Table 3

HRs and their 95% CIs related to increased incidence of psychiatric disorders* for 8029 Finnish industrial employees with no history of hospital admissions for psychiatric disorders during the 19-year follow-up, by the level of sense of coherence at baseline (1986)

Model 1†Model 2‡Model 3§
Outcome level of sense of coherenceNo of psychiatric disorder casesAdjusted HR (95% CI)ap for trendAdjusted HR (95% CI)ap for trendAdjusted HR (95% CI)ap for trend
All psychiatric disorders*<0.0010.0230.149
 1 (lowest quartile)1880 (137)1.001.001.00
 22084 (109)0.72 (0.56 to 0.92)0.76 (0.59 to 0.98)0.84 (0.64 to 1.09)
 32038 (89)0.60 (0.46 to 0.79)0.67 (0.51 to 0.88)0.78 (0.58 to 1.06)
 4 (highest quartile)2027 (71)0.48 (0.36 to 0.64)0.54 (0.40 to 0.72)0.67 (0.48 to 0.95)
Alcohol- and drug-related psychiatric disorders<0.0010.0090.154
 1 (lowest quartile)1880 (84)1.001.001.00
 22084 (67)0.74 (0.53 to 1.02)0.81 (0.58 to 1.12)0.86 (0.61 to 1.21)
 32038 (56)0.62 (0.44 to 0.87)0.72 (0.51 to 1.02)0.80 (0.55 to 1.17)
 4 (highest quartile)2027 (39)0.43 (0.29 to 0.64)0.51 (0.34 to 0.75)0.59 (0.38 to 0.93)
Psychiatric disorders, excluding alcohol and drug-related
 1 (lowest quartile)1880 (103)1.000.0031.000.0071.000.759
 22084 (84)0.75 (0.55 to 1.02)0.77 (0.56 to 1.04)0.92 (0.67 to 1.27)
 32038 (72)0.70 (0.51 to 0.96)0.73 (0.53 to 1.01)0.98 (0.69 to 1.40)
 4 (highest quartile)2027 (55)0.52 (0.36 to 0.74)0.54 (0.38 to 0.77)0.82 (0.55 to 1.24)
Severe affective disorders
 1 (lowest quartile)1880 (59)1.000.0771.000.0971.000.248
 22084 (46)0.73 (0.47 to 1.11)0.74 (0.48 to 1.13)0.91 (0.59 to 1.43)
 32038 (48)0.86 (0.57 to 1.30)0.89 (0.59 to 1.36)1.26 (0.79 to 2.01)
  • * The outcome measure includes hospital admissions due to psychiatric disorder or substance abuse-related psychiatric disorder or suicide attempt and deaths due to suicide.

  • Adjusted for age, sex, marital status, education, occupational status and physical work environment at baseline.

  • Additionally adjusted for smoking, binge drinking and physical activity at baseline.

  • § Additionally adjusted for self-rated psychological distress at baseline.