title: [Days out of role due to common mental and physical disorders: French results from the WHO World Mental Health surveys].
abstract: BACKGROUND
  The burden of health problems, including mental disorders, can be assessed in several ways such as through healthcare costs or loss of productivity. Their impact on daily activities as a whole has received much less attention, especially in France. Therefore, we undertook the analysis of the French general population data from the World Mental Health (WMH) surveys promoted by the World Health Organization (WHO) assessing the number of days out of role due to common mental and physical disorders.
  
  
  METHODS
  Face-to-face interviews were carried out with 2894 respondents (45.9% pooled response rate). Presence of ten chronic physical disorders and nine mental disorders was assessed for each respondent along with information about the number of days in the past month each respondent reported being totally unable to work or carry out their other normal daily activities because of problems with either physical or mental health. Multiple regression analysis was used to estimate associations of specific conditions and comorbidities with days out of role, after controlling for basic socio-demographics.
  
  
  RESULTS
  One thousand four hundred and thirty-six subjects reporting at least one core-symptom of a mental disorder underwent the whole assessment. The mean annual number of days out of role was high among those with at least one mental disorder (24.2±8.3). The population attributable risk proportion (PARP), i.e. the proportion of days out of role that would have been avoided if the considered disorder had remitted, was also estimated. Mental disorders as a whole accounted for 49.5% of the PARP.
  
  
  CONCLUSIONS
  French data on days out of role from the WHO WMH surveys showed the high burden of mental illness in the general population. These results may have been underestimated, taking into account that subjects who were hospitalized at the time of recruitment, whose disorders might also account for a high proportion of days out of role, could not be assessed with our design.
  
  
  CONCLUSIONS
  Common health conditions, especially mental disorders, make up a large proportion of the number of days out of role. Such data should be considered to design more efficient public health strategies.
authors.affiliation: Service de psychiatrie d'adultes du Pr-Jean-Pierre-Lépine, hôpital Fernand-Widal, AP-HP, Inserm U705, universités Paris-5-et-7, 200, rue du Faubourg-Saint-Denis, 75475 Paris cedex 10, France. Electronic address: romain.icick@lrb.aphp.fr.
authors.forename: R
authors.initials: R
authors.lastname: Icick
authors.affiliation: EA 4069, université Paris 5, École de sante publique EHESP, 75004 Paris, France.
authors.forename: V
authors.initials: V
authors.lastname: Kovess
authors.affiliation: Inserm U669, maison des adolescents, 97, boulevard de Port-Royal, 75679 Paris cedex 14, France; Direction de la politique médicale (DPM), AP-HP, 75184 Paris cedex 04, France.
authors.forename: I
authors.initials: I
authors.lastname: Gasquet
authors.affiliation: Service de psychiatrie d'adultes du Pr-Jean-Pierre-Lépine, hôpital Fernand-Widal, AP-HP, Inserm U705, universités Paris-5-et-7, 200, rue du Faubourg-Saint-Denis, 75475 Paris cedex 10, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Lépine
mesh_terms: D000041:Absenteeism; D000328:Adult; D002908:Chronic Disease / Q000453:epidemiology / Q000523:psychology; D015897:Comorbidity; D017281:Cost of Illness; D004185:Disability Evaluation; D005260:Female; D005602:France; D006306:Health Surveys; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D008875:Middle Aged; D014944:World Health Organization
keywords: Burden of disease; Charge de morbidité; Chronic disease; Maladies chroniques; Maladies mentales; Mental disorders; Perte de productivité; Prevalence; Productivity loss; Prévalence