title: Effects of common mental disorders and physical conditions on role functioning in Spain.
abstract: OBJECTIVE
  To examine the effects of common mental disorders and physical conditions on role functioning in Spain.
  
  
  METHODS
  Cross-sectional study of the general adult population of Spain (n = 2,121). Non-psychotic mental disorders were assessed with the Composite International Diagnostic Interview (CIDI 3.0) and physical conditions with a checklist. The role functioning dimension of the WHO-Disability Assessment Schedule (WHODAS) was used to asses the number of days in the past month in which respondents were fully or partially limited to perform daily activities. Generalized linear models were used to estimate individual-level associations of specific conditions and role functioning, controlling for co-morbidity. Societal level estimates were calculated using population attributable risk proportions (PARP).
  
  
  RESULTS
  Mental disorders and physical conditions showed similar number of days with full role limitation (about 20 days per year); in contrast mental disorders were responsible for twice as many days with partial role limitation than physical conditions (42 vs 21 days, respectively). If the population were entirely unexposed to mental and physical conditions, days with full limitation would be reduced by 73% and days with partial limitation by 41%.
  
  
  CONCLUSIONS
  Common health conditions in Spain are associated with considerably more days with role limitation than other Western countries. There is need of mainstreaming disability in the Spanish public health agenda in order to reduce role limitation among individuals with common conditions.
authors.affiliation: Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain; Pompeu Fabra University (UPF), Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Spain.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Barbaglia
authors.forename: Núria
authors.initials: N
authors.lastname: Duran
authors.forename: Gemma
authors.initials: G
authors.lastname: Vilagut
authors.forename: Carlos García
authors.initials: CG
authors.lastname: Forero
authors.forename: Josep Maria
authors.initials: JM
authors.lastname: Haro
authors.forename: Jordi
authors.initials: J
authors.lastname: Alonso
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D004194:Disease; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000503:physiopathology; D008875:Middle Aged; D013030:Spain
keywords: Burden of disease; Carga de enfermedad; Common health conditions; Funcionamiento; Mental disorders; Physical conditions; Role functioning; Trastorno físico; Trastorno mental; Trastornos frecuentes