158 Chapter 8 lower risks (Chapter 5). Applicants with mental disorders, delusional disorders, (post-traumatic) stress disorders or mood disorders were found to be at higher risk, while those with personality or anxiety disorders were at lower risk, of being assessed as unable to work fulltime (Chapter 6). Within cancer groups, higher age (for applicants with cancers of the breast), and female gender (for applicants with lymphoid and haematopoietic cancers), were significantly associated with higher risk of inability to work fulltime. Within mental disorder groups, for applicants with mental retardation or a mood affective disorder, higher age was associated with an increased risk of inability to work fulltime, whereas for applicants with ADHD, adjustment disorders (including burnout), (post-traumatic) stress disorders, personality disorders, mood affective disorders, addictions, schizophrenia and delusional disorders, female gender was significantly associated with higher risk of inability to work fulltime. A middle- to high educational level (compared to a low educational level) was linked to increased risk of inability to work fulltime for applicants with mental retardation, a somatoform disorder, or a personality disorder (Chapter 6). Only for applicants who had an autism spectrum disorder multimorbidity was negatively associated with inability to work fulltime. Multimorbidity was operationalized as having one or more additional diagnoses from different disease groups. Research question 3: What is the association between inability to work fulltime and having paid employment one year after the work disability benefit assessment? In the final study (Chapter 7), we aimed to explore the association between inability to work fulltime and having paid employment a year later; this involved evaluation of the moderating effects of socio-demographic and disease-related factors. We conducted separate analyses for workers (partly) employed in a paid job at the time of assessment, and for those not employed in a paid job, as we expected that the risk of having paid employment one year after the assessment could differ between these groups. After adjusting for disease-related factors, we found no associations between inability to work fulltime and having paid employment one year after the work disability benefit assessment, both for applicants working and not working at the time of the assessment. Furthermore, we found no discrimination for age, gender, and educational level, as none of these variables moderated the associations. When we looked into the associations within the diagnosis groups, we found that for applicants working at time of assessment and diagnosed with a musculoskeletal disease, inability to work fulltime was positively associated with having paid employment one year later. For applicants not working, the association of inability to work fulltime with paid employment was moderated by having multimorbidity: for those with
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