The effects of becoming an entrepreneur on the use of psychotropics among entrepreneurs and their spouses

Aims: Entering entrepreneurship (i.e. becoming an entrepreneur) is known to be a demanding activity with increased workload, financial uncertainty and increased levels of stress. However, there are no systematic studies on how entering entrepreneurship affects the people involved. Methods: The authors investigated prescriptions of psychotropics for 6,221 first-time entrepreneurs from 2001—2004 and their 2,381 spouses in the first two years after becoming entrepreneurs in a matched case-control study using linked data from three Danish national registries: The Danish database for Labor Market Research, the Danish Entrepreneurship database and the Danish Prescription database. Results: Entrepreneurs were more likely to fill prescriptions at pharmacies for sedatives/hypnotics (adjusted odds ratio (AOR): 1.45 [95% CI: 1.26—1.66], p < .0001). However, they were less likely to fill prescriptions for antidepressants (AOR: 0.74 [95% CI: 0.59—0.92] p = 0.007). Spouses of these entrepreneurs were also more likely to fill prescriptions for sedatives/hypnotics (AOR: 1.36 [95% CI: 1.10—1.67], p = 0.005). No difference in prescription of antidepressants was found for spouses. Conclusions: This study showed that there was a significant relation between entering entrepreneurship and receiving prescriptions for sedative/ hypnotics both among the entrepreneurs themselves and their spouses, suggesting that entering entrepreneurship may be associated with increased stress for both the entrepreneurs and their families.

[1]  Susan Dann,et al.  The Changing Experience of Australian Female Entrepreneurs , 2000 .

[2]  L. Howard,et al.  Administrative registers in psychiatric research: a systematic review of validity studies , 2005, Acta psychiatrica Scandinavica.

[3]  U. Lundberg,et al.  Total workload, work stress and perceived symptoms in Swedish male and female white-collar employees. , 2005, European journal of public health.

[4]  M. Lader Effectiveness of benzodiazepines: do they work or not? , 2008, Expert review of neurotherapeutics.

[5]  Nobuyuki Harada,et al.  Who succeeds as an entrepreneur? An analysis of the post-entry performance of new firms in Japan , 2003 .

[6]  Richie Poulton,et al.  Work stress precipitates depression and anxiety in young, working women and men , 2007, Psychological Medicine.

[7]  J Pentti,et al.  Factors underlying the effect of organisational downsizing on health of employees: longitudinal cohort study , 2000, BMJ : British Medical Journal.

[8]  Reiner Rugulies,et al.  Psychosocial work environment and incidence of severe depressive symptoms: prospective findings from a 5-year follow-up of the Danish work environment cohort study. , 2006, American journal of epidemiology.

[9]  Robert Saltstone,et al.  An Evaluation of the Job Stress Questionnaire with a Sample of Entrepreneurs , 1999 .

[10]  B. McEwen Protective and damaging effects of stress mediators. , 1998, The New England journal of medicine.

[11]  G. De Backer,et al.  Use of benzodiazepine drugs and perceived job stress in a cohort of working men and women in Belgium. Results from the BELSTRESS-study. , 2004, Social science & medicine.

[12]  Mark P. Taylor,et al.  SURVIVAL OF THE FITTEST? AN ANALYSIS OF SELF- EMPLOYMENT DURATION IN BRITAIN* , 1999 .

[13]  Per Davidsson,et al.  Where do they come from? Prevalence and characteristics of nascent entrepreneurs , 2000 .

[14]  S. Checkley,et al.  The neuroendocrinology of depression and chronic stress. , 1996, British medical bulletin.

[15]  L. Cameron,et al.  Seeking Medical Care in Response to Symptoms and Life Stress* , 1995, Psychosomatic medicine.

[16]  G. Carroll,et al.  The Liability of Newness: Age Dependence in Organizational Death Rates , 1983 .

[17]  M. Jalovaara Socio-economic status and divorce in first marriages in Finland 1991-93 , 2001 .

[18]  J. Moser Published on behalf of the World Health Organization by the Alcoholism and Drug Addiction Research Foundation (WHO Collaborating Centre for Research and Training on Alcohol and Drug Dependence Problems) , 1980 .

[19]  Olav Sorenson,et al.  FROM CONCEPTION TO BIRTH: OPPORTUNITY PERCEPTION AND RESOURCE MOBILIZATION IN ENTREPRENEURSHIP , 2003 .

[20]  Marko Elovainio,et al.  Organisational downsizing and increased use of psychotropic drugs among employees who remain in employment , 2007, Journal of Epidemiology and Community Health.

[21]  J. Lönnqvist,et al.  Work stress, mental health and antidepressant medication findings from the Health 2000 Study. , 2007, Journal of affective disorders.

[22]  Töres Theorell,et al.  Workplace expansion, long-term sickness absence, and hospital admission , 2004, The Lancet.

[23]  H. Burr,et al.  Psychosocial working conditions and the risk of depression and anxiety disorders in the Danish workforce , 2008, BMC public health.

[24]  Michael S. Dahl,et al.  Are You Experienced? Prior Experience and the Survival of New Organizations , 2007 .

[25]  Jesper B. Sørensen Bureaucracy and Entrepreneurship: Workplace Effects on Entrepreneurial Entry , 2007 .

[26]  Roy Thurik,et al.  Start-Up Capital: "Does Gender Matter?" , 2001 .

[27]  U. Hytti New meanings for entrepreneurs: from risk‐taking heroes to safe‐seeking professionals , 2005 .

[28]  G. Parker Register now: validity later , 2005, Acta psychiatrica Scandinavica.