ArticleClinics (Sao Paulo, Brazil)2013
Days out-of-role due to common physical and mental health problems: results from the São Paulo Megacity Mental Health Survey, Brazil.
Article in Clinics (Sao Paulo, Brazil), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 27 citations in OpenAlex.
- Role impairment of patients with mental disorders and physical diseases in China: Results from the China Mental Health Survey.Chinese medical journal · 2026Article
- Fear Circuits in Panic Disorder: An Update.Alpha psychiatry · 2025Review
- Multilevel Analysis of the Patterns of Physical-Mental Multimorbidity in General Population of São Paulo Metropolitan Area, Brazil.Scientific reports · 2019Article
- Which mental disorders are associated with the greatest impairment in functioning?Social psychiatry and psychiatric epidemiology · 2018Article
- 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
- Days Out of Role Due to Mental and Physical Conditions: Results from the Singapore Mental Health Study.PloS one · 2016Article
- Incremental health expenditure and lost days of normal activity for individuals with mental disorders: results from the São Paulo Megacity Study.BMC public health · 2015Article
- Attitude and impact of perceived depression in the workplace.International journal of environmental research and public health · 2014Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 2 countries.
Funding
Abstract
objectivesTo investigate the relative importance of common physical and mental disorders with regard to the number of days out-of-role (DOR; number of days for which a person is completely unable to work or carry out normal activities because of health problems) in a population-based sample of adults in the São Paulo Metropolitan Area, Brazil.
methodsThe São Paulo Megacity Mental Health Survey was administered during face-to-face interviews with 2,942 adult household residents. The presence of 8 chronic physical disorders and 3 classes of mental disorders (mood, anxiety, and substance use disorders) was assessed for the previous year along with the number of days in the previous month for which each respondent was completely unable to work or carry out normal daily activities due to health problems. Using multiple regression analysis, we examined the associations of the disorders and their comorbidities with the number of days out-of-role while controlling for socio-demographic variables. Both individual-level and population-level associations were assessed.
resultsA total of 13.1% of the respondents reported 1 or more days out-of-role in the previous month, with an annual median of 41.4 days out-of-role. The disorders considered in this study accounted for 71.7% of all DOR; the disorders that caused the greatest number of DOR at the individual-level were digestive (22.6), mood (19.9), substance use (15.0), chronic pain (16.5), and anxiety (14.0) disorders. The disorders associated with the highest population-attributable DOR were chronic pain (35.2%), mood (16.5%), and anxiety (15.0%) disorders.
conclusionsBecause pain, anxiety, and mood disorders have high effects at both the individual and societal levels, targeted interventions to reduce the impairments associated with these disorders have the highest potential to reduce the societal burdens of chronic illness in the São Paulo Metropolitan Area.
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