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Using WHODAS 2.0 to Assess Functional Impairment in People with Depression: Should Employment Receive More Attention?
Background: Major depressive disorder (MDD) is a highly prevalent mental disorder which causes public health burden and personal disabilities. In people with mental illness, unemployment is an index character of functional impairment. Methods: Using the Taiwan Databank of Persons with Disability (TD...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123322/ https://www.ncbi.nlm.nih.gov/pubmed/33923012 http://dx.doi.org/10.3390/ijerph18094552 |
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author | Chiang, Yu-Chen Liou, Tsan-Hon Lee, Hsin-Chien Escorpizo, Reuben |
author_facet | Chiang, Yu-Chen Liou, Tsan-Hon Lee, Hsin-Chien Escorpizo, Reuben |
author_sort | Chiang, Yu-Chen |
collection | PubMed |
description | Background: Major depressive disorder (MDD) is a highly prevalent mental disorder which causes public health burden and personal disabilities. In people with mental illness, unemployment is an index character of functional impairment. Methods: Using the Taiwan Databank of Persons with Disability (TDPD), we collected the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) scores for people with MDD-associated disability. We recorded and analyzed the scores of participants during a 3-year period to determine the impact of employment on the trajectory of functional change. Logistic regression was performed to analyze the association between employment and changes in WHODAS 2.0 scores. Results: In people with MDD-associated disability, unemployed individuals present a worse function initially compared to employed individuals. After a 3-year period, the employed group showed a significant functional improvement in the domains of cognition, mobility, and participation. In logistic regression, the odds of having functional improvement were twice as high for those who were employed compared with those who were not. Conclusions: Higher odds of having functional improvement were noted in participants who stay in employment. Programs and strategies to help people with MDD-associated disability resume work warrant more clinical attention and supportive policies from the government. |
format | Online Article Text |
id | pubmed-8123322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-81233222021-05-16 Using WHODAS 2.0 to Assess Functional Impairment in People with Depression: Should Employment Receive More Attention? Chiang, Yu-Chen Liou, Tsan-Hon Lee, Hsin-Chien Escorpizo, Reuben Int J Environ Res Public Health Article Background: Major depressive disorder (MDD) is a highly prevalent mental disorder which causes public health burden and personal disabilities. In people with mental illness, unemployment is an index character of functional impairment. Methods: Using the Taiwan Databank of Persons with Disability (TDPD), we collected the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) scores for people with MDD-associated disability. We recorded and analyzed the scores of participants during a 3-year period to determine the impact of employment on the trajectory of functional change. Logistic regression was performed to analyze the association between employment and changes in WHODAS 2.0 scores. Results: In people with MDD-associated disability, unemployed individuals present a worse function initially compared to employed individuals. After a 3-year period, the employed group showed a significant functional improvement in the domains of cognition, mobility, and participation. In logistic regression, the odds of having functional improvement were twice as high for those who were employed compared with those who were not. Conclusions: Higher odds of having functional improvement were noted in participants who stay in employment. Programs and strategies to help people with MDD-associated disability resume work warrant more clinical attention and supportive policies from the government. MDPI 2021-04-25 /pmc/articles/PMC8123322/ /pubmed/33923012 http://dx.doi.org/10.3390/ijerph18094552 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Chiang, Yu-Chen Liou, Tsan-Hon Lee, Hsin-Chien Escorpizo, Reuben Using WHODAS 2.0 to Assess Functional Impairment in People with Depression: Should Employment Receive More Attention? |
title | Using WHODAS 2.0 to Assess Functional Impairment in People with Depression: Should Employment Receive More Attention? |
title_full | Using WHODAS 2.0 to Assess Functional Impairment in People with Depression: Should Employment Receive More Attention? |
title_fullStr | Using WHODAS 2.0 to Assess Functional Impairment in People with Depression: Should Employment Receive More Attention? |
title_full_unstemmed | Using WHODAS 2.0 to Assess Functional Impairment in People with Depression: Should Employment Receive More Attention? |
title_short | Using WHODAS 2.0 to Assess Functional Impairment in People with Depression: Should Employment Receive More Attention? |
title_sort | using whodas 2.0 to assess functional impairment in people with depression: should employment receive more attention? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123322/ https://www.ncbi.nlm.nih.gov/pubmed/33923012 http://dx.doi.org/10.3390/ijerph18094552 |
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