Using WHODAS 2.0 to Assess Functional Impairment in People with Depression: Should Employment Receive More Attention?

被引:8
作者
Chiang, Yu-Chen [1 ]
Liou, Tsan-Hon [2 ,3 ]
Lee, Hsin-Chien [4 ,5 ]
Escorpizo, Reuben [6 ,7 ]
机构
[1] Taipei Med Univ, Shuang Ho Hosp, Dept Psychiat, Taipei 23561, Taiwan
[2] Taipei Med Univ, Shuang Ho Hosp, Dept Phys Med & Rehabil, Taipei 23561, Taiwan
[3] Taipei Med Univ, Coll Med, Sch Med, Dept Phys Med & Rehabil, Taipei 11031, Taiwan
[4] Taipei Med Univ Hosp, Dept Psychiat, Taipei 11031, Taiwan
[5] Taipei Med Univ, Res Ctr Artificial Intelligence Med, Taipei 11031, Taiwan
[6] Univ Vermont, Dept Rehabil & Movement Sci, Burlington, VT 05452 USA
[7] Swiss Parapleg Res, Participat Integrat & Social Epidemiol Grp, CH-6207 Nottwil, Switzerland
关键词
major depressive disorder; functional impairment; WHODAS; 2; 0; employment; SOCIAL-PARTICIPATION; DISABILITY; HEALTH; POPULATION; US; RELIABILITY; CHRONICITY; RETIREMENT; VALIDITY; DISORDER;
D O I
10.3390/ijerph18094552
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
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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页数:12
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