Functional disability of mental disorders and comparison with physical disorders: a study among the general population of six European countries.
OBJECTIVE
To examine the association of mental and physical disorders with multiple domains of functioning and compare the two.


METHODS
Data were derived from the European Study of the Epidemiology of Mental Disorders, a general population study in which adults (n > 21,000) from Belgium, France, Germany, Italy, the Netherlands and Spain were assessed using the Composite International Diagnostic Interview (mental disorders), World Health Organization Disability Assessment Schedule second edition (functional disability) and self-report (physical disorders). Means in different groups were compared using the Mann-Whitney U-test and multiple regression analyses.


RESULTS
Mental disorders were related to disability in all domains of functioning: anxiety disorders the most, followed by mood disorders, and finally alcohol disorders. The findings suggest that mental disorders are associated with similar or higher levels of disability in all domains, except getting around, than arthritis and heart disease.


CONCLUSIONS
Mental disorders are associated with a similar or higher negative impact on daily functioning than arthritis and heart disease.
Buist-Bouwman
M A
MA
University Medical Center Groningen, University of Groningen, and Graduate Research School of Behavior, Cognition and Neurosciences (BCN), The Netherlands. m.a.buist-bouwman@med.umcg.nl
De Graaf
R
R
Vollebergh
W A M
WA
Alonso
J
J
Bruffaerts
R
R
Ormel
J
J