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Role of common mental and physical disorders in partial disability around the world

  • Ronny Bruffaerts (a1), Gemma Vilagut (a2), Koen Demyttenaere (a1), Jordi Alonso (a2), Ali AlHamzawi (a3), Laura Helena Andrade (a4), Corina Benjet (a5), Evelyn Bromet (a6), Brendan Bunting (a7), Giovanni de Girolamo (a8), Silvia Florescu (a9), Oye Gureje (a10), Josep Maria Haro (a11), Yanling He (a12), Hristo Hinkov (a13), Chiyi Hu (a14), Elie G. Karam (a15), Jean-Pierre Lepine (a16), Daphna Levinson (a17), Herbert Matschinger (a18), Yoshibumi Nakane (a19), Johan Ormel (a20), Jose Posada-Villa (a21), Kate M. Scott (a22), Matthew Varghese (a23), David R. Williams (a24), Miguel Xavier (a25) and Ronald C. Kessler (a26)...

Abstract

Background

Mental and physical disorders are associated with total disability, but their effects on days with partial disability (i.e. the ability to perform some, but not full-role, functioning in daily life) are not well understood.

Aims

To estimate individual (i.e. the consequences for an individual with a disorder) and societal effects (i.e. the avoidable partial disability in the society due to disorders) of mental and physical disorders on days with partial disability around the world.

Method

Respondents from 26 nationally representative samples (n = 61 259, age 18+) were interviewed regarding mental and physical disorders, and day-to-day functioning. The Composite International Diagnostic Interview, version 3.0 (CIDI 3.0) was used to assess mental disorders; partial disability (expressed in full day equivalents) was assessed with the World Health Organization Disability Assessment Schedule in the CIDI 3.0.

Results

Respondents with disorders reported about 1.58 additional disability days per month compared with respondents without disorders. At the individual level, mental disorders (especially post-traumatic stress disorder, depression and bipolar disorder) yielded a higher number of days with disability than physical disorders. At the societal level, the population attributable risk proportion due to physical and mental disorders was 49% and 15% respectively.

Conclusions

Mental and physical disorders have a considerable impact on partial disability, at both the individual and at the societal level. Physical disorders yielded higher effects on partial disability than mental disorders.

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Copyright

Corresponding author

Ronny Bruffaerts, Universitair Psychiatrisch Centrum – Katholieke Universiteit Leuven (UPC-KUL), campus Leuven, Herestraat 49, B-3000 Leuven, Belgium. Email: ronny.bruffaerts@med.kuleuven.be

Footnotes

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Declaration of interest

R.C.K. has been a consultant for GlaxoSmithKline, Kaiser Permanente, Pfizer, Sanofi-Aventis, Shire Pharmaceuticals and Wyeth-Ayerst; has served on advisory boards for Eli Lilly & Company and Wyeth-Ayerst; and has had research support for his epidemiological studies from Bristol-Myers Squibb, Eli Lilly & Company, GlaxoSmithKline, Johnson & Johnson Pharmaceuticals, Ortho-McNeil Pharmaceuticals, Pfizer and Sanofi-Aventis.

Footnotes

References

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Role of common mental and physical disorders in partial disability around the world

  • Ronny Bruffaerts (a1), Gemma Vilagut (a2), Koen Demyttenaere (a1), Jordi Alonso (a2), Ali AlHamzawi (a3), Laura Helena Andrade (a4), Corina Benjet (a5), Evelyn Bromet (a6), Brendan Bunting (a7), Giovanni de Girolamo (a8), Silvia Florescu (a9), Oye Gureje (a10), Josep Maria Haro (a11), Yanling He (a12), Hristo Hinkov (a13), Chiyi Hu (a14), Elie G. Karam (a15), Jean-Pierre Lepine (a16), Daphna Levinson (a17), Herbert Matschinger (a18), Yoshibumi Nakane (a19), Johan Ormel (a20), Jose Posada-Villa (a21), Kate M. Scott (a22), Matthew Varghese (a23), David R. Williams (a24), Miguel Xavier (a25) and Ronald C. Kessler (a26)...

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Role of common mental and physical disorders in partial disability around the world

  • Ronny Bruffaerts (a1), Gemma Vilagut (a2), Koen Demyttenaere (a1), Jordi Alonso (a2), Ali AlHamzawi (a3), Laura Helena Andrade (a4), Corina Benjet (a5), Evelyn Bromet (a6), Brendan Bunting (a7), Giovanni de Girolamo (a8), Silvia Florescu (a9), Oye Gureje (a10), Josep Maria Haro (a11), Yanling He (a12), Hristo Hinkov (a13), Chiyi Hu (a14), Elie G. Karam (a15), Jean-Pierre Lepine (a16), Daphna Levinson (a17), Herbert Matschinger (a18), Yoshibumi Nakane (a19), Johan Ormel (a20), Jose Posada-Villa (a21), Kate M. Scott (a22), Matthew Varghese (a23), David R. Williams (a24), Miguel Xavier (a25) and Ronald C. Kessler (a26)...
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