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Which mental disorders are associated with the greatest impairment in functioning?
Mark J Edlund1, Jiantong Wang2, Kristen Gulledge Brown3
1Behavioral and Urban Health, RTI International, 3040 E. Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC, 27709-2194, USA. medlund@rti.org.
Mental health disorders significantly impact daily functioning. Mood disorders showed the greatest functional impairment, followed by anxiety and substance use disorders, underscoring the need for comprehensive assessment tools.
Area of Science:
- Psychiatry
- Mental Health Research
- Public Health
Background:
- Functional impairment is a key outcome in mental health.
- Existing measures of disability may not fully capture the impact of various mental disorders.
- Understanding these associations is crucial for effective treatment and support.
Purpose of the Study:
- To compare the associations between specific mental disorders and three distinct measures of functional impairment.
- To evaluate the Global Assessment of Functioning (GAF), days out of role, and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).
Main Methods:
- Secondary analysis of a large, nationally representative US dataset (n=5653).
- Utilized generalized linear models to assess independent effects of mental disorders.
- Controlled for comorbidity, physical health, and sociodemographic factors.
Main Results:
- Associations between mental disorders and functional impairment varied by assessment tool.
- Mood disorders were generally linked to the most significant functional impairment.
- Anxiety disorders showed intermediate impairment, while substance use disorders were associated with the least.
Conclusions:
- The findings emphasize the importance of using multiple, complementary measures to assess functional impairment.
- Different mental disorders have varying impacts on daily life, necessitating tailored evaluation approaches.
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