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

Kaloyan Kamenov, María Cabello, Carolina Saskia Ballert, Alarcos Cieza, Somnath Chatterji, Diego Rojas, Gloria Cerón, Jerome Bickenbach, José Luis Ayuso-Mateos () and Carla Sabariego
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Kaloyan Kamenov: Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red, CIBER
María Cabello: Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red, CIBER
Carolina Saskia Ballert: Swiss Paraplegic Research
Alarcos Cieza: University of Southampton
Somnath Chatterji: World Health Organization
Diego Rojas: Servicio Nacional de Discapacidad (Senadis), Ministerio de Desarrollo Social
Gloria Cerón: Servicio Nacional de Discapacidad (Senadis), Ministerio de Desarrollo Social
Jerome Bickenbach: Swiss Paraplegic Research
José Luis Ayuso-Mateos: Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red, CIBER
Carla Sabariego: Ludwig-Maximilians-Universität München

International Journal of Public Health, 2018, vol. 63, issue 1, No 8, 57-67

Abstract: 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.

Keywords: Environmental health; Mental health; Non-communicable disease; Disability; public health (search for similar items in EconPapers)
Date: 2018
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DOI: 10.1007/s00038-017-1047-5

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