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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...

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Autores principales: Chiang, Yu-Chen, Liou, Tsan-Hon, Lee, Hsin-Chien, Escorpizo, Reuben
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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