Days out of role due to common physical and mental conditions: results from the WHO World Mental Health surveys

被引：347

作者：

Alonso, J. ^{[1
,2
]}

Petukhova, M. ^{[3
]}

Vilagut, G. ^{[1
,2
]}

Chatterji, S. ^{[4
]}

Heeringa, S. ^{[5
]}

Uestuen, T. B. ^{[4
]}

Alhamzawi, A. O.

Viana, M. C. ^{[6
]}

Angermeyer, M. ^{[7
]}

Bromet, E. ^{[8
]}

Bruffaerts, R. ^{[9
]}

de Girolamo, G. ^{[10
]}

Florescu, S. ^{[11
]}

Gureje, O. ^{[12
]}

Haro, J. M. ^{[13
]}

Hinkov, H. ^{[14
]}

Hu, C-y ^{[15
,16
]}

Karam, E. G. ^{[17
,18
]}

Kovess, V. ^{[19
,20
]}

Levinson, D. ^{[21
,29
,30
]}

Medina-Mora, M. E. ^{[22
]}

Nakamura, Y.

Ormel, J. ^{[23
]}

Posada-Villa, J. ^{[24
]}

Sagar, R. ^{[25
]}

Scott, K. M. ^{[26
]}

Tsang, A. ^{[27
]}

Williams, D. R. ^{[28
]}

Kessler, R. C. ^{[3
]}

机构：

[1] IMIM Inst Recerca Hosp del Mar, Hlth Serv Res Unit, Barcelona 08003, Spain

[2] CIBERESP, Barcelona, Spain

[3] Harvard Univ, Dept Hlth Policy, Boston, MA 02115 USA

[4] WHO, CH-1211 Geneva, Switzerland

[5] Univ Michigan, Inst Social Res, Ann Arbor, MI USA

[6] Univ Sao Paulo, Sch Med, Inst Psychiat, Sect Psychiat Epidemiol, Sao Paulo, Brazil

[7] Ctr Publ Mental Hlth, Gosing Am Wagram, Austria

[8] SUNY Stony Brook, Dept Psychiat, Stony Brook, NY 11794 USA

[9] Univ Hosp Gasthuisberg, Dept Psychiat, B-3000 Louvain, Belgium

[10] IRCCS Ctr S Giovanni Dio Fatebenefratelli, Brescia, Italy

[11] Scoala Natl Sanatate Publ & Perfectionare Domeniu, Bucharest, Romania

[12] Univ Coll Hosp, Dept Psychiat, Ibadan, Nigeria

[13] CIBERSAM, Barcelona, Spain

[14] Natl Ctr Publ Hlth Protect, Dept Global Mental Hlth, Sofia, Bulgaria

[15] Shenzhen Inst Mental Hlth, Shenzhen, Peoples R China

[16] Shenzhen Kangning Hosp, Shenzhen, Peoples R China

[17] Balamand Univ Med Sch, Fac Med, Dept Psychiat & Clin Psychol, St George Hosp Univ Med Ctr,, Beirut, Lebanon

[18] IDRAAC, Beirut, Lebanon

[19] Univ Paris 05, EA 4069, Paris, France

[20] EHESP Sch Publ Hlth, Dept Epidemiol, Paris, France

[21] Minist Hlth, Res Serv, Jerusalem, Israel

[22] Natl Inst Psychiat, Mexico City, DF, Mexico

[23] Univ Groningen, Univ Med Ctr Groningen, Univ Ctr Psychiat, Dept Psychiat & Psychiat Epidemiol, NL-9713 AV Groningen, Netherlands

[24] Colegio Mayor Cundinamarca Univ, Minist Social Protect, Bogota, Colombia

[25] All India Inst Med Sci, Dept Psychiat, Delhi, India

[26] Wellington Sch Med & Hlth Sci, Dept Psychol Med, Wellington, New Zealand

[27] Chinese Univ Hong Kong, Prince Wales Hosp, Hong Kong Mood Disorders Ctr, Hong Kong, Hong Kong, Peoples R China

[28] Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA

[29] Minist Hlth, Planning Serv, Jerusalem, Israel

[30] Minist Hlth, Mental Hlth Serv, Jerusalem, Israel

来源：

MOLECULAR PSYCHIATRY | 2011年 / 16卷 / 12期

关键词：

mental disorders; chronic disease; disability; productivity loss; prevalence; burden of disease; COMORBID CONDITIONS; DISORDERS; ORGANIZATION; DISABILITY; VERSION; INFORMATION; ACCURACY; IMPACT; COSTS; CIDI;

D O I：

10.1038/mp.2010.101

中图分类号：

Q5 [生物化学]; Q7 [分子生物学];

学科分类号：

070307 [化学生物学]; 071010 [生物化学与分子生物学];

摘要：

Days out of role because of health problems are a major source of lost human capital. We examined the relative importance of commonly occurring physical and mental disorders in accounting for days out of role in 24 countries that participated in the World Health Organization (WHO) World Mental Health (WMH) surveys. Face-to-face interviews were carried out with 62 971 respondents (72.0% pooled response rate). Presence of ten chronic physical disorders and nine mental disorders was assessed for each respondent along with information about the number of days in the past month each respondent reported being totally unable to work or carry out their other normal daily activities because of problems with either physical or mental health. Multiple regression analysis was used to estimate associations of specific conditions and comorbidities with days out of role, controlling by basic socio-demographics (age, gender, employment status and country). Overall, 12.8% of respondents had some day totally out of role, with a median of 51.1 a year. The strongest individual-level effects (days out of role per year) were associated with neurological disorders (17.4), bipolar disorder (17.3) and post-traumatic stress disorder (15.2). The strongest population-level effect was associated with pain conditions, which accounted for 21.5% of all days out of role (population attributable risk proportion). The 19 conditions accounted for 62.2% of all days out of role. Common health conditions, including mental disorders, make up a large proportion of the number of days out of role across a wide range of countries and should be addressed to substantially increase overall productivity. Molecular Psychiatry (2011) 16, 1234-1246; doi:10.1038/mp.2010.101; published online 12 October 2010

引用

页码：1234 / 1246

页数：13

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