Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Disability Mediates the Impact of Common Conditions on Perceived Health
PLoS ONE, Volume 8, No. 6, Article e65858, Year 2013
Notification
URL copied to clipboard!
Description
Background:We examined the extent to which disability mediates the observed associations of common mental and physical conditions with perceived health.Methods and Findings:WHO World Mental Health (WMH) Surveys carried out in 22 countries worldwide (n = 51,344 respondents, 72.0% response rate). We assessed nine common mental conditions with the WHO Composite International Diagnostic Interview (CIDI), and ten chronic physical with a checklist. A visual analog scale (VAS) score (0, worst to 100, best) measured perceived health in the previous 30 days. Disability was assessed using a modified WHO Disability Assessment Schedule (WHODAS), including: cognition, mobility, self-care, getting along, role functioning (life activities), family burden, stigma, and discrimination. Path analysis was used to estimate total effects of conditions on perceived health VAS and their separate direct and indirect (through the WHODAS dimensions) effects.Twelve-month prevalence was 14.4% for any mental and 51.4% for any physical condition. 31.7% of respondents reported difficulties in role functioning, 11.4% in mobility, 8.3% in stigma, 8.1% in family burden and 6.9% in cognition. Other difficulties were much less common. Mean VAS score was 81.0 (SD = 0.1). Decrements in VAS scores were highest for neurological conditions (9.8), depression (8.2) and bipolar disorder (8.1). Across conditions, 36.8% (IQR: 31.2-51.5%) of the total decrement in perceived health associated with the condition were mediated by WHODAS disabilities (significant for 17 of 19 conditions). Role functioning was the dominant mediator for both mental and physical conditions. Stigma and family burden were also important mediators for mental conditions, and mobility for physical conditions.Conclusions:More than a third of the decrement in perceived health associated with common conditions is mediated by disability. Although the decrement is similar for physical and mental conditions, the pattern of mediation is different. Research is needed on the benefits for perceived health of targeted interventions aimed at particular disability dimensions. © 2013 Alonso et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3675077/bin/pone.0065858.s001.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC3675077/bin/pone.0065858.s002.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC3675077/bin/pone.0065858.s003.doc
Authors & Co-Authors
Alonso Caballero, J. L.
Spain, Barcelona
Hospital Del Mar
Spain, Barcelona
Universitat Pompeu Fabra Barcelona
Spain, Madrid
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública
Vilagut, Gemma
Spain, Barcelona
Hospital Del Mar
Adroher, Núria D.
Spain, Barcelona
Hospital Del Mar
Spain, Madrid
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública
Chatterji, Somnath
Switzerland, Geneva
Organisation Mondiale de la Santé
He, Yanling
China, Shanghai
Shanghai Mental Health Center
Andrade, Laura Helena Silveira Guerra
Brazil, Sao Paulo
Universidade de São Paulo
Bromet, Evelyn J.
United States, Stony Brook
Stony Brook University
Bruffaerts, Ronny
Belgium, Leuven
Ku Leuven
Fayyad, John A.
Lebanon, Beirut
Institute for Development Research
Lebanon, Beirut
Saint George Hospital University Medical Center
Florescu, Silvia E.
Romania, Bucharest
National School of Public Health, Management and Professional Development
de Girolamo, Giovanni
Italy, Brescia
Irccs Centro San Giovanni Di Dio Fatebenefratelli
Gureje, Oye
Nigeria, Ibadan
University College Hospital, Ibadan
Haro, Josep Maria
Spain, Sant Boi de Llobregat
Parc Sanitari Sant Joan de Déu
Spain, Madrid
Centro de Investigación Biomédica en Red de Salud Mental
Hinkov, Hristo Ruskov
Bulgaria, Sofia
National Center of Public Health Protection Bulgaria
Hu, Chiyi
China, Shenzhen
Szu-shenzhen Kangning Hospital
Iwata, Noboru
Japan, Hiroshima
Hiroshima International University
Lee, Sing
Hong Kong, Hong Kong
Chinese University of Hong Kong
Levinson, Daphna
Israel, Jerusalem
Ministry of Health
Lépine, Jean Pierre
France, Paris
Hôpital Saint-louis
Matschinger, Herbert
Germany, Leipzig
Universität Leipzig
Medina-Mora, M. E.
Mexico, Mexico
Instituto Nacional de Psiquiatría Ramon de la Fuente
O'Neill, Siobhán M.
United Kingdom, Coleraine
Ulster University
Hormel, J.
Netherlands, Groningen
Universitair Medisch Centrum Groningen
Posada-Villa, J. A.
Colombia, Bogota
Pontificia Universidad Javeriana
Ismet Taib, Nezar
Iraq, Region
Mental Health Center-duhok
Xavier, Miguel
Portugal, Lisbon
Universidade Nova de Lisboa
Kessler, Ronald C.
United States, Boston
Harvard Medical School
Statistics
Citations: 32
Authors: 27
Affiliations: 29
Identifiers
Doi:
10.1371/journal.pone.0065858
e-ISSN:
19326203
Research Areas
Disability
Mental Health
Study Design
Cross Sectional Study