caa a22 4500 606179097 CHVBK 20210128100759.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s11136-014-0803-8 doi (NATIONALLICENCE)springer-10.1007/s11136-014-0803-8 Low functional status as a predictor of incidence of emotional disorders in the general population [Elektronische Daten] [Gabriela Barbaglia, Margreet ten Have, Saskia van Dorsselaer, Jordi Alonso, Gemma Vilagut, Ron de Graaf] Purpose: To examine the association between baseline functional status and any emotional disorder at follow-up, after controlling for potential confounders. The effect modification of previous mental disorders and physical conditions was assessed. Methods: Data are from the Netherlands Mental Health Survey and Incidence Study-2, a representative population-based, 3-year longitudinal study completed in 2012. Individuals at risk of a new or a recurrent emotional disorder were selected at baseline (n=4,574). The appearance of any emotional disorder between waves, assessed with the Composite International Diagnostic Interview 3.0, was the outcome. Functional status at baseline was assessed with the physical (PCS) and mental component summary (MCS) of the Short Form-36 Health Survey version 1 and with the number of disability days collected with the World Health Organization Disability Assessment Scale II. Multivariable logistic regression models adjusted by socio-demographic and lifestyle factors were fitted. Interaction terms between previous mental disorders or physical conditions with the predictors were tested. Results: At baseline, 12.1% had low PCS score, 5.9% had low MCS score and 30.3% reported any disability days. The incidence of emotional disorders in 3years was 9.1% [95% confidence interval (95% CI) 8.1-10.3]. Having low PCS or low MCS at baseline [PCS adjusted OR (aOR) 1.51, p value=0.02; MCS aOR 1.90, p=0.002] or reporting more than 15 disability days (aOR 1.63, p=0.035) was significantly associated with 3-year incidence of emotional disorders. Having a previous mental disorder modified the relationship between MCS and incidence. Among those with a low MCS score, a previous mental disorder considerably increased the risk of incident emotional disorders (aOR 2.72, p=<0.001). Conclusions: Low functional status is an independent risk factor for developing emotional disorders in the general population. Appropriate identification followed by early intervention may contribute to reduce their associated burden. Springer International Publishing Switzerland, 2014 Functional status nationallicence Emotional disorders nationallicence SF-36 nationallicence Disability nationallicence Incidence nationallicence Barbaglia Gabriela Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Dr. Aiguader 88, 08003, Barcelona, Spain aut ten Have Margreet Department of Epidemiology, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands aut van Dorsselaer Saskia Department of Epidemiology, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands aut Alonso Jordi Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Dr. Aiguader 88, 08003, Barcelona, Spain aut Vilagut Gemma Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Dr. Aiguader 88, 08003, Barcelona, Spain aut de Graaf Ron Department of Epidemiology, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands aut Quality of Life Research Springer International Publishing 24/3(2015-03-01), 651-659 0962-9343 24:3<651 2015 24 11136 https://doi.org/10.1007/s11136-014-0803-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0803-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Barbaglia Gabriela Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Dr. Aiguader 88, 08003, Barcelona, Spain aut NATIONALLICENCE 700 1- ten Have Margreet Department of Epidemiology, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- van Dorsselaer Saskia Department of Epidemiology, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- Alonso Jordi Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Dr. Aiguader 88, 08003, Barcelona, Spain aut NATIONALLICENCE 700 1- Vilagut Gemma Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Dr. Aiguader 88, 08003, Barcelona, Spain aut NATIONALLICENCE 700 1- de Graaf Ron Department of Epidemiology, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/3(2015-03-01), 651-659 0962-9343 24:3<651 2015 24 11136