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Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties

Published on: September 27, 2020

Disability associated with mental disorders.

Pranit K Chaudhury¹, Kamala Deka, Dhrubajyoti Chetia

¹Professor and Head Department of Psychiatry, Assam Medical College and Hospital, Dibrugarh.

Indian Journal of Psychiatry

|August 13, 2010

Summary

Mental illnesses like schizophrenia cause significant disability, impacting global health. This study assessed disability levels across seven psychiatric disorders, finding schizophrenia most disabling and others showing persistent impairment over time.

Keywords:

IDEAS Mental disorders assessment disability

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Area of Science:

Psychiatry and Mental Health Research
Global Burden of Disease Studies
Disability Assessment in Clinical Populations

Background:

Mental illness represents a substantial global health burden due to associated disability.
This study investigates disability across seven key psychiatric disorders: schizophrenia, bipolar disorder, anxiety, depression, obsessive-compulsive disorder (OCD), dementia, and alcohol use disorders.

Purpose of the Study:

To quantify and characterize disability in patients with selected psychiatric disorders.
To correlate disorder severity with the degree of disability.
To compare disability levels across different psychiatric diagnoses and assess longitudinal changes.

Main Methods:

A cohort of 228 patients diagnosed using ICD-10 and SCAN criteria were recruited from a psychiatric outpatient department.
Disorder severity was measured using disorder-specific rating scales.
The Indian Disability Evaluation and Assessment Scale (IDEAS) was used to assess disability levels, with follow-ups at 6 and 12 months.

Main Results:

All seven studied psychiatric disorders were associated with significant disability.
Schizophrenia emerged as the most disabling condition.
Disability from alcohol use disorder and anxiety disorders was comparable to that of OCD, with depression, alcohol use disorder, and anxiety showing persistent significant disability over 12 months.

Conclusions:

Mental disorders, particularly schizophrenia, are linked to considerable disability.
Disability levels vary among different psychiatric conditions.
Certain disorders like depression, alcohol use disorder, and anxiety disorders exhibit persistent disability over a one-year period.