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Disability Mediates the Impact of Common Conditions on Perceived Health

dc.creatorAlonso, Jordi
dc.creatorVilagut, Gemma
dc.creatorAdroher, Núria D.
dc.creatorChatterji, Somnath
dc.creatorHe, Yanling
dc.creatorAndrade, Laura Helena
dc.creatorBromet, Evelyn
dc.creatorBruffaerts, Ronny
dc.creatorFayyad, John
dc.creatorFlorescu, Silvia
dc.creatorDe Girolamo, Giovanni
dc.creatorGureje, Oye
dc.creatorHaro, Josep Maria
dc.creatorHinkov,  Hristo
dc.creatorHu, Chiyi
dc.creatorIwata, Noboru
dc.creatorLee, Sing
dc.creatorLevinson, Daphna
dc.creatorPierre Lepine, Jean
dc.creatorMatschinger, Herbert
dc.creatorMedina-Mora, Maria Elena
dc.creatorO’Neill, Siobhan
dc.creatorHormel, J.
dc.creatorPosada-Villa, Jose A.
dc.creatorTaib, Nezar Ismet
dc.creatorXavier, Miguel
dc.creatorKessler, Ronald C.
dc.date.accessioned2017-06-29T03:45:19Z
dc.date.available2017-06-29T03:45:19Z
dc.date.issued2013es_ES
dc.identifier2641es_ES
dc.identifier.issn1932-6203es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4490
dc.identifier.urihttps://doi.org/10.1371/annotation/1b1c6fa4-a665-4241-8cdc-fad6eb6709fces_ES
dc.description.abstractes_ES
dc.language.isoenges_ES
dc.publisheres_ES
dc.relation8(6)es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshActivities of Daily Living/psychologyes_ES
dc.subject.meshAdolescentes_ES
dc.subject.meshAdultes_ES
dc.subject.meshAgedes_ES
dc.subject.meshAged, 80 and overes_ES
dc.subject.meshDisabled Persons/psychologyes_ES
dc.subject.meshFemalees_ES
dc.subject.meshHealth Surveys/statistics and numerical dataes_ES
dc.subject.meshHumanses_ES
dc.subject.meshMalees_ES
dc.subject.meshMental Disorders/psychologyes_ES
dc.subject.meshMiddle Agedes_ES
dc.subject.meshQuality of Life/psychologyes_ES
dc.subject.meshSelf Carees_ES
dc.subject.meshSelf-Assessmentes_ES
dc.titleDisability Mediates the Impact of Common Conditions on Perceived Healthes_ES
dc.title.alternativees_ES
dc.typeartículoes_ES
dc.contributor.affiliationIMIM-Institut Hospital del Mar d’Investigacions Médiques, Barcelona, Spaines_ES
dc.contributor.emailjalonso@imim.eses_ES
dc.relation.jnabreviadoPLOS ONEes_ES
dc.relation.journalPloS onees_ES
dc.identifier.placeEstados Unidoses_ES
dc.date.published2013es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1932-6203es_ES
dc.identifier.doi10.1371/journal.pone.0065858es_ES
dc.description.monthJunes_ES
dc.description.abstractotrodiomaBackground: 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.es_ES
dc.subject.meshmes_ES
dc.subject.kwes_ES
dc.subject.koes_ES


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