72, Pages: 12, Words: 8197
                Categories
                Psychiatry
                Original Research

                Clinical Psychology & Psychiatry
                center for epidemiologic studies depression scale,depressive symptoms,mental health,early retirement,pension,population-based study

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