ArticlePloS one2013
Disability mediates the impact of common conditions on perceived health.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Additive and Multiplicative Effects of Socially Stigmatized Identities Using Linear Regression to Model Effects on Self-Reported Overall Health as Reported in the All of Us Research Program: Quantitative Analysis.JMIR formative research · 2026Article
- Mental health stigma and its consequences: a systematic scoping review of pathways to discrimination and adverse outcomes.EClinicalMedicine · 2025Review
- Associations of Cognitive Complaints and Depressive Symptoms with Health-Related Quality of Life and Perceived Overall Health in Japanese Adult Volunteers.International journal of environmental research and public health · 2021Article
- Mental well-being of the general population: direct and indirect effects of socioeconomic, relational and health factors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Obesity, Disability and Self-Perceived Health Outcomes in Australian Adults: A Longitudinal Analysis Using 14 Annual Waves of the HILDA Cohort.ClinicoEconomics and outcomes research : CEOR · 2021Article
- Structure of self-rated health among the oldest old: Analyses in the total population and those living with dementia.SSM - population health · 2020Article
- Patients' Self-Reported Disability Weights of Top-Ranking Diseases in Thailand: Do They Differ by Socio-Demographic and Illness Characteristics?International journal of environmental research and public health · 2020Article
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- The association between psychotic experiences and health-related quality of life: a cross-national analysis based on World Mental Health Surveys.Schizophrenia research · 2018Article
- Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project.Depression and anxiety · 2018Article
- Effectiveness of Integration and Re-Integration into Work Strategies for Persons with Chronic Conditions: A Systematic Review of European Strategies.International journal of environmental research and public health · 2018Review
- The association between psychotic experiences and disability: results from the WHO World Mental Health Surveys.Acta psychiatrica Scandinavica · 2017Article
- Employer Policies and Practices to Manage and Prevent Disability: Foreword to the Special Issue.Journal of occupational rehabilitation · 2016Article
- Days out of role due to common physical and mental conditions: results from the Northern Ireland study of health and stress.Social psychiatry and psychiatric epidemiology · 2016Article
- Review
- Perspectives on "Disease" and "Disability" in Child Health: The Case of Childhood Neurodisability.Frontiers in public health · 2016Review
- The global burden of disease studies: tracking the progress of a moving train.Epidemiology and psychiatric sciences · 2014Article
Corrections and comments
- Erratum issuedHormel, J [corrected to Ormel, J Hans]
Authors and funding
28 authors.
Funding
Abstract
backgroundWe examined the extent to which disability mediates the observed associations of common mental and physical conditions with perceived health. METHODS AND
findingsWHO World Mental Health (WMH) Surveys carried out in 22 countries worldwide (n = 51,344 respondents, 72.0% response rate). We assessed nine common mental conditions with the WHO Composite International Diagnostic Interview (CIDI), and ten chronic physical with a checklist. A visual analog scale (VAS) score (0, worst to 100, best) measured perceived health in the previous 30 days. Disability was assessed using a modified WHO Disability Assessment Schedule (WHODAS), including: cognition, mobility, self-care, getting along, role functioning (life activities), family burden, stigma, and discrimination. Path analysis was used to estimate total effects of conditions on perceived health VAS and their separate direct and indirect (through the WHODAS dimensions) effects. Twelve-month prevalence was 14.4% for any mental and 51.4% for any physical condition. 31.7% of respondents reported difficulties in role functioning, 11.4% in mobility, 8.3% in stigma, 8.1% in family burden and 6.9% in cognition. Other difficulties were much less common. Mean VAS score was 81.0 (SD = 0.1). Decrements in VAS scores were highest for neurological conditions (9.8), depression (8.2) and bipolar disorder (8.1). Across conditions, 36.8% (IQR: 31.2-51.5%) of the total decrement in perceived health associated with the condition were mediated by WHODAS disabilities (significant for 17 of 19 conditions). Role functioning was the dominant mediator for both mental and physical conditions. Stigma and family burden were also important mediators for mental conditions, and mobility for physical conditions.
conclusionsMore than a third of the decrement in perceived health associated with common conditions is mediated by disability. Although the decrement is similar for physical and mental conditions, the pattern of mediation is different. Research is needed on the benefits for perceived health of targeted interventions aimed at particular disability dimensions.
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