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What makes the difference in people’s lives when they have a mental disorder?

What makes the difference in people’s lives when they have a mental disorder?
What makes the difference in people’s lives when they have a mental disorder?

Objectives: The objective of this study was to identify which environmental factors are the most responsible for the disability experienced by persons with mental disorders and whether they differ (1) from those in cardiovascular diseases, chronic respiratory conditions, diabetes, and cancer, and (2) depending on the capacity level-a proxy for the impact of health conditions on the health state of individuals. Methods: Nationally representative data from 12,265 adults in Chile collected in 2015 with the WHO Model Disability Survey was analyzed. Results: The availability of personal assistance, frequency of receiving personal assistance, and assistive devices for mobility were the most important environmental factors across mental and other non-communicable diseases. Perception of discrimination and use of health services were also prominent factors. There was a huge overlap between the factors found relevant for mental and other non-communicable diseases, but a substantial variability depending on the intensity of difficulties in capacity. Conclusions: This study challenges the appropriateness of disease-specific approaches and suggests that considering intrinsic capacity levels is more informative than focusing on diagnosis alone when comparing needs and barriers that affect the performance in daily life of specific groups of individuals.

Disability, public health, Environmental health, Mental health, Non-communicable disease
1661-8556
57-67
Kamenov, Kaloyan
e2c20c26-c6d2-44e1-957e-97ddf65acf9e
Cabello, María
dac06847-665c-4f80-baaf-f0d3a7f1edc5
Ballert, Carolina Saskia
f8ed62d0-7de4-40de-aeeb-3abb2f117ac2
Cieza, Alarcos
a0df25c5-ee2c-4580-82b3-d0a75591580e
Chatterji, Somnath
a285ff42-8a0c-4136-a89a-3f64f364b6ea
Rojas, Diego
289fe3d6-47b0-457b-833f-02f7cc7a6e10
Cerón, Gloria
469f10f3-b9c2-4da5-8fc7-a292379014c3
Bickenbach, Jerome
3fd44204-4cfa-40b4-a459-71f436094fcc
Ayuso-Mateos, José Luis
1ae07dd8-b027-4dca-bf3e-3e925e3b8d47
Sabariego, Carla
5caee823-f6fd-45a7-bbbb-990459603d27
Kamenov, Kaloyan
e2c20c26-c6d2-44e1-957e-97ddf65acf9e
Cabello, María
dac06847-665c-4f80-baaf-f0d3a7f1edc5
Ballert, Carolina Saskia
f8ed62d0-7de4-40de-aeeb-3abb2f117ac2
Cieza, Alarcos
a0df25c5-ee2c-4580-82b3-d0a75591580e
Chatterji, Somnath
a285ff42-8a0c-4136-a89a-3f64f364b6ea
Rojas, Diego
289fe3d6-47b0-457b-833f-02f7cc7a6e10
Cerón, Gloria
469f10f3-b9c2-4da5-8fc7-a292379014c3
Bickenbach, Jerome
3fd44204-4cfa-40b4-a459-71f436094fcc
Ayuso-Mateos, José Luis
1ae07dd8-b027-4dca-bf3e-3e925e3b8d47
Sabariego, Carla
5caee823-f6fd-45a7-bbbb-990459603d27

Kamenov, Kaloyan, Cabello, María, Ballert, Carolina Saskia, Cieza, Alarcos, Chatterji, Somnath, Rojas, Diego, Cerón, Gloria, Bickenbach, Jerome, Ayuso-Mateos, José Luis and Sabariego, Carla (2018) What makes the difference in people’s lives when they have a mental disorder? International Journal of Public Health, 63 (1), 57-67. (doi:10.1007/s00038-017-1047-5).

Record type: Article

Abstract

Objectives: The objective of this study was to identify which environmental factors are the most responsible for the disability experienced by persons with mental disorders and whether they differ (1) from those in cardiovascular diseases, chronic respiratory conditions, diabetes, and cancer, and (2) depending on the capacity level-a proxy for the impact of health conditions on the health state of individuals. Methods: Nationally representative data from 12,265 adults in Chile collected in 2015 with the WHO Model Disability Survey was analyzed. Results: The availability of personal assistance, frequency of receiving personal assistance, and assistive devices for mobility were the most important environmental factors across mental and other non-communicable diseases. Perception of discrimination and use of health services were also prominent factors. There was a huge overlap between the factors found relevant for mental and other non-communicable diseases, but a substantial variability depending on the intensity of difficulties in capacity. Conclusions: This study challenges the appropriateness of disease-specific approaches and suggests that considering intrinsic capacity levels is more informative than focusing on diagnosis alone when comparing needs and barriers that affect the performance in daily life of specific groups of individuals.

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More information

Accepted/In Press date: 14 October 2017
e-pub ahead of print date: 25 November 2017
Published date: 1 January 2018
Keywords: Disability, public health, Environmental health, Mental health, Non-communicable disease

Identifiers

Local EPrints ID: 419702
URI: http://eprints.soton.ac.uk/id/eprint/419702
ISSN: 1661-8556
PURE UUID: 9992595d-e705-43db-a100-e8def079529d

Catalogue record

Date deposited: 19 Apr 2018 16:30
Last modified: 07 Oct 2020 00:27

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