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BJPsych Open. 2017 Feb 7;3(1):15-21. doi: 10.1192/bjpo.bp.115.002402. eCollection 2017 Jan.

Days out of role due to common physical and mental conditions in Portugal: results from the WHO World Mental Health Survey.

Author information

1
, MD, PhD, Chronic Diseases Research Centre (CEDOC), NOVA Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisboa, Portugal.
2
, PhD, Health Services Research Unit, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain; CIBER en Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
3
, PhD, Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.
4
, MD, PhD, Health Services Research Unit, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain; CIBER en Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain.

Abstract

BACKGROUND:

One important aspect of the societal burden of mental disorders is the extent to which these problems cause disability.

AIMS:

To assess days out of role associated with commonly occurring mental disorders in comparison with physical disorders in Portugal.

METHOD:

National cross-sectional survey, with home interviews carried out with 3849 adult (aged 18+) respondents (57.3% response rate).

RESULTS:

Twelve-month prevalence for any mental disorder was 21.8%, any physical disorder 55.1% and any disorder 63.1%, with an average of 2.3 disorders per respondent with a disorder. Close to one out of every 10 respondents (9.2%) reported at least one day totally out of role in the past month (median of 6.4 days/any). The 18 conditions accounted for 78.2% of all days out of role, with 20.2% because of mental disorders and 59.2% because of physical disorders.

CONCLUSIONS:

Mental disorders account for a substantial proportion of all role disability in the Portuguese population. Early detection and intervention would have a positive societal effect. Owing to highly frequent comorbidity, simultaneous management of mental and physical disorder comorbidities is advised for greater effect.

DECLARATION OF INTEREST:

R.C.K. in the past 3 years has been a consultant for Hoffmann-La Roche Inc., Johnson & Johnson's Wellness and Prevention, Inc. and Sanofi-Aventis Groupe. He has served on advisory boards for Mensante Corporation, Johnson & Johnson Services, Inc., Lake Nona Life Project and U.S. Preventive Medicine, Inc. He is a co-owner of DataStat, Inc.

COPYRIGHT AND USAGE:

© The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.

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