Onset of disability in depressed and non-depressed primary care patients.
While cross-sectional and longitudinal studies have consistently found depressive illness and disability to be related, understanding whether depression leads to subsequent onset of disability is limited.
In the context of the multi-centre international WHO Collaborative Study on Psychological Problems in General Health Care, we followed prospectively consulting non-elderly primary care patients who were essentially disability free at baseline but who differed in baseline depression status, comprising 1051 patients free of physical disability at baseline including 14% depression ; 914 free of social disability including 9% depression.
Depression status was assessed with the CIDI ; patient-reported physical disability with the MOS physical functioning scale and social disability with the BDQ role functioning and number of disability days measures ; investigator-rated social disability with the Occupational section of Groningen Social Disability schedule ; and the treating physicians rated the severity of physical illness.
In patients essentially disability free at baseline, depressive illness resulted in a 1.5-fold (at 3 months) and a 1.8-fold (at 12 months) increase in risk of onset of physical disability, after controlling for physical disease severity.
Depressive illness also resulted in a 2.2-fold (at 3 months) (...)
Mots-clés Pascal : Etat dépressif, Prédiction, Incapacité, Soin santé primaire, Santé mentale, Facteur risque, Environnement social, Communauté, Etude longitudinale, International, Homme
Mots-clés Pascal anglais : Depression, Prediction, Disability, Primary health care, Mental health, Risk factor, Social environment, Community, Follow up study, International, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0398699
Code Inist : 002B18C07A. Création : 22/03/2000.