Disability and common mental disorders: Results from the World Mental Health Survey Initiative Portugal

Antunes, Ana; Frasquilho, Diana; Azeredo‐Lopes, Sofia; Neto, Daniel; Silva, Manuela; Cardoso, Graça; Caldas‐de‐Almeida, José Miguel

doi:10.1016/j.eurpsy.2017.12.004

Cited by 52 publications

(41 citation statements)

References 38 publications

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“…The mean score of the WHO-QoL-BREF of the elderly population (67.2 ± 18.2) was higher than the score that has been considered adequately detecting poor QoL (score < 60). With regard to disability, the distribution of the WHODAS-II scores resemble the data of both a Canadian community sample [30] and of a Portuguese study within the World Mental Health Survey Initiative Portugal [31], although, again, our sample of elderly subjects had lower levels of LoF.…”

Section: Discussionsupporting

confidence: 56%

Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: results from the MentDis_ICF65+ study

Grassi

Caruso

Ronch

et al. 2020

Health Qual Life Outcomes

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Background: An ageing population worldwide needs to investigate quality of life (QoL) and level of functioning (LoF) in the elderly and its associated variables. We aimed to study the relationship between Quality of Life (QoL) and Level of Functioning (LoF) in an elderly population in Europe. Method: As part of the Ment_Dis65+ European Project, 3142 community-dwelling adults aged 65-84 years in six countries were assessed by using the adaptation for the elderly of the Composite International Diagnostic Interview (CIDI65+) to provide psychiatric diagnosis according to the International Classification of Diseases (10th edition) (ICD-10 Classification of Mental and Behavioural Disorders). Socio-demographic and clinical interviews, and two selfreport tools, the World Health Organization QoL assessment (WHO QoL BREF), to assess QoL, and the WHO Disability Assessment Schedule-II (WHODAS-II), to assess LoF, were also administered. Results: Most subjects reported good levels of QoL (56.6%) and self-rated health (62%), with no or mild disability (58.8%). There was a linear decrease of the QoL and the LoF by increase of age. Elderly with ICD-10 mental disorder (e.g. somatoform, affective and anxiety disorders) had poorer QoL and lower LoF. There were a number of predictors of lower levels of QoL and disability, including both socio-demographic variables (e.g. male gender, increase in age, poor financial situation, retirement, reduced number of close significant others), ICD-10 psychiatric diagnosis (mainly anxiety, somatoform disorders) and presence of medical disorders (mainly heart and respiratory diseases).

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Section: Discussionsupporting

confidence: 56%

Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: results from the MentDis_ICF65+ study

Grassi

Caruso

Ronch

et al. 2020

Health Qual Life Outcomes

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“…Little is known about the impact of the Great Recession on changes in the pattern of consumption of psychotropic drugs in Portugal. Compared to other European countries, Portugal has higher rates of consumption of psychotropic drugs [28,29], which may be partly explained by the fact that the country has one of the highest prevalences of mental disorders in Europe [30,31]. This high consumption has been recognized as a public health challenge [28], as it is largely based on anxiolytics, and hypnotics/sedatives.…”

Section: Introductionmentioning

confidence: 99%

How did the use of psychotropic drugs change during the Great Recession in Portugal? A follow-up to the National Mental Health Survey

et al. 2020

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Background: Research suggests that economic recessions might be associated with a higher use of psychotropic drugs, but literature is scarce and contradictory in identifying the most vulnerable groups. This study aims to assess possible changes in the use of psychotropic drugs due to the economic recession in Portugal, by comparing selfreported consumption in 2008/09 and 2015/16. Methods: Data from the World Mental Health Survey Initiative Portugal (2008/09) and the National Mental Health Survey Follow-Up (2015/16) were used (n = 911). McNemar's tests were performed to estimate changes in consumption of any psychotropic drug and of antidepressants, anxiolytics, and hypnotics/sedatives. Multiple Generalised Estimating Equations models with interaction effects were used to estimate the population odds of consuming psychotropic drugs according to year, gender and age. Results: An increase of 6.74% was estimated in the consumption of psychotropic drugs from 2008/09 to 2015/16. Population odds of consuming any psychotropic drugs in 2015/16 were estimated to be 1.5 times higher than in 2008/09 (OR = 1.50;95%CI:1.13-2.01), particularly for hypnotics/sedatives (OR = 1.60;95%CI:1.14-2.25). Women and older individuals presented higher odds of consuming any psychotropic drugs (OR = 2.79;95%CI:2.03-3.84, and OR = 1.80;95%CI:1.28-2.54), after adjusting for year of assessment and education. However, when evaluating the interaction effect of the year with gender and age, men and younger individuals reported higher odds of consuming any psychotropic drugs in 2015/16, when compared to 2008/09 (OR = 1.85;95%CI:1.08-3.17, and OR = 1.95;95%CI:1.32-2.90, respectively).

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“…Strategies of functioning information collection in health surveys are also laid down in the literature 18 . Some tools as the Model Disability Survey -MDS 19 and the World Health Organization Disability Assessment Schedule -WHODAS can be used 20 . Reinforcing the functioning role in the public health field, the 11 th International Classification of Disease -ICD-11 (https://icd.who.int/browse11/l-m/en) came up with a new section, "V Supplementary section for functioning assessment" in order to "…allow creating functioning profiles and overall functioning scores for the individuals, which are suitable to describe and quantify the level of functioning associated with health conditions.…”

Section: Introductionmentioning

confidence: 99%

The World Health Organization Disability Assessment Schedule 2 (WHODAS 2.0): remarks on the need to revise the WHODAS

et al. 2019

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Functioning and disability are concepts in increasing use in clinical settings and in public health. From the public health perspective, the use of functioning as a third health indicator could show more than the frequency of a disease and its death rates, offering information on how the population performs its activities and participation. Clinically, the functioning assessment can provide information for patient-centered health care and specific clinical interventions according to their functioning profile. WHODAS 2.0 is a generic tool to assess health and functioning according to the ICF functioning model. It is an alternative to assess functioning in a less time-consuming way, whereas the duration of the application is one of the main ICF critiques. This paper aims to present some of WHODAS 2.0 inconsistencies and weaknesses as well as strategies to cope with them. In this paper, we present some weaknesses related to the WHODAS layout; wording and scoring process. Some suggestions for strategies to correct these weaknesses are presented, as well.

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Disability and common mental disorders: Results from the World Mental Health Survey Initiative Portugal

Cited by 52 publications

References 38 publications

Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: results from the MentDis_ICF65+ study

Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: results from the MentDis_ICF65+ study

How did the use of psychotropic drugs change during the Great Recession in Portugal? A follow-up to the National Mental Health Survey

The World Health Organization Disability Assessment Schedule 2 (WHODAS 2.0): remarks on the need to revise the WHODAS

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