Details

Autor(en) / Beteiligte

• Barbaglia, Gabriela
• Duran, Núria
• Vilagut, Gemma
• Forero, Carlos García
• Haro, Josep Maria
• Alonso, Jordi

Titel

Effects of common mental disorders and physical conditions on role functioning in Spain

Ist Teil von

• Gaceta sanitaria, 2013-11, Vol.27 (6), p.480-486

Ort / Verlag

Spain: Elsevier Espana

Erscheinungsjahr

2013

Quelle

MEDLINE

Beschreibungen/Notizen

• Summary Objective To examine the effects of common mental disorders and physical conditions on role functioning in Spain. Methods Cross-sectional study of the general adult population of Spain (n = 2,121). Non-psychotic mental disorders were assessed with the Composite International Diagnostic Interview (CIDI 3.0) and physical conditions with a checklist. The role functioning dimension of the WHO-Disability Assessment Schedule (WHODAS) was used to asses the number of days in the past month in which respondents were fully or partially limited to perform daily activities. Generalized linear models were used to estimate individual-level associations of specific conditions and role functioning, controlling for co-morbidity. Societal level estimates were calculated using population attributable risk proportions (PARP). Results Mental disorders and physical conditions showed similar number of days with full role limitation (about 20 days per year); in contrast mental disorders were responsible for twice as many days with partial role limitation than physical conditions (42 vs 21 days, respectively). If the population were entirely unexposed to mental and physical conditions, days with full limitation would be reduced by 73% and days with partial limitation by 41%. Conclusions Common health conditions in Spain are associated with considerably more days with role limitation than other Western countries. There is need of mainstreaming disability in the Spanish public health agenda in order to reduce role limitation among individuals with common conditions.