title: Health status, activity limitations, work-related restrictions and level of disability among Canadians with mood and/or anxiety disorders.
abstract: BACKGROUND
  This study provides the first overview of the perceived general and mental health, activity limitations, work-related restrictions and level of disability, as well as factors associated with disability severity, among Canadian adults with mood and/or anxiety disorders, using a population-based household sample.
  
  
  METHODS
  We used data from the 2014 Survey on Living with Chronic Diseases in Canada- Mood and Anxiety Disorders Component. The sample consists of Canadians aged 18 years and older with self-reported mood and/or anxiety disorders from the 10 provinces (n = 3361; response rate 68.9%). We conducted descriptive and multinomial multivariate logistic regression analyses.
  
  
  RESULTS
  Among Canadian adults with mood and/or anxiety disorders, over one-quarter reported "fair/poor" general (25.3%) and mental (26.1%) health; more than one-third (36.4%) reported one or more activity limitations; half (50.3%) stated a job modification was required to continue working; and more than one-third (36.5%) had severe disability. Those with concurrent mood and anxiety disorders reported poorer outcomes: 56.4% had one or more activity limitations; 65.8% required a job modification and 49.6% were severely disabled. Upon adjusting for individual characteristics, those with mood and/or anxiety disorders who were older, who had a household income in the lowest or lower-middle adequacy quintile or who had concurrent disorders were more likely to have severe disability.
  
  
  CONCLUSIONS
  Findings from this study affirm that mood and/or anxiety disorders, especially concurrent disorders, are associated with negative physical and mental health outcomes. Results support the role of public health policy and programs aimed at improving the lives of people living with these disorders, in particular those with concurrent disorders.
authors.affiliation: Public Health Agency of Canada, Ottawa, Ontario, Canada.
authors.forename: L
authors.initials: L
authors.lastname: Loukine
authors.affiliation: Public Health Agency of Canada, Ottawa, Ontario, Canada.
authors.forename: S
authors.initials: S
authors.lastname: O'Donnell
authors.affiliation: Centre for Applied Research in Mental Health and Addiction, Simon Fraser University, Vancouver, British Columbia, Canada.|Faculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia, Canada.
authors.forename: E M
authors.initials: EM
authors.lastname: Goldner
authors.affiliation: Public Health Agency of Canada, Ottawa, Ontario, Canada.
authors.forename: L
authors.initials: L
authors.lastname: McRae
authors.affiliation: Public Health Agency of Canada, Ottawa, Ontario, Canada.
authors.forename: H
authors.initials: H
authors.lastname: Allen
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001008:Anxiety Disorders / Q000150:complications / Q000523:psychology*; D002170:Canada; D004185:Disability Evaluation; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007182:Income; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data*; D008875:Middle Aged; D019964:Mood Disorders / Q000150:complications / Q000523:psychology*; D055815:Young Adult
keywords: activity limitations; anxiety disorders; disability; health status; health survey; health utilities index; mood disorders; population-based survey; work restrictions